Clinical Quality Analyst

Apply by eMail:15326677.185@jobfrenzy1.com

Description:
Humana Inc., headquartered in Louisville, Kentucky, is one of the nation's largest publicly traded health benefits companies. Humana offers a diversified portfolio of health insurance products and related services - through traditional and consumer-choice plans - to employer groups, government-sponsored plans, and individuals.

Today, Humana is a leader in consumer engagement. Throughout its diversified customer portfolio, the company provides guidance that can both help lower costs and lead to a better health plan experience.

Role: Clinical Innovations Analyst
Assignment Clinical Quality Analyst
Location: Louisville, KY

Assignment Capsule
As a Clinical Quality Analyst, you will collect and analyze data on clinical quality, generate actionable information and make recommendations that drive decision making in the Quality area. Your contributions will be a critical and visible component to shaping Humana's clinical quality improvement programs. Specifically, you will
Be a key contributor in driving Humana's key clinical quality strategic initiatives through in-depth data analytics
Be responsible for HEDIS (Healthcare Effectiveness Data and Information Set) measure comparison validation and analysis
Assess HEDIS scores and generate data-driven actionable information to design and enhance quality improvement programs
Work with IT to coordinate data extract changes and interaction with vendor.
Work in collaboration with other organizations to develop clinical quality reports.
Key Competencies
Builds Trust: You honor your word by doing what you say you are going to do.
Drives for excellence: You are a continuous learner who encourages others to learn. By constantly upgrading your own work, you achieve results and outperform the competition.
Implementation/Execution: You are good at organizing and managing multiple priorities and/or projects by using appropriate methodologies and tools.
Problem Solving: You are a problem solver with the ability to encourage others in collaborative problem solving. Acting as both a broker and consultant regarding resources, you engage others in problem solving without taking over.
Role Essentials
Self starter and problem solver with a keen analytic mind, who thrives in a fast-paced environment
Undergraduate Degree in Engineering, Statistics, Mathematics, Computer Science, Health Administration or related field.
Prior experience working in data analytics is required; related experience in a healthcare environment preferred.
Knowledge of statistical methods and tools (SAS)
Prior experience working with SQL, PL/SQL
Strong written and oral communication skills
Excellent PC skills (including MS Word, Excel and Access).
Role Desirables
Knowledge of HEDIS and other clinical quality measures strongly desired
Prior experience with HEDIS software (ViPS MedMeasures)
Graduate degree in relevant fields.
Experience in managed care or health care administration.
Reporting Relationships
You will report to the Manager of Clinical Quality Metrics and Analytics. This area is under the leadership of the VP of Health Guidance Organization and Chief Operations Officer.

Additional Information

Requirements:
See Above

Education: Bachelor

Experience: At Least 3 Years

Travel: None

Apply by eMail:15326677.185@jobfrenzy1.com

Job Created: Wed Oct 14 2009 04:27:46 AM
Last Modified: Wed Oct 14 2009 04:27:46 AM