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Strategic Quality Management Analytics Director

2 months ago

New York, New York, United States Diversant Full time
Job Description

Job Title: Strategic Quality Management Analytics Director

Job Summary:

Diversant is seeking a highly skilled Strategic Quality Management Analytics Director to lead our Quality Management Analytics Team. As a key member of our organization, you will be responsible for overseeing the maintenance of the HEDIS/QARR data repository, ensuring accurate and timely reporting to regulatory bodies.

Key Responsibilities:

  • Supervise the Quality Management Analytics Team, ensuring the maintenance of the HEDIS/QARR data repository for accurate and timely reporting to regulatory bodies.
  • Manage the integration of claims, provider, member, encounter, and supplemental data into quality measure rates, collaborating with internal teams and external vendors.
  • Develop program forecasting models and quality dashboards to track and meet provider pay-for-performance program budgets and quality goals.
  • Mentor and train analytics staff, develop strategic plans to meet deadlines while maintaining data integrity, and ensure data requests align with project needs and are accurately interpreted and reported.
  • Develop and maintain processes for implementing, testing, and validating supplemental data from providers.
  • Provide technical mentorship to Quality Management Provider Engagement, Quality Review Leads, and Quality Improvement Specialists.
  • Serve as mid-level escalation support for application issues, escalating data problems requiring process re-engineering.
  • Select, develop, manage, and evaluate direct reports, providing clear instructions and guidance to project team members.

Requirements:

  • Bachelor's degree in public health, health administration, business administration, or information technology required. Master's degree preferred.
  • A minimum of 5 years' programming, application, or reporting development experience and analytical experience (SAS, SQL, Crystal Reports, etc.).
  • Experience using analytics / BI packages (e.g., SAS, R, SQL, Cognos, Business Objects) to build client analysis solutions.
  • Must have advanced working knowledge of Microsoft Office applications including Word, Excel, PowerPoint, Visio, and Access.
  • Position requires an individual with a high degree of accuracy. Must be able to translate theoretical knowledge into practical application.
  • Highly organized
  • Strong attention to detail
  • Excellent communication skills

Benefits:

Diversant offers a competitive salary and benefits package, including health insurance, retirement plan, and paid time off.