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Quality Performance & Initiatives, Professional, Intervention Analyst

Company: MVP Health Care
Location: Schenectady
Posted on: September 10, 2021

Job Description:

Quality Performance & Initiatives, Professional, Intervention Analyst
Headquarters Office, 625 State Street, Schenectady, New York, United States of America

  • Rochester Office, 220 Alexander Street, Rochester, New York, United States of America
  • Tarrytown Office, 303 South Broadway, Tarrytown, New York, United States of America
  • Virtual Req #871

    Thursday, July 29, 2021

    Over 35 years strong and fueled by 1,700 smart, passionate employees across New York state and Vermont, MVP is full of opportunities to grow. We are a nationally recognized, award-winning leader for a reason. The beating heart of our company is a wide range of employees from a diverse set of backgrounds-tech people, numbers people, even people people-working together to make health insurance better. If you are ready to join a thriving, mission-driven company where you can create your own opportunities and make a positive difference-it's time to make a healthy career move to MVP!

    Status: Full-time, Exempt

    MVP's Quality department focuses on improving the clinical well-being of MVP members by focusing on improving key metrics of care. The Quality department is seeking a highly driven, curious, and detail-oriented candidate for the position. This position will be responsible for designing methodology, tools, and analyses to evaluate MVP quality improvement efforts. Specifically, the Analyst will take the lead on designing and implementing quantitative and qualitative program evaluations to measure the impact of quality improvement and other health management interventions as well as support the development of analytical solutions. Other major duties will include performing analyses on cost, utilization, quality and population health metrics; consulting with internal stakeholders on business needs; acquiring and assembling new data; developing new metrics and measures, and conducting research on methodologies, outcomes, performance, and policy.

    Essential Job Functions:
  • Design and produce evaluations of quality improvement and health management campaigns
  • Identify key metrics to measure to drive optimization of campaign effectiveness
  • Translate key findings into clear and useful business insights for quality team, and organization leadership.
  • Identify gaps and opportunities to improve efficiencies, acquisition, and quality performance in member groups - segmentation, response models, profitability models.
  • Research market and competitive landscape in support of campaign development and rollout.
  • Develop dashboards and automate quality campaign reporting process.
  • Leverage advanced analytical knowledge to drive the development of analytical solutions and implement data-driven recommendations and outcomes.
  • Work closely with customers in determining analytic needs and present and interpret outcomes of statistical analyses to customers.
  • Develop and interpret sophisticated data products (visualizations, insights, etc.) for business users.
  • Perform data extraction, aggregation, and quality checking from multiple sources and tables in the support of trend identification, root cause analysis, program evaluation, population identification, quality improvement.

This position can be worked full-time onsite in an MVP office, as a hybrid position (combination of work from home and in the office) or worked remotely from a New York or Vermont based residence.

POSITION QUALIFICATIONS

Minimum Education:

Bachelor's Degree in Business, Math or related field required.
Master's degree strongly preferred with a quantitative (i.e. actuarial, statistics, economics, engineering, computer, science, applied math, etc.) or healthcare major (i.e. health administration, public health, medicine, etc.).

Minimum Experience:

Minimum 2 years of experience developing database driven projects using T-SQL, SAS, Python or R.
2 to 5 years of experience working with healthcare data preferred. Health insurance or industry related experience preferred.

Required Skills:
  • Advanced SQL, R, Python experience required; in-depth understanding of relational database concepts and/or multi-dimensional models.
  • Experience with qualitative and quantitative research methods and reporting tools.
  • Ability to handle and manipulate large complex healthcare related datasets.
  • Superior problem solving, analytic skills and an ability to analyze large volumes of data and identify trends and anomalies.
  • Experienced in Microsoft Excel, Word and proficient in other MS Office tools such as PowerPoint and Power BI.
  • Ability to work independently, as well as work effectively as a member of a team.
  • Professionally skilled in personal presentation, verbal, and written communication.
  • Ability to prioritize multiple assignments with attention to details and deadlines in a high volume environment.
  • Proven ability to build relationships with business and technical partners to improve customer service and continuously improve project delivery.
  • Must be self-motivated, proactive, and able to work well under pressure.
  • Ability to handle multiple priorities.

Preferred Skills:
  • Knowledge of health plan-specific datasets (i.e. claims, eligibility, etc.) reporting /analytic uses (i.e. cost and utilization reporting, disease management, etc.) and terminology (i.e. PMPM, and per 1000 measures, diagnosis/procedure codes, episode groupers, risk adjustment, etc.) strongly preferred.
  • Experience with campaign design, tracking and evaluation strongly preferred.
  • Experience with claims processing systems, specifically, the FACETS operating system
  • Experience with Power BI
  • Medical Terminology knowledge
#LI-CV1
#LI-REMOTE

About MVP
MVP Health Care is a nationally recognized, not-for-profit health insurer caring for more than 700,000 members in New York and Vermont. Committed to the complete well-being of our members and the communities we serve, MVP makes health insurance more convenient, more supportive, and more personal. We are powered by the ideas and energy of more than 1,700 diverse, employees from all backgrounds, committed to having a positive impact on the health and wellness of everyone we serve.MVP Health Care is an Affirmative Action/ Equal Employment Opportunity (PDF). We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, genetic information, veteran status, or any other basis, e.g., Pay Transparency (PDF), and the EEO is the Law Poster and Supplement protected by applicable federal, state or local law. Any person with a disability needing special accommodations to the application process, please contact Human Resources at hr@mvphealthcare.com

Please apply and learn more - including how you may become a proud member of our team.

Other details
  • Job Family Quality Improvement
  • Pay Type Salary

Apply Now

  • Headquarters Office, 625 State Street, Schenectady, New York, United States of America
  • Rochester Office, 220 Alexander Street, Rochester, New York, United States of America
  • Tarrytown Office, 303 South Broadway, Tarrytown, New York, United States of America
  • Virtual

Keywords: MVP Health Care, Schenectady , Quality Performance & Initiatives, Professional, Intervention Analyst, Other , Schenectady, New York

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