QUALITY IMPROVEMENT DATA ANALYST - LEAD

Lead Quality Improvement Data Analyst role in TennCare’s Quality Improvement (QI) Data Analytics team supporting the Chief Medical Office (CMO).

Responsibilities

• Deliver analytics and data expertise for CMO teams and TennCare Value Based Payment (VBP) programs
• Use claims data to surface key trends and insights that inform CMO leadership on clinical areas and outcomes
• Design strategies and methodologies to complete complex data requests
• Support the creation of new VBPs, attend related meetings, and provide data and quality measure expertise
• Write technical specifications for quality measures
• Code and calculate quality metrics using claims data, and produce requested analysis comparisons
• Evaluate quality measures at the individual provider and aggregate level using measure specifications and relevant information
• Run annual CMS Core Measures, including stratification by MCO and Region
• Research external data sources (including Medicare data) for inclusion in CMS Core Measures for mandatory reporting
• Query, collect, prepare, and safeguard data to deliver outputs required for CMS, legislative, and other ad-hoc requests
• Support high-priority legislative reporting at the request of CMO and TennCare leadership
• Review and summarize complex reports using analytics expertise
• Perform quality checks on data and reports provided by MCOs and collaborate with MCOs to complete reporting on time
• Develop advanced analytic approaches using multiple complex databases to build health outcome measures stratified by providers, hospitals, and MCOs
• Partner with clinical data leads to support development of the TennCare quality strategy
• Contribute to QI dashboard design and development
• Collaborate with other CMO teams to explore and use data specific to each team
• Provide technical assistance and training to new analysts, including claims data knowledge, answering technical questions, and reviewing projects for efficiency improvements
• Design and develop dashboards for CMO teams to highlight projects and initiatives, meeting CMO expectations and DA design standards
• Meet with teams to understand requirements and present final dashboards
• Develop methodology for pulling and/or aggregating data
• Assist with Data Ecosystem items, including providing expertise in meetings with the DE contractor
• Ensure data sources and methodology are correct
• Build expert-level knowledge of data sources and how they are used across projects

Requirements

• Education + experience option 1: Bachelor’s degree in a quantitative or related discipline AND 5+ years of relevant professional work experience
• Education + experience option 2: Master’s degree in a quantitative or related discipline AND 1 to 2+ years of relevant professional work experience
• Experience option 3: 10+ years of relevant professional work experience

Technologies

• SAS
• SQL
• Tableau
• Power BI
• Excel
• Access
• PowerPoint
• Word
• R
• Python

Desirable Qualifications

• Master’s degree in statistics, applied statistics, social or behavioral sciences, health sciences, business, business administration, or public policy, plus 4+ years full time work developing research methodology and/or directing statistical research
• OR Bachelor’s degree in statistics, applied statistics, social or behavioral sciences, health sciences, business, business administration, or public policy, plus 6+ years full time work developing research methodology
• Strong computer skills, including mastery of Microsoft tools (Excel, Access, Word, PowerPoint) and statistical software (SAS, R, Python, etc.)
• Strong, clear, and concise oral and written communication
• Strong organizational skills, including the ability to prioritize, multi-task, and manage workload to meet deadlines
• Experience with Tableau or Power BI
• Experience in other visualization software
• Experience in healthcare and/or quality measurement
• Experience in survey development and analysis
• Experience working with hospital data

Background Check

• Criminal background check required; you may be asked to provide information about your criminal history

Location: Nashville, TN (hybrid)

Compensation: USD 89,496 - 143,220 per year

Minimum Experience: 5 years

Education: Bachelor’s degree in a quantitative or related discipline