Quality Performance Analyst
Washington, DC, United States
Job Description - Quality Performance Analyst (2400018J)
Job Description
Quality Performance Analyst - ( 2400018J )
Description
Description Quality Performance Analyst serves as subject matter expert and liaison in the development of business requirements, reporting requirements, and clinical outcomes methodology for the Quality Team and initiatives that are led by the quality team. The position will be responsible for supporting configuration, user acceptance testing (UAT), reporting quality metrics, identifying process improvements, soliciting business input, reviewing quality trends and errors' root causes, and using this collected data to develop and maintain effective, efficient, and innovative integrated processes for all members of the team.
Qualifications
Minimum Education
Bachelor's Degree Health Sciences, or related field (Required)
Minimum Work Experience
1 year Experience in Healthcare, Management and Quality Improvement (Required)
Required Skills/Knowledge
Must have excellent computer, data entry and analytical skills.
Intermediate analytics skills such as familiar with Excel, PowerPoint, Amazon QuickSight, Tableau, and SQL (preferred).
Job Functions
Identify, recommend, prioritize, and implement new Configuration quality features.
Perform testing, validation, and quality assurance of business requirements in lower environments and Production post-implementation.
Identify, analyze, and validate well-thought-out recommendations for end-to-end business process and/or configuration improvements to help meet the health plan NCQA standards and internal quality goals and key performance indicators (KPI).
Support user acceptance test planning, test case specifications, test execution, peer reviews defect management, and test status reporting.
Follow established procedures for Configuration versioning and change management between multiple environments.
Identify opportunities for process improvements.
Apply current industry and regulatory standards for Configuration Quality.
Prepare and maintain internal Configuration Quality Assurance documentation.
Interface and collaborate with peers within and outside the department and the organization to support configuration quality assurance best practices as well as business process and systems configuration improvements.
Work with IT to design, develop, and update processes that would provide efficiency and accuracy for data collection.
Focus on achieving departmental and organizational objectives.
Recognize and observe all company and departmental policies and procedures.
Provide expertise to design, develop, and maintain systems and processes for the prospective timely audit of quality control processes and identification of internal errors with contractual language and configuration of providers, facilities and ancillary contracts, and member benefits.
Develop and maintain a system of checks and balances to assure that the underlying data used for quality auditing is consistent, complete, accurate, and provides value across several functional areas of the department.
Responsible for providing well-thought-out recommendations for end-to-end business process and/or configuration improvements (as applicable, based on timely identification, analysis, and validation of opportunities for improvement)
Serve as the expert in the design, development, and implementation of departmental-wide testing and audit procedures.
Apply knowledge of configuration quality assurance best practices.
Conduct research into current and emerging Quality Assurance trends.
Performs additional duties and responsibilities as assigned by management.
Organizational Accountabilities
Organizational Accountabilities (Staff)
Employee Excellence
Demonstrates understanding of quality of service and collaborates with co-workers to ensure excellence standard is achieved
Innovates through improvement of care and/or efficiency of operational processes.
Dedicated to a standard of performance excellence and high quality
All In
Embraces changes/improvements and actively participates in the implementation of new/improved programs, technology, new equipment, systems and resources that promote quality of care, safety and efficiency
Identifies, prioritizes and selects alternative solutions to determine best outcome
Action Oriented
Maintains a high level of activity/productivity, meeting deadlines and appropriately prioritizing tasks to meet business demands
Anticipates problems and attempts to solve before they develop
DC RESIDENTS ENCOURAGED TO APPLY
Primary Location Primary Location : District of Columbia-Washington
Work Locations Work Locations : HSCSN - Vermont Ave 1101 Vermont Ave NW Washington 20005
Job Job : Non-Clinical Professional
Organization Organization : HSC W/Special Needs
Position Status : R (Regular) - FT - Full-Time
Shift : Day
Work Schedule : 40
Job Posting Job Posting : May 22, 2024, 7:02:45 PM
Health Services for Children with Special Needs (HSCSN) is an equal opportunity employer that evaluates qualified applicants without regard to race, color, national origin, religion, sex, age, marital status, disability, veteran status, sexual orientation, gender, identity, or other characteristics protected by law. The “Know Your Rights” poster is available here: and the pay transparency policy is available here:Know Your Rights Pay Transparency Nondiscrimination Poster
Please note that it is the policy of Health Services for Children with Special Needs (HSCSN) to ensure a “drug-free” work environment: a workplace free from the illegal use, possession or distribution of controlled substances (as defined in the Controlled Substances Act), or the misuse of legal substances, by all staff (management, employees and contractors). Though recreational and medical marijuana are now legal in the District of Columbia, Children's National and its affiliates maintain the right, in accordance with our policy, to enforce a drug-free workplace, including prohibiting recreational or prescribed marijuana.
#J-18808-Ljbffr