Quality Improvement Analyst

3 days ago

San Jose, California, United States Santa Clara Family Health Plan Full time
Job Title: Quality Improvement Analyst

We are seeking a highly skilled Quality Improvement Analyst to join our team at Santa Clara Family Health Plan. As a Quality Improvement Analyst, you will play a critical role in facilitating ongoing measurement, data optimization, reporting, and information dissemination with a focus on data integrity, integration, standardization, analysis, and visualization.

Key Responsibilities:
  • Collaborate with multi-disciplinary teams to develop data management and analysis plans, monitor reporting requirements, and establish guiding metrics and benchmarks for performance improvement initiatives.
  • Act as a liaison between the Quality Department, Finance Department, and IT by reviewing business requirements, functional specifications, and internal operations processes.
  • Utilize healthcare applications, data systems, data warehouses, and data integration to pull and analyze data, and provide feedback to stakeholders, including root cause analysis, if any.
  • Process improvement and documentation for quality projects, create process flow diagrams, oversee implemented changes, and write test plans based on technical requirements.
  • Provide project and task management for quality projects, including facilitating stakeholder and project team meetings, tracking actionable items, sending regular project communications to internal and external stakeholders, and escalating identified risks.
  • Audit data accuracy and reporting, and provide performance deviations and anomalies.
Requirements:
  • Bachelor's Degree in Healthcare, Information Systems, or related field, or equivalent experience, training, or coursework.
  • Minimum two years of experience as a business analyst analyzing data for the purpose of informing business decisions.
  • Minimum one year of experience with healthcare management information systems.
  • Ability to write test plans based on technical requirements.
  • Ability to identify, troubleshoot, and resolve small to medium-scale, basic to moderate business and systems issues.
  • Ability to organize work and present results in a professional manner.
  • Working knowledge of and the ability to efficiently operate all applicable computer software, including computer applications such as Outlook, Word, and Excel.
  • Ability to use a keyboard with moderate speed and a high level of accuracy.
  • Excellent communication skills, including the ability to express oneself clearly and concisely when providing service to SCFHP internal departments, providers, and outside entities over the telephone, in person, or in writing.
  • Ability to think and work effectively under pressure and accurately prioritize and complete tasks within established timeframes.
  • Ability to assume responsibility and exercise good judgment when making decisions within the scope of the position.
  • Ability to maintain confidentiality.
  • Ability to comply with SCFHP's policies and procedures.
  • Ability to perform the job safely with respect to others, to property, and to individual safety.
Working Conditions:

Generally, duties are primarily performed in an office environment while sitting or standing at a desk. Incumbents are subject to frequent contact with and interruptions by co-workers, supervisors, and plan members or providers in person, by telephone, and by work-related electronic communications.

Physical Requirements:

Incumbents must be able to perform the essential functions of this job, with or without reasonable accommodation:

  • Mobility Requirements: regular bending at the waist, and reaching overhead, above the shoulders, and horizontally, to retrieve and store files and supplies, and sit or stand for extended periods of time.
  • Lifting Requirements: regularly lift and carry files, notebooks, and office supplies that may weigh up to 5 pounds.
  • Visual Requirements: ability to read information in printed materials and on a computer screen, perform close-up work, and clarity of vision is required at 20 inches or less.
  • Dexterity Requirements: regular use of hands, wrists, and finger movements, ability to perform repetitive motion (keyboard), writing (note-taking), and ability to operate a computer keyboard and other office equipment.
  • Hearing/Talking Requirements: ability to hear normal speech, hear and talk to exchange information in person and on telephone.
  • Reasoning Requirements: ability to think and work effectively under pressure, ability to effectively serve customers, decision making, maintain a concentrated level of attention to information communicated in person and by telephone throughout a typical workday, and attention to detail.
Environmental Conditions:

General office conditions. May be exposed to moderate noise levels.

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