Quality Analyst III -TRICARE

Job Summary:

This position supports TRICARE Prime® Demo by CareSource Military & Veterans, which aims to enhance healthcare access and prioritize the unique needs of the military community. We encourage military affiliated individuals, veterans, military spouses, and those with prior TRICARE experience to apply

The Quality Analyst III is responsible for analyzing and interpreting complex healthcare data. This role will collaborate with cross-functional teams, providing analytical insight to inform strategy and interventions to drive improved quality performance

Essential Functions:

• Generate comprehensive reports, graphics and dashboards that effectively summarize and display data for key stakeholders
• Review reports and data for pattern identification, special cause variation identification, trend analysis, or other techniques and provide management level summaries that explain key findings
• Provide technical expertise and guidance to team members on SQL, SAS, and DAX coding best practices, visualizations, and table locations
• Interpret and maintain understanding of technical specification and other quality reporting requirements and ensure any changes are implemented and communicated with key stakeholders timely
• Interact and work collaboratively with business partners on analysis, reports and data patterns to identify trends
• Gather, understand and refine requirements for analytics requests including but not limited to HEDIS, Population Health, Pharmacy Quality, Accreditation, Health Equity, business development and RFP requests
• Collaborate with IT teams to enhance data collection and reporting systems
• Perform any other job duties as assigned

Education and Experience:

• Bachelor of Science/Arts degree in Management Information Systems (MIS), computer science or related field or equivalent work experience is required
• Master of public health (MPH), Business Administration (MBA), mathematics, statistics, or related field is preferred
• Minimum of three (3) years of experience in data analysis and/or analytic programming is required
• Minimum of three (3) years of HEDIS or similar healthcare quality performance metrics experience is required
• 3-5 years Programming experience (i.e., SQL, SAS) is required  
• Programming in DAX/Power BI is preferred
• Health care delivery, clinical experience and/or payer experience is preferred.
• Military affiliation or TRICARE experience is preferred

Competencies, Knowledge, and Skills:

• Intermediate proficiency level with Microsoft Office Suite
• Complex problem-solving skills for solving multi-dimensional business questions Proficient in Programming language (i.e., two of SQL, SAS and/or DAX) is required
• Managed Care Organization knowledge and familiarity
• Graphic development & presentation skills
• Exposure to statistical concepts strongly preferred
• Critical thinking and active listening skills
• Effective verbal and written communication skills
• Ability to lead analytic efforts
• Ability to serve as liaison with business partners
• Knowledge of managed care and health care data coding
• Ability to interface with IT teams, familiarity with MDS and advanced data architecture

Licensure and Certification:

• None

Working Conditions:

• General office environment; may be required to sit or stand for extended periods of time

Compensation Range:

CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary):

Organization Level Competencies

• Create an Inclusive Environment

• Cultivate Partnerships

• Develop Self and Others

• Drive Execution

• Influence Others

• Pursue Personal Excellence

• Understand the Business