Analytics (DSAA) division. Together we can spread positive change to make healthcare better. UNIQUE BENEFITSThe Healthcare Research Analyst position benefits from HSAG's desire to grow its staff into the future leaders of healthcare quality improvement in the nation.
This role offers a unique opportunity to contribute to the enhancement of healthcare delivery for Medicaid beneficiaries by providing data-driven insights and evidence-based recommendations. The successful candidate will play a key role in shaping the future of Medicaid programs and improving the overall quality of care for vulnerable populations. HSAG offers: A comfortable work-life balance, including flexible work schedules.
Three weeks of paid time off and 15 company-paid holidays where staff leave two hours early prior to each holiday just to get a " jump start" on holiday festivities.
HSAG offers a competitive benefit package which includes medical, dental, vision, tuition reimbursement and 401(k). DESCRIPTIONAs a Healthcare Research Analyst, you will play a pivotal role in evaluating and interpreting Medicaid External Quality Review Organization (EQRO) activity findings related to patient experience, access, quality, and timeliness of care. This position requires a deep understanding of statistics, healthcare metrics, and excellent technical writing skills. The primary responsibilities of the
position are to synthesize results from disparate EQRO analyses to derive meaningful findings in comprehensive Technical Reports for the Centers for Medicare & Medicaid Services (CMS) and other EQRO reports.
The role also involves researching the literature to identify best practices and formulating actionable recommendations that can be implemented by state Medicaid agencies, Medicaid managed care plans, and Medicaid providers to enhance healthcare outcomes for Medicaid beneficiaries. The Healthcare Research Analyst will evaluate and synthesize findings from a wide array of CMS EQRO activities, including (but not limited to) the following: Validation of performance measures Validation of network adequacy Validation of encounter data Administration or validation of consumer or provider surveys relating to quality of care Calculation of additional performance measures Results from the quality ratings of health plans Focused studies Program evaluations Other ad hoc analytic activities It is anticipated that the Healthcare Research Analyst will work directly with DSAA leadership to perform all data synthesis, recommendation development, and technical writing required on HSAG's state Medicaid client EQRO Technical Reports.
Additionally, the Healthcare Research Analyst will lead the research to derive recommendations across a wide array of EQRO activities.
KEY RESPONSIBILITIESData Analysis Interpretation Evaluate statistical findings related to Medicaid EQRO activities, focusing on patient experience, access, quality, and timeliness of care. Interpret findings and trends to derive meaningful insights into the performance of Medicaid programs and managed care plans. Technical Report Writing Summarize and communicate complex statistical findings in clear, concise, and accessible language for inclusion in CMS Technical Reports and other EQRO reports.
Collaborate with cross-functional teams across DSAA to ensure accurate representation of data and alignment with client and CMS requirements. Literature Review and Best Practices Conduct thorough literature reviews to stay abreast of current healthcare research, policies, and best practices. Apply knowledge from the literature to contextualize findings and make informed recommendations for improvements. Recommendation Development Formulate evidence-based recommendations for state Medicaid programs and Medicaid managed care plans to enhance patient experience, access, quality, and timeliness of care for Medicaid beneficiaries.
Collaborate with stakeholders to ensure recommendations are practical, feasible, and aligned with regulatory standards. Quality Assurance Implement quality assurance processes to confirm accuracy of synthesized findings. Continuously backss and improve methodologies for reporting. Communication and Collaboration Effectively communicate findings and recommendations to diverse stakeholders, including policymakers, healthcare providers, and Medicaid program administrators. Collaborate with internal teams and external partners to gather necessary information and ensure comprehensive reporting.
Compensation: 85,504 - $95,000 DOEJob Requirements: EDUCATION AND/OR EXPERIENCE Bachelor's degree in Healthcare Administration, Public Health, Statistics, Operations Research, or a related field Master's, Ph D, or JD degree preferred. A minimum of seven (7) years of work experience. At least five (5) years of healthcare experience in a managed care or related setting. At least five (5) years of quantitative data interpretation experience. OTHER QUALIFICATIONS Proven experience interpreting statistical findings and other healthcare analytic results.
Strong technical writing skills with the ability to communicate complex concepts to diverse audiences. Familiarity with CMS regulations, Medicaid programs, and managed care practices. Excellent organizational skills and attention to detail. Ability to work collaboratively in a team-oriented environment from a remote location. Ability to handle dozens of projects simultaneously and work with multiple teams. WORK ENVIRONMENTThe work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this position Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
DISCLAIMERThis is not necessarily an exhaustive list of all responsibilities, skills, duties, requirements, efforts or working conditions associated with the position While this is intended to be an accurate reflection of the current position, management reserves the right to revise the position or to require that other or different tasks be performed when circumstances change (e. g. emergencies, changes in personnel, workload, rush jobs requiring non-regular work hours, or technological developments).
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