Analyst II Quality and Value Based Care

The Quality and Value Based Care area strives to develop a "best in class" service model and experience for our senior population. Our team works closely with other associates and business areas that support Medicare Advantage members in an effort to meet and exceed customer expectations and continue driving toward strategic improvement.

The Analyst II in QVBC will be responsible for supporting and developing the quality improvement, risk adjustment and/or plan performance processes. This includes monitoring and reporting of quality, risk and/or performance indicators, identification of opportunities for improvement, conducting qualitative barrier analysis, collaborating with business areas to identify strategies for improvement and monitoring impact of initiatives. This position will monitor outcomes of key indicators including health status, health outcomes, member experience and operational metrics and have an in depth knowledge of regulatory requirements. The incumbent will work collaboratively with the internal team to support research and analysis and incorporates policies and practices to ensure execution of a sound program to maintain integrity of internal procedures. The incumbent establishes and maintain partnerships with business areas and key personnel. The incumbent will provide guidance to the QVBC Analyst position.

• Bachelor's Degree
• Minimum of 3 years of experience in areas such as the healthcare field, quality improvement strategies, regulations related to quality, project management, and/or methods for data analysis techniques and interpretation
• Experience with project management and continuous improvement, along with organizational and analytical skills in order to independently identify and evaluate opportunities for improvement related to Key Quality Indicators (KQIs)
• Provide support on complex project scopes and assist in the creation of work plans to achieve the objectives of projects
• Strong communication skills, both orally and written, along with positive collaboration and excellent interpersonal skills
• Experience handling day to day decisions with minimal guidance
• Experience presenting data or information for the purposes of proposal or decision making
• Experience developing objectives, setting goals and facilitating plans to achieve desired results
• Experience working with management to determine priorities and planning that support direction of a division
• Proficient in Microsoft Word, Excel and Power Point
• Willingness to travel as required for training, collaboration and education purposes
• Demonstrated experience in data analysis and or reporting data sets using tools such as or similar to SQL, Crystal Reports, Excel, and or Tableau strongly preferred
• Understanding of medical coding (ICD codes) and healthcare data reporting preferred
• Familiarity with risk adjustment programs and healthcare compliance is ideal
• Prior experience with payer-to-payer data exchanges is a bonus

*Position may be filled at a higher level depending on experience.

The work location for this position will be hybrid (onsite/remote)

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