Analyst - Quality

4 semanas atrás

Nova Iguaçu, Rio de Janeiro, Brasil Astrana Health Tempo inteiro

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Location: 600 City Parkway West 10th Floor, Orange, CA 92868

Compensation: $80,000 - $95,000 / year

Department: Quality - Strategy & Ops

Location: 600 City Parkway West 10th Floor, Orange, CA 92868

Compensation: $80,000 - $95,000 / year

Description

We are seeking a data-driven and strategic Analyst – Quality to join our Quality - Strategy & Operations team. This role will focus on supporting performance improvement efforts across value-based care programs—including Medicaid, Medicare Advantage, and commercial populations—by analyzing program data, identifying actionable insights, and driving operational initiatives. The ideal candidate will have experience working with healthcare data, translating performance trends into actionable recommendations, and supporting strategic decision-making to optimize program outcomes.

Our Values:
  • Put Patients First
  • Empower Entrepreneurial Provider and Care Teams
  • Operate with Integrity & Excellence
  • Be Innovative
  • Work As One Team

What You'll Do

Data Analysis & Insights
  • Analyze program performance data including cost, utilization, risk adjustment, medical claims, and quality metrics (e.g., HEDIS, Stars, CMS, Medi-Cal ECM).
  • Use SQL and Python to query and manipulate large healthcare datasets to identify trends, anomalies, and improvement opportunities.
  • Develop dashboards, reports, and scorecards using tools like Tableau, Power BI, or Excel to communicate performance to internal and external stakeholders.
  • Conduct root-cause analyses and evaluate ROI on initiatives aimed at closing gaps and optimizing outcomes.
Program Strategy & Operations
  • Support the design, tracking, and evaluation of initiatives aligned with performance programs focused on quality improvement and cost containment.
  • Translate regulatory and contractual requirements into data queries and programmatic deliverables.
  • Forecast performance and monitor key performance indicators (KPIs) across value-based contracts.
  • Stay current on evolving quality measurement methodologies and value-based care structures.
Cross-Functional Collaboration
  • Partner with departments including Population Health, Quality, Clinical Programs, Finance, and IT to align strategies and ensure consistency across data sources and reporting.
  • Serve as a key translator between technical findings and operational strategy—ensuring insights are actionable for clinical and non-technical audiences.
Continuous Improvement
  • Ensure data quality through validation and standardization of reporting sources.
  • Contribute to enhancements in analytics methodologies and reporting frameworks.
  • Stay up to date with healthcare analytics best practices and regulatory trends.

Qualifications
  • Bachelor's degree in Public Health, Healthcare Administration, Statistics, Business, or a related field.
  • Minimum 3 years of experience working in healthcare analytics, population health, managed care, or program evaluation roles.
  • Familiarity with healthcare performance frameworks such as HEDIS, Stars, ACO, or Medicaid quality programs.
  • Strong data analysis skills using SQL, Excel, Tableau, Power BI, or other business intelligence tools.
  • Experience synthesizing complex datasets into actionable insights and strategic recommendations.
  • Ability to thrive in a fast-paced, cross-functional environment.
  • Understanding of healthcare delivery systems, provider networks, and quality improvement concepts.
You're great for this role if:
  • Thrive in cross-functional settings and can bridge the gap between clinical, operational, and technical teams.
  • Have excellent communication skills and can explain technical findings to non-technical stakeholders.
  • Are highly organized, detail-oriented, and able to manage competing priorities in a fast-paced environment.
  • Are passionate about improving healthcare outcomes through data, strategy, and innovation.

Environmental Job Requirements and Working Conditions
  • This is a remote role. The home office is aligned with your department at 600 City Parkway West, 10th Floor, Orange, CA 92868.
  • The total compensation target pay range for this role is: $80,000 - $95,000. The salary range represents our national target range for this role.
Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at to request an accommodation.

Additional Information:
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.Seniority level
  • Seniority levelMid-Senior level
Employment type
  • Employment typeFull-time
Job function
  • Job functionQuality Assurance
  • IndustriesHospitals and Health Care

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