Job ID: 51796
Location: Wixom, MI
Category: QA - Quality Control
Experience: Not Specified
Education: See Requirements
We are currently seeking a dynamic Quality Analyst to join our team at our office in Wixom, MI. The Quality Analyst will provide analytical and technical support to the quality management department. Support the successful attainment of NCQA and Beacon quality standards by coordinating, monitoring, and reporting quality improvement activities and providing statistical support. Attend the Quality Management Committee monthly meeting. Performs other duties related to statistical analysis, accreditation activity requirements, and quality improvement activities, as indicated.
Responsible for QIA development, ongoing updates, reporting outcomes and ensuring that interventions are completed in a timely manner for all quality improvement activities. Develops ongoing report specifications and generates appropriate reports as indicated.
Education: Master’s degree in Business/Health Administration or Health related field. A Bachelors’ degree plus four years’ HEDIS experience may be substituted for the Master’s degree. A background in health science/mental health is desirable. Strong knowledge of mathematical, statistical principals and data analysis is required
Licensure: Certification in Health Care Quality (CPHQ) preferred.
Relevant Work Experience: Healthcare experience, behavioral health preferred. Strong knowledge of mathematical, statistical principals and data analysis is required. Ability to develop, analyze and manage reports. Prepare written assessment reports. Knowledge of HEDIS and other quality measures. Demonstrate strong abilities in handling multiple projects simultaneously and meeting tight deadlines. Experience working with accreditation organizations: e.g.; NCQA, URAC, JCAHO. Excellent Excel, Access and MS Word skills.
Knowledge, Skills & Abilities:
Experience in managed care with a working knowledge of NCQA, JCAHO, AOA, COA, URAC, CARF and HEDIS standards are helpful.
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ValueOptions, Inc., a Beacon Health Options company, is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled