Data Quality Analyst

Process Improvement Data Infrastructure Computing Platforms Business Requirements Analytic Applications Full Stack Development Operational Excellence Business Transformation SQL (Programming Language) Extract Transform Load (ETL) HEDIS (Healthcare Effectiveness Data And Information Set), BACKGROUND ON THE ROLE ***THIS IS A REMOTE ROLE BUT THE CANDIDATE MUST RESIDE IN CA! Feedback from the hiring manager; Partnership provides insurance services to low income customers in California through Medi-Caid funds. In order for the medical providers to continue to be eligible to work with Partnership and provide services tp Partnerships customers, they have to prove that they are providing sound preventative care services to Partnerships customers through a compliance program called HEDIS. Examples of the kind of Provider data that would be reviewed include: - Did everyone over 70 years of age receive the flu vaccine? - Did pregnant mothers receive pre-natal care? - Were patients over 50 screened for colon cancer? This role has two primary functions: 1. Data Loading & Fulfilling Data Requests a. The team will get the HEDIS provider data from the Landing Zone (after it has been tansformed for use by the Data Warehouse team) and use their SQl skills to load it into the HEDIS Vendor Software Platform called Inovalon. b. The team will also fulfill data requests for anyone at Partnership who requests specific HEDIS data. They will need their SQL skills to pull the data from a data lake in Inovalon and forward it in an Excel spreadsheet to the team member requesting the data. 2. Data Quality Review for Abnormalities a. Review the provider data look for abnormalities such as in 2024 provider X only screened 30% of patients over 50 for colon cancer and for 2025 they screened them at 80%. They are able to review the detailed data for each metric to determine if it makes sense or not. If not, the abnormalities will need to flagged b. The QI Analyst will meet with an Auditor from the state and talk through the numbers- why certain providers were flagged, others not These abnormalities will need to flagged and reviewed by a doctor next. MANAGER SAID THAT CANDIDATE WILL NEED TO RESIDE IN CALIFORNIA FOR THIS FULLY REMOTE ROLE. POSITION PURPOSE To prepare, analyze, report, and manage data used for both plan-wide and regional decision making for evaluating performance in key quality measures and the effective use of health plan resources on a routine and ad hoc basis. Works collaboratively with departments company-wide to identify data needs, develop and maintain data queries and tools, and complete accurate reporting to support performance and process improvements. Project/program involvement may include PHCs Healthcare Effectiveness Data Information Set (HEDIS) reporting initiative, Partnership Quality Dashboard (PDQ), PHCs provider pay-for-performance programs, and others as assigned. ESSENTIAL DUTIES AND RESPONSIBILITIES Develops and maintains working knowledge (technical and user interfaces) of PHC data management and analytics programs and systems. May manage/monitor data integration into data infrastructure and may lead system-level user testing. Utilizes the Enterprise Data Warehouse and other data sources to identify and isolate data for analysis. Validates data reports and manages key data sources within program requirements, to ensure the completeness and accuracy of data. Works collaboratively with various departments (i.e. QI, IT, Finance, and Analytics teams) and external stakeholders to define business requirements and identify data needs. Refines reporting requests to support operational excellence initiatives and creates tools and reports to measure process/performance changes. Develops and executes data collection plans that identify baseline performance and capture the impact of interventions. Analyzes performance data (which may include data trending or stratification) to identify areas for improvement. Provides actionable recommendations and informs stakeholders of the impact of key decisions based on available data. Serves as active contributor in data quality or analytics workgroups. Develops and maintains standards and methodologies in data governance and data quality issue resolution timelines; streamlines reporting to reduce unnecessary duplication; ensures consistent and accurate use of data reporting; and provides accurate definitions of all data elements. Serves as a primary contact for internal and external stakeholders related to PHC performance data management. Serves as the analytic lead on select operational initiatives as assigned. Maintains expert knowledge of assigned business unit. Provides project management support for data related and performance/process improvement projects, which may include HEDIS, PDQ, pay-for-performance programs, and others as assigned. Tracks multiple deliverables and collaborates closely with broader project team. Demonstrated aptitude for acquiring and applying technical skills in data analysis, reporting, and data systems Good oral and written communication skills. Strong analytical skills MINIMUM HIRING CRITERIA - Knowledge of MS Excel, Access, and other analytic software. Knowledge of Lean and

Leadership Data Lakes Data Quality Streamlining Communication Data Analysis Prenatal Care Data Reporting Trend Analysis Microsoft Excel Problem Solving Decision Making Data Governance Data Management Data Collection Preventive Care Microsoft Access Data Integration Data Warehousing Analytical Skills Usability Testing Project Management, Model for Improvement methodologies. - Familiar with quality measurement and healthcare data - Bachelors degree in related field; one two (1-2) years of experience providing the knowledge and abilities listed.

Skills

excel vlookups, Reviewing Data, Trend Analysis, analysis, Excel, Data Analysis

Top Skills Details

excel vlookups,Reviewing Data,Trend Analysis, Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

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