About Us:
Santa Clara Family Health Plan (SCFHP) is a local, community-based health plan dedicated to improving the health and well-being of the residents of Santa Clara County. Working in partnership with providers and community organizations, we serve our neighbors through our Medi-Cal and SCFHP DualConnect (HMO D-SNP) health care plans.
About the Role:
The Quality Improvement Analyst facilitates ongoing measurement, data optimization, reporting and information dissemination with a focus on data integrity, integration, standardization, analysis, and visualization. This role collaborates with multi-disciplinary teams and assists in the development of data management and analysis plans, monitors reporting requirements, establishes guiding metrics and benchmarks for performance improvement initiatives in support of the maintenance and improvement of SCFHP Quality programs and plan objectives. The Quality Improvement Analyst acts as a liaison between the Quality Department, Finance Department and IT by reviewing business requirements, functional specifications and internal operations processes.
Day to Day:
- Utilize health care applications, data systems, data warehouses and data integration to pull and analyze data.
- Review and perform QA validation of data outputs and provide feedback to stakeholders, including root cause analysis, if any; document test cases and results.
- Process improvement and documentation for quality projects; create process flow diagrams; oversee implemented changes; write test plans based off technical requirements.
- Work with the IT team to create a formal quality assurance process for new HEDIS files.
- Provide project and task management for quality projects including facilitating stakeholder and project team meetings, tracking actionable items, sending regular project communications to internal and external stakeholders, and escalating identified risks.
- Engage with Quality and IT teams to review and understand related business data issues and determine ongoing efficiencies.
- Support Health Services teams for quality analysis and improvement.
- Audit data accuracy and reporting and provide performance deviations and anomalies.
- Perform other related duties as required or assigned.
About You:
- Bachelor’s Degree in Healthcare, Information Systems, or related field, or equivalent experience, training or coursework.
- Minimum two years of experience as a business analyst analyzing data for the purpose of informing business decisions.
- Minimum one year of experience with healthcare management information systems.
- Ability to write test plans based off technical requirements.
- Ability to identify, troubleshoot, and resolve small to medium scale, basic to moderate business and systems issues.
- Ability to organize work and present results in a professional manner.
Please review the full job description on our Career’s page:
https://phf.tbe.taleo.net/phf04/ats/careers/v2/viewRequisition?org=SANTCLAR2&cws=38&rid=2877
Job Type: Full-time
Pay: $92,492.00 - $138,738.00 per year
Benefits:
- Dental insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Retirement plan
- Tuition reimbursement
- Vision insurance
Schedule:
Education:
Experience:
- Business Analyst: 2 years (Required)
- SQL: 1 year (Required)
- Healthcare management: 1 year (Required)
Work Location: In person