Company:
AHI agilon health, inc.
Job Posting Location:
Remote - USA
Job Title:
Sr. Quality Analyst
Job Description:
Position Summary:
We are seeking a highly analytical and motivated Senior Project Analyst with a strong foundation in both project management and analytics to support our quality team, with a specific focus on HEDIS/Stars programs. This role will be responsible for developing and maintaining internal reporting, analyzing performance to identify opportunities for improvement, and supporting the execution of our enterprise quality strategy, with a strong emphasis on project management to drive initiatives forward. The ideal candidate will bring healthcare quality expertise, strong technical skills, and a proactive approach to driving data-driven decisions.
Essential Job Functions:
- Provide strategic project management support for quality initiatives while delivering the analytical insights and performance reporting needed to guide data-driven decision making.
- Develop, maintain, and enhance internal dashboards and reports to track performance on HEDIS and Stars measures.
- Analyze clinical quality data to identify performance trends, gaps, and opportunities for improvement.
- Provide actionable insights and recommendations to inform quality improvement initiatives and support strategic decision-making.
- Partner cross-functionally with regional quality, payor contracting and health plan strategy teams to align reporting with business needs.
- Assist in monitoring and interpreting CMS and NCQA measure specifications to ensure accurate and timely reporting.
- Support HEDIS/Stars submissions and audit processes as needed.
- Create ad hoc analyses and reports to support leadership and operational teams.
- Ensure data integrity and consistency across reporting platforms.
Other Job Functions:
- Other duties as assigned.
Required Qualifications:
Minimum Experience
- Bachelor’s degree required, preferably in Health Information Management, Public Health, Data Analytics, Business, or a related field.
- Minimum 5 years of data analytics experience, including at least 2 years working specifically in healthcare quality programs (HEDIS, Stars, Medicare Advantage, or equivalent).
- Strong proficiency in Microsoft Excel (advanced formulas, pivot tables, lookups, etc.) and familiarity with other reporting/visualization tools (Power BI, Tableau, or similar preferred).
- Solid understanding of healthcare quality programs, HEDIS/Stars measures, and regulatory requirements.
- Excellent analytical, problem-solving, and critical thinking skills.
- Ability to manage multiple priorities through application of project management principles to meet deadlines and communicate findings clearly to both technical and non-technical audiences.
Education & Licensure
- Bachelor’s degree required, preferably in Health Information Management, Public Health, Data Analytics, Business, or a related field.
- PMP preferred.
Skills and Abilities:
Ability to be a team player and exercise initiative in responding to provider requests and concerns in a helpful and courteous manner. Provider contracting and customer service techniques. General understanding of the health care industry, ideally the provider relations field-desired Excellent interpersonal and telephone communication skills are required. Exercise attention to detail; ability to provide accurate data entry. An ability to work under pressure with minimal supervision, multi-task, complete projects in a timely fashion and meet deadlines a must.
Excellent analytical, problem solving and organizational skills a must. Language Skills: Strong communication skills both written and verbal to work with multiple internal and external clients in a fast-paced environment. Mathematical Skills: Ability to work with mathematical concepts such as probability and statistical inference. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations. Reasoning Ability: Ability to apply principles of logical or scientific thinking to a wide range of intellectual and practical problems. Computer Skills: Ability to create and maintain documents using Microsoft Office (Word, Excel, Outlook, PowerPoint)
Location:
Remote - OH
Pay Range:
$77,000.00 - $94,300.00
Salary range shown is a guideline. Individual compensation packages can vary based on factors unique to each candidate, such as skill set, experience, and qualifications.
