Quality Analyst

Role Overview

• Analyze program performance data including cost, utilization, risk adjustment, medical claims, and quality metrics.
• Use SQL and Python to query and manipulate large healthcare datasets to identify trends, anomalies, and improvement opportunities.
• Develop dashboards, reports, and scorecards using tools like Tableau, Power BI, or Excel to communicate performance to internal and external stakeholders.
• Conduct root-cause analyses and evaluate ROI on initiatives aimed at closing gaps and optimizing outcomes.
• Support the design, tracking, and evaluation of initiatives aligned with performance programs focused on quality improvement and cost containment.
• Translate regulatory and contractual requirements into data queries and programmatic deliverables.
• Forecast performance and monitor key performance indicators (KPIs) across value-based contracts.
• Stay current on evolving quality measurement methodologies and value-based care structures.
• Partner with departments including Population Health, Quality, Clinical Programs, Finance, and IT to align strategies and ensure consistency across data sources and reporting.
• Serve as a key translator between technical findings and operational strategy—ensuring insights are actionable for clinical and non-technical audiences.
• Ensure data quality through validation and standardization of reporting sources.
• Contribute to enhancements in analytics methodologies and reporting frameworks.
• Stay up to date with healthcare analytics best practices and regulatory trends.

Requirements

• Bachelor's degree in public health, Healthcare Administration, Statistics, Business, or related field.
• Minimum 3 years of experience working in healthcare analytics, population health, managed care, or program evaluation roles.
• Strong data analysis skills using SQL, Excel, Tableau, Power BI, Databricks, or other business intelligence tools.
• Experience synthesizing complex datasets into actionable insights and strategic recommendations.
• Ability to thrive in a fast-paced, cross-functional environment.
• Understanding healthcare delivery systems, provider networks, and quality improvement concepts.

Tech Stack

• Python
• SQL
• Tableau

Benefits

• The national target pay range for this role is $80,000
• $95,000 per year.
• This role follows a **remote **work structure where the expectation is to work at home on a daily basis.
• The work hours are Monday through Friday, standard business hours (PST).
• Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender, etc.
• Assistance available in applying for open positions due to a disability.