Quality & Patient Safety Analyst III, NCQA/HEDIS - Work From Home (CA Only)

Company: Sutter Medical Center
Location: Sacramento
Posted on: January 25, 2023

Job Description:

We are so glad you are interested in joining Sutter Health! -

Organization:

Sutter Health Plan - Valley

Position Overview:

Reporting into the Quality & Accreditation Department, the Quality & Patient Safety Analyst III is responsible for analysis of Sutter Health Plan's (SHP) annual Healthcare Effectiveness Data and Information Set (HEDIS) measures and various clinical quality reports. This position works closely with the Quality Manager, Quality & Patient Safety Director, Data and Analytics Department, HEDIS Data Vendor and HEDIS Auditor to refine requirements, develop new, or re-design, and deploy high-quality, accessible data queries and reports in support of quality improvement initiatives. Two years knowledge (preferred) of clinical quality reporting, HEDIS and/or Integrated Healthcare Association (IHA) measure technical specifications and possess the ability to replicate measure algorithms. Two years of experience with report writing and statistical software such as SAS, SQL, SPSS, Minitab preferred. This team member must have independent skills to track HEDIS measure results monthly from the vendor, evaluate data quality and consistency in design, development and distribution of reports and analyses. Responsible for collecting, extracting and aggregating information from various systems, health plan claims/enrollment, hospital and/or ambulatory quality and financial data repositories and performing analysis to provide meaningful information to stakeholders. Must be able to manipulate Excel output into static and dynamic visualizations and presentations. Two years of experience with visualization software such as Power BI or Tableau preferred. As applicable, supports the accurate and timely submission of data to SHP stakeholders, leadership teams, HEDIS auditor, HEDIS vendor and external organizations (e.g., National Committee for Quality Assurance and Integrated Healthcare Association, CA Department of Managed Healthcare, Transunion, and/or IHA).

Job Description:

EDUCATION Bachelor's: Informatics, a health science related field or other related field. or equivalent education/experience PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN: 2 years experience in Information System database management, programming and/or query development 2 years experience working in a healthcare setting SKILLS AND KNOWLEDGE Knowledge of database architecture and management and data extraction methods required. In-depth experience with Quality, Risk and Case Management modules, and/or Epic EHR or the equivalent. Experience with Statit PPR, Statit PiMD, Tableau, Crystal Report Writer and/or Allscripts. Advanced SQL knowledge and experience. Advanced skill with presentations, word processing and spreadsheet applications with an advanced knowledge of Microsoft Office Suite required. Must be advanced in MS Excel. Advanced analytical skills with the ability to collect, analyze, and disseminate significant amounts of information with attention to detail and accuracy. Experience with statistical methodology is required. Knowledge of health care operations, and health care (ICD 10, CPT and/or DRG) coding with a focus on quality management and care coordination services in acute and non-acute outpatient settings. Includes structure, department-specific policies and procedures and workflows. Requires teamwork, organizational and communication skills. ability to be involved in, and prioritize multiple projects at the same time in a rapidly changing environment is a must. Must have the ability to interact with all levels of employees and medical staff as well as interface directly with external agencies and organizations. Must have ability to organize, interpret and present data effectively; creatively and effectively problem-solve, good decision-making skills. Leadership, communication and teaching / training skills. Pay Range: 41.64-62.46

The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.

Job Shift:

Days

Schedule:

Full Time

Shift Hours:

8

Days of the Week:

Friday, Monday, Thursday, Tuesday, Wednesday

Weekend Requirements:

None

Benefits:

Yes

Unions:

No

This position is work from home eligible.

Position Status:

Non-Exempt

Weekly Hours:

40

Employee Status:

Regular

Number of Openings:

1

Sutter Health Affiliates are equal opportunity employers EOE/M/F/Disability/Veterans.

Keywords: Sutter Medical Center, Sacramento , Quality & Patient Safety Analyst III, NCQA/HEDIS - Work From Home (CA Only), Professions , Sacramento, California