Reporting to the Director of Medicare Stars, the Quality Systems Analyst II supports quality improvement efforts that impact HEDIS, MCAS, Medicare Stars, and Health Plan Accreditation. The role works closely with leadership and cross-functional teams to support quality improvement and transformation initiatives.
Responsibilities include leading root cause analytics, developing and presenting insights, building and iterating prototypes to improve insights generation, conducting proof-of-concept pilots, and managing project deliverables tied to regulatory and quality reporting. The position also supports study development, data collection, data analysis, policy interpretation, policy updates, audit deliverables, and accreditation-related activities.
- At least 4 years of experience in study development, writing, and analysis in a healthcare setting such as quality improvement, patient/provider services, healthcare finance, or care management.
- Experience working with complex data systems and large data sets.
- Experience performing online research and working effectively in a team setting.
- Prior experience analyzing Medicare Star Measure data and intervention impact preferred.
- Demonstrated experience improving Plan Star Ratings through targeted quality improvement activities preferred.
- Knowledge of risk adjustment calculations and financial analysis related to Medicare Advantage membership populations preferred.
- Bachelor’s degree in biological sciences, public health, health administration, public administration, mathematics, statistics, computer science, or a related healthcare field required.
- Master’s degree in a related field preferred.
- PMP, CPHQ, or another recognized quality improvement certification required or must be completed within 1 year of hire.
- Valid California driver’s license preferred.
- Strong knowledge of healthcare quality measures, project management, standardized quality improvement concepts, medical terminology, regulatory requirements, and managed care processes.
- Advanced proficiency with research, data analysis, visualization tools, Microsoft Excel, PowerPoint, and Visio.
- Strong communication, presentation, leadership, problem-solving, and project management skills.
- Competitive salary
- On-site fitness center
- Medical insurance with dental and vision
- Life, short-term, and long-term disability options
- Career advancement opportunities and professional development
- Wellness programs
- Flexible Spending Account for health care/child care
- CalPERS retirement
- 457(b) option with contribution match
- Paid life insurance for employees
- Pet care insurance
Location
California, US
Employment Type
Full-time
Experience Level
Intermediate Level
Salary Range
$91,250 - $120,910
Remote work allowed
Yes
Posted
1 month ago