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Quality Improvement Analyst
Centene Corporation. Perform ongoing quantitative and statistical analysis of performance data, including HEDIS measures, service utilization, and member/provider complaint trends .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in quantitative and statistical analysis, particularly in HEDIS measures and service utilization, while effectively developing reports for NCQA accreditation. Proficient in performance improvement methodologies and tools, with a focus on healthcare quality.
Highest-signal resume keywords
Quantitative AnalysisStatistical AnalysisHEDIS Measures DevelopmentPowerBI DevelopmentSix Sigma White Belt Certification
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Statistical AnalysisPerformance AnalysisQuality ImprovementReport DevelopmentData Extraction Specifications
Tools & Technologies
PowerBISharePointStandard Statistics Software
Certifications & Qualifications
Six Sigma White Belt CertificationCertified Professional in Healthcare Quality (CPHQ)
Industry Keywords
Healthcare ManagementPublic Sector Managed CareManaged Behavioral Health CareNCQA Accreditation
About the role
Key responsibilities & impact- Perform ongoing quantitative and statistical analysis of performance data, including HEDIS measures, service utilization, and member/provider complaint trends
- Develop HEDIS measures, service utilization, and quality report extraction specifications
- Develop and update quarterly, annual, and ad hoc reports, including analysis and narrative for NCQA accreditation and Health Plan deliverables
- Perform other performance and process improvement activities as needed
- Perform other duties as assigned
- Comply with all policies and standards
Requirements
What you’ll need- Bachelor’s degree in Healthcare Management, Business Management, Social Work, Biostatistics, or related field
- 2+ years of performance and statistical analysis or quality improvement experience
- Experience developing and maintaining PowerBI and SharePoint sites
- Six Sigma White Belt certification or willingness to obtain it within 90 days of hire
- Experience in public sector managed care/managed behavioral health care preferred
- Experience with standard statistics software preferred
- Certified Professional in Healthcare Quality (CPHQ) preferred
Benefits
Comp & perks- Competitive pay
- Health insurance
- 401K plan
- Stock purchase plans
- Tuition reimbursement
- Paid time off plus holidays
- Flexible approach to work with remote, hybrid, field or office work schedules
- Additional forms of incentives may be included in total compensation