Quality Analyst

Quality Analyst
Wheeling, WV
Full-Time
Finance (Population Health)
Manager of Department

 Responsible for the collection and analysis of operational and quality data related to HEDIS® (Healthcare Effectiveness and Data Information Set) and other quality measures;

preparing recommendations based on data;

assisting with identification and follow through of quality projects related to HEDIS® measures; assisting in the preparation of yearly HEDIS® projects;

assuring compliance with HIPAA Privacy Standards, Medicare Standards, BMS Standards and NCQA Standards.

  1. College degree in quantitative, communications or health-related field; statistical knowledge preferred;
  2. Effective written and verbal communication skills;
  3. Computer application skills including Excel, Word, etc.;
  4. Ability to plan, execute and complete long-term projects;
  5. Experience with automated information systems and computer generated data;
  6. Strong analytic skills;
  7. Ability to work independently as well as part of a team;
  8. Knowledge of HEDIS®  and Star Ratings helpful;
  9. Prior Managed Care experience preferred;
  10. Medical terminology helpful.

Employment Documents

EEO

Or, if you are interested in a fast-paced career with us, please send resume with salary requirements to:

HR Department 
1110 Main Street
Wheeling, WV 26003-2704
hr@healthplan.org