Don’t just find a job, find your WHY at a purpose-driven organization; discover a career at Virginia Premier.
By blending quality benefits, affiliating with the world-renowned VCU Health System and offering career-advancing development programs, we allow our employees to focus on the meaningful work of improving and saving the lives of more than 200,000 people throughout the state of Virginia.
At Virginia Premier, we are building an industry leading health care organization through dedicated teams that have heart, provide top-notch quality member services and embrace our mission of inspiring healthy living within the communities we serve. Our vision is to connect people to innovation, quality and affordable health care for all phases of life.
If this sounds like you, read on!
The Population Health & Quality Analyst II leads several projects simultaneously, analyzes Member Gap in Care data by region and by line of business (Medicaid, MLTSS, Medicare and Commercial), Electronic Medical Records, Health Information Exchange, financial reporting, and other data sources to identify trends in utilization, outcomes, and costs, and opportunities for quality improvement activities. Responsibilities include analysis, research, reporting, and interpreting business, clinical and financial information to assist management in the formation, implementation, and evaluation of population health and quality initiatives. The incumbent will support Population Health, Quality, NCQA, HEDIS, CAHPS, DMAS, CMS, with the HEDIS reporting application, quality documentation in the clinical platform, annual evaluation analyses, quality studies, departmental metrics, developing an extensive expertise in the collection and analysis of population health and quality data, and collaborating with the Pay for Performance Team and other departments, as needed. In this analytical position, the incumbent will support continuous improvement in all technical and reporting aspects of Population Health, Quality, NCQA, HEDIS, CAHPS, DMAS, CMS, and all related activities. This position will assist with the planning, and developing enhancements to the application by working with vendors as well as applying upgrades, service packs and hot fixes. The position will assist management with design issues, running reports for the Population Health Outcomes Department and any other technical problem solving. This position is responsible for simple statistical analysis for large datasets and programmatically restructure database. This position will also assist with operational and production dashboards/reports for all LOBs. This position interprets analyses and writes quality reports related to Population Health, Quality, NCQA, HEDIS, CAHPS, DMAS, CMS, and other required entities associated with or required by the accrediting (i.e., NCQA) and regulatory entities (i.e., DMAS and CMS).
MINIMAL FORMAL EDUCATION REQUIRED
SPECIAL KNOWLEDGE AND/OR SKILLS
WORK EXPERIENCE/BACKGROUND REQUIRED:
All qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. EOE
Our mission is to inspire healthy living within the communities we serve!