Quality Management Analytics Manager
12 hours ago
At MetroPlusHealth, we are committed to empowering New Yorkers by uniting communities through care. We believe that healthcare is a right, not a privilege. If you have compassion and a collaborative spirit, we invite you to join our team.
About the RoleThe Quality Management Analytics Manager will be responsible for supervising the QM Analytics Team, which includes four Analysts. The team independently maintains the HEDIS/QARR data repository that informs reporting of HEDIS, QARR, and PCMH data to NYS DOH and CMS.
The team carries the responsibility of ensuring the monthly rates and annual HEDIS and QARR submissions are timely, and quality-checked for accuracy and completion. This includes managing the end-to-end process of integrating claims, provider, member, encounter, and supplemental data into quality measure rates.
Key Responsibilities- Manage the QM Analytics Team and ensure timely and accurate submissions of HEDIS, QARR, and PCMH data.
- Collaborate with all levels of the organization, including NYC Health + Hospitals, to ensure data integrity and quality.
- Develop and maintain processes to implement, test, and validate supplemental data collected from providers.
- Communicate with NYS or Departments of Health on relevant analyses.
- Provide technical mentorship to QM Provider Engagement, Quality Review Leads, and Quality Improvement Specialists.
- Escalate data issues needing process re-engineering.
- Select, develop, manage, and evaluate direct reports.
- Mentor the data team in leading system implementation.
- Communicate clear instructions to project team members.
- Coach and mentor team members and monitor team member performance and key project benchmarks.
- 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.
- Integrity & Trust
- Customer Focus
- Functional/Technical Skills
Displays strong communication, interpersonal, and leadership ability across all levels coupled with effective problem-solving, conceptual thinking, quantitative, and analytical skills.
Strong written and verbal presentation as well as data analysis skills required.
Ability to work independently and multitask to meet deadlines.
Position requires an individual with a high degree of accuracy. Must be able to translate theoretical knowledge into practical application.
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