Quality Indicator Data Specialist

Responsibilities Supports corporate, plan-level, and departmental strategies and goals for quality measure reporting through processing external data feeds to optimize performance.  Meets this standard by effectively applying both business knowledge and technical expertise to support business initiatives and solve business problemsGenerates and maintains thorough and accurate documentation related to data, databases, business rules, and reporting policies and procedures for all lines of businessDevelops and executes test processes including QA of own work and for QA by team members related to end-user data and databasesDevelops reports to provide information to stakeholders (Use of SQL, SAS, Tableau)Documents and tracks data-related issues and facilitates resolution of such issuesPerforms analysis of clinical dataDevelops reports to provide information to stakeholders (use of SQL, SAS SQL, Azure Databricks, Tableau, PowerBI)Assists end users in understanding of dataAssists with data transformation / standardization activitiesWorks closely with the data warehouse team and others within IS to ensure timely and complete receipt of data from all sourcesAssesses data within the database for completeness and accuracyIn collaboration with IS, tracks file format changes and other template variance. Communicates with data source contact when issues ariseSupports efforts to onboard new data feeds and assists with evaluation of new feeds including identification of prioritizationParticipates in investigation of quality measure variance related to clinical data exchanges including analyses and plan-initiated requestActively collaborates with the HEDIS team on longitudinal projectsEducation and ExperienceBachelor’s Degree required – preferably with a concentration in health care related field, statistics, Information Technology, or mathematicsMinimum 1 year HEDIS experience required, 2+ years preferredMinimum 5 years of work experience in healthcare and/or managed careFamiliar with standard relational database conceptsStrong skills in at least one database query language (SAS, SQL, and/or Python)Experience with tableau and / Power BI preferredFamiliar with clinical ontologies and code sets: SNOMED, LOINC, ICD, etc. is a plusBackground in use of statistical process control techniques, data modeling, and/or data analysisFamiliarity with HEDIS and / or CMS Adult / Child Core set technical specificationsFamiliarity with National Interoperability and Clinical Data Exchange standards including HL7 standards and healthcare related EDI technologiesYour career starts now. We’re looking for the next generation of health care leaders.At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you.Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.Discover more about us at .Our Comprehensive Benefits PackageFlexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.