Quality Analyst I
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Job Description
Quality Analyst analyzing behavioral-health data and HEDIS reports for Trillium Health Resources, a North Carolina managed-care organization. Supporting quality improvement, accreditation, and compliance reporting.
Responsibilities:
- Conduct data analysis activities for Trillium Health Resources
- Complete reports in compliance with DMH and DMA contract requirements, NCQA accreditation, HEDIS reporting, and other external and internal reporting needs
- Support day-to-day Quality Management Department operations, including committee support, data and reports, training, HEDIS measures, and national accreditation
- Develop analytical reports through analysis, information synthesis, summarization, and interpretation of results
- Identify patterns and trends in data
- Submit reports within assigned deadlines
- Support scheduled external and internal reporting
- Present report data in a user-friendly format accessible to staff, consumers, and community members
- Include appropriate data-source references so reports can be replicated
- Analyze and report statistical data on populations, disabilities, and cultural factors
- Integrate physical health and pharmacy data into the QM/QIC process
- Identify significant matters that could impact the agency
- Assist with HEDIS-oriented plans supporting compliance with national accreditation standards
- Implement organizational improvements to ensure efficient and quality care
- Handle sensitive, complex, and confidential information with discretion and professionalism
- Travel within the catchment area as required
Requirements:
- High School diploma/GED and six (6) years of experience in data analysis, data reporting, data collection, or use of databases; OR Associate’s degree and four (4) years of experience in these areas; OR Bachelor’s degree and two (2) years of experience in these areas; OR equivalent combination of education/experience
- Minimum required experience under the alternatives: two (2) years
- Valid driver’s license required
- Must reside within North Carolina
- Must be able to travel within the catchment area as required
- Preferred four-year degree in Information Technology, Statistics, Analytics, Economics, Mathematics, Business, or a Human Service field such as Psychology or Social Work
- Preferred experience in quality improvement activities and HEDIS
- Preferred two–four years’ working knowledge of Microsoft SQL Server, large data sets, relational databases, and Microsoft Excel, including vlookups, pivot tables, and graphs
- Preferred CSPA, Certified Machine Learning – Specialty (AWS), Predictive Analytics Certificate (SOA), and/or CAHIMS, ITIL v3, or equivalent certifications
- Must pass a drug test as a condition of employment
Benefits:
- A collaborative, mission-driven work environment
- Competitive benefits
- Work-from-home options for most positions
- Opportunities for professional growth in a diverse inclusive culture
- Flexible work schedules available for some positions with management approval
- Health Insurance with no premium for employee coverage
- Flexible Spending Accounts
- 24 days of Paid Time Off (PTO) plus 12 paid holidays in your first year
- NC Local Government Retirement Pension (defined-benefit plan)
- 401k with 5% employer match and immediate vesting
- Public Service Loan Forgiveness (PSLF) qualifying employer
- Quarterly stipend for remote work supplies
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