Quality Management Analytics Manager from Diversant
Jersey City, NJ 10004
About the Job
Innova Solutions has a direct client hiring a Quality Management (QM) Analytics Manager. This is Hybrid opportunity in NYC.
Looking for:
- SME in Quality Management Initiatives
- Must have HEDIS (3+ years experience)
- SQL background
- Management skills - will manage a team of 4
- Hybrid role - 3 days in the office.
- This is a Direct Hire position - Must be able to work on W2. No C2C/No 1099s.
The Quality Management (QM) Analytics Manager will:
- Supervise the QM Analytics Team, ensuring the maintenance of the HEDIS/QARR data repository for accurate and timely reporting to NYS DOH and CMS
- Manage the integration of claims, provider, member, encounter, and supplemental data into quality measure rates, collaborating with internal teams and external vendors
- Develop program forecasting models and quality dashboards to track and meet provider pay-for-performance program budgets and QM/Plan quality goals
- Mentor and train analytics staff, develop strategic plans to meet deadlines while maintaining data integrity, and ensure data requests align with project needs and are accurately interpreted and reported
- Develop and maintain processes for implementing, testing, and validating supplemental data from providers
Provide technical mentorship to QM Provider Engagement, Quality Review Leads, and Quality Improvement Specialists - Serve as mid-level escalation support for application issues, escalating data problems requiring process re-engineering
Select, develop, manage, and evaluate direct reports, providing clear instructions and guidance to project team members
Qualifications
- Bachelor's degree in public health, health administration, business administration or information technology required. Master's degree preferred.
- A minimum of 5 years' programming, application or reporting development experience and analytical experience (SAS, SQL, Crystal Reports, etc.).
- Experience using analytics / BI packages (e.g., SAS, R, SQL, Cognos, Business Objects) to build client analysis solutions.
- Must have advanced working knowledge of Microsoft Office applications including Word, Excel, PowerPoint, Visio, and Access.
- Position requires individual with high degree of accuracy. Must be able to translate theoretical knowledge into practical application.
- Highly organized
- Strong attention to detail
- Excellent communication skills
PAY RANGE AND BENEFITS:
Pay Range*: $115-125K annually
*Pay range offered to a successful candidate will be based on several factors, including the candidate's education, work experience, work location, specific job duties, certifications, etc.
Benefits: Benefits will come directly from the client
ABOUT INNOVA SOLUTIONS: Founded in 1998 and headquartered in Atlanta, Georgia, Innova Solutions employs approximately 50,000 professionals worldwide and reports an annual revenue approaching $3 Billion. Through our global delivery centers across North America, Asia, and Europe, we deliver strategic technology and business transformation solutions to our clients, enabling them to operate as leaders within their fields.
Website: https://www.innovasolutions.com/
Innova Solutions is an Equal Opportunity Employer and prohibits any kind of unlawful discrimination and harassment. Innova Solutions is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment on the basis of race, color, religion or belief, national origin, citizenship, social or ethnic origin, sex, age, physical or mental disability, veteran status, marital status, domestic partner status, sexual orientation, or any other status protected by the statutes, rules, and regulations in the locations where it operates. If you are an individual with a disability and need a reasonable accommodation to assist with your job search or application for employment, please contact us at or (770) 493-5588. Please indicate the specifics of the assistance needed. Innova Solutions encourages all interested and qualified candidates to apply for employment opportunities. Innova Solutions (HireGenics/Volt) does not discriminate against applicants based on citizenship status, immigration status, or national origin, in accordance with 8 U.S.C. § 1324b.
The company will consider for employment qualified applicants with arrest and conviction records in a manner that complies with the San Francisco Fair Chance Ordinance, the Los Angeles Fair Chance Initiative for Hiring Ordinance, and other applicable laws.
American Cybersystems, Inc is acting as an Employment Agency in relation to this vacancy.