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Residential Rehab Educator, Mon-Fri, 8;30a - 4:30p, Quincy, $15.00, $500 MAP Sign on Bonus!!

CalOptima

Residential Rehab Educator, Mon-Fri, 8;30a - 4:30p, Quincy, $15.00, $500 MAP Sign on Bonus!!

Orange, CA
Full Time
Paid
  • Responsibilities

    DEPARTMENT(S): Quality Analytics (QA) REPORTS TO:  Manager, Quality Analytics FLSA STATUS:  Non-Exempt SALARY GRADE:  K - $70,000 - $98,000

     

    JOB SUMMARY:

    The Data Analyst, Intermediate, supports quality reporting and analysis requirements of the Quality Analytics and Population Health departments by developing and designing reports in support of Quality programs and initiatives. This includes creating reports from specifications using a multitude of data sources with the purpose of transforming data into information which informs and enables stakeholders to monitor and report quality and population health metrics.  Serves as a back-up to the Senior Data Analyst, training other analysts within the department, communicating updates and analysis results to stakeholders for medical affairs projects and activities, which may include QI initiatives, HEDIS®, Population Health strategies, Quality Improvement Programs and Pay for Value, and performing analysis of business needs and data integration with the Business Intelligence application.

     

    POSITION RESPONSIBILITIES:

    • Responsible for data management, data integrity and data analysis activities in the Quality Analytics department.
    • Development of complex information dashboards, reports and visualizations using Tableau software.
    • Designs reports from the data warehouse heavily leveraging Tableau and Microsoft (MS) Structured Query Language (SQL) Server.
    • Prepares reports and findings; evaluates reports for accuracy of data, including the application of standardized analysis, and assists in the timely production of reports.
    • Analyzes and makes recommendations to existing system logic difficulties and documentation as needed.
    • Maintains thorough knowledge of CalOptima’s data warehouse and the move to the Business Intelligence software. Assists in providing feedback to Information Systems (IS) to resolve data integrity issues and to support reporting requirements.
    • Provides technical expertise in analysis to staff, other CalOptima departments, and agencies working in conjunction with CalOptima.
    • Participates in progressively more complex projects, and analyses with guidance and/or support from Sr. Data analyst or Data analytics manager.
    • Other projects and duties as assigned.

     

    KNOWLEDGE & ABILITIES:

    • Meet and maintain established quality and production standards.
    • Develop and maintain effective working relationships with all levels of the QA staff, other departments (e.g., IS), and various external customers.
    • Work with complex databases: build queries and reports, format reports, export reports, etc.
    • Proven data analysis, data verification, and problem-solving abilities.
    • Work independently and as part of a team, with multiple deadlines.
    • Organize, prioritize tasks, and use time efficiently.
    • Present information in a user-friendly format and be able to clearly analyze and explain content.
    • Communicate clearly and concisely, both verbally and in writing.
    • Utilize computer and appropriate software (e.g. Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems (e.g. MS SQL Server, Tableau, and Access) to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.

     

    EXPERIENCE & EDUCATION:

    • Bachelor’s degree in Health Care Administration, Data Analytics, Business Administration, Information Systems (Infomatics), or related field required.
    • 3+ years of proficient experience in SQL with relevant experience in a Microsoft SQL Server environment with demonstrated knowledge of relational data base concepts and file structures required.
    • 3+ years of experience in a Managed Care / Health Care organization specifically with analyzing data and developing / designing reports required.
    • Experience with Tableau development and/or Quest Analytics software required.

     

    PREFERRED QUALIFICATIONS:

    • Master’s degree in Health Care Administration, Data Analytics, Business Administration, Information Systems (Infomatics), or related field preferred.

     

    KNOWLEDGE OF:

    • Healthcare data and Managed care Terminology.
    • Data mining & modeling tools and techniques.
    • Medical coding, including ICD9/ICD10, CPT, and HCPCS codes.
    • Techniques and methods of data quality assessment and business intelligence data integration.
    • Developing and maintaining Tableau dashboards that adapt to changing business needs.
    • Managed care concepts and HEDIS certified software.

     

     

     

    EEO Statement: CalOptima is an equal employment opportunity employer and makes all employment decisions on the basis of merit. CalOptima wants to have qualified employees in every job position. CalOptima prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics.

    _ _

    ADA/Accommodation Statement:  If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability.  You can request reasonable accommodations with 72-hour notice by contacting Human Resources Disability Management at 657-900-1134.

    Required Skills Required Experience

  • Qualifications

    ENTER HERE - ANY ADDITIONAL SPECIFIC SKILLS FOR THIS JOB NOT ALREADY LISTED IN THE JOB DESCRIPTION