QA Manager, Reporting Data Analysis
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Job Description
QA Manager responsible for quality assurance, data analysis, and compliance reporting in healthcare at All Care To You. Leading QA teams to improve data processes and decision-making.
Responsibilities:
- Provide a functional manager role for all QA reporting data staff.
- Conduct QA reviews and test work items before user acceptance testing and final approvals by key stakeholders.
- Prioritize work items and requests from key stakeholders.
- Create and update Azure DevOps board tickets to improve reporting automation for manual steps.
- Identify any data quality/process improvement points, and create new or update SQL queries and stored procedures.
- Develop, implement and oversee the use of data analysis and quality assurance tools.
- Establish data quality standards (units, variable names) and develop policies and procedures for higher quality.
- Analyze QA data to identify root causes of quality issues, track metrics, and predict future trends.
- Design and implement data testing procedures, validating datasets and identifying inconsistencies.
- Build and maintain reporting master document for each health plan and report by lines of business.
- Review all currently implemented compliance reporting technical specification documents and report template instructions to ensure current reporting logic and data definitions align with those requirements.
- Review all compliance report output to make sure the data aligns with the templates, all required information is complete, and data is in the correct format for each field.
- Check all compliance reports to confirm all ran on time and without error.
- Run any compliance reports manually ad-hoc as needed.
- Create SOPs and documentation for running each report manually.
- Complete any manual steps to correct or make reports accurate.
- Identifies and corrects corrupt or inaccurate records.
- Drive process improvement of quality across all deliverables.
- Running data queries to identify coding issues and data exceptions, as well as cleaning data.
- Revise our procedures and documentation that govern our internal and external policies and processes.
- Investigate and resolve questions and issues raised by audit activities.
Requirements:
- 10+ years’ experience analyzing healthcare data for quality assurance and testing.
- 5+ years’ healthcare administration experience.
- 2+ years’ experience leading and supervising other staff and stakeholders.
- SQL experience required.
- Proficiency writing up SQL queries and stored procedures.
- Proficiency using Azure DevOps, Outlook, Microsoft Teams, Zoom, Microsoft Office (including Word and Excel) and Adobe.
- Demonstrated experience in analytical/problem solving, data visualization/reporting, and strong communication with agile mindset.
- HMO/Medical Group experience preferred.
- EZ-Cap experience preferred.
- Detail oriented and highly organized.
- Strong ability to multi-task, project management, and work in a fast-paced environment.
- Strong ability in problem-solving.
- Ability to self-manage, strong time management skills.
- Ability to work in an extremely confidential environment.
- Strong written and verbal communication skills.
Benefits:
- 100% employer paid medical, vision, dental, and life coverage for our employees.
- Additional employee paid coverage options available.
- Paid holidays.
- Birthday off.
- Unlimited PTO.
- 401k plan.
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