population health analyst

NeighborHealth

<div><div><p><b>Thank you for your interest in a career at NeighborHealth, formerly East Boston Neighborhood Health Center!</b></p><p></p><p>
As one of the largest community health centers in the country, NeighborHealth is proud to serve the greater Boston area with a strong commitment to the health and well-being of our patients and communities.</p></div><p></p><div><p>
Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or part of the essential support staff who keep our operations running smoothly &mdash; every role at NeighborHealth is vital. Together, we&rsquo;re advancing medicine and delivering the best care experience for our patients and community!</p></div><p></p><div><div><div><p>
Interested in this position? Apply online and create a personal candidate account!</p></div></div></div><p></p><p><b>
Current Employees of </b><b>NeighborHealth</b>- Please use our internal careers portal to apply for positions.</p><p></p><p>
To learn more about working at NeighborHealth and our benefits, please visit out our Careers Page.</p><p></p><p><b>
Time Type:
</b></p>Full time<p></p><p><b>
Department:
</b></p>Quality<p></p><p><b>
All Locations:
</b></p>10 Gove Street &ndash; Taylor Building, 151 Orleans Street, 20 Maverick Square &ndash; Cradock Building, 300 Ocean Avenue &ndash; Revere, 79 Paris Street<p></p><p><b>
Position Summary:
</b></p>NeighborHealth is seeking an experienced Quality analyst. This role is ideal for a professional with deep expertise in data management, EMR (Epic) reporting, dashboard build and management, data analysis, and Quality/Process improvement, with an ability to work collaboratively in cross-functional teams and translate data into actionable steps.<p>
The <b>Quality Analyst</b> plays a key role in advancing the health center&rsquo;s strategic projects on quality, population health, and performance improvement. This position is responsible for collecting, validating, analyzing, and reporting clinical and operational data to support organizational priorities. Working closely with senior leadership, the analyst produces dashboards, supports UDS and regulatory reporting, and provides actionable insights that drive improvements in patient outcomes and overall performance.</p><p><i>
The successful candidate will be able to perform the following responsibilities:</i></p><p><b>
Quality Measurement &amp; Reporting</b></p><ul><li><p>
Develop, maintain, and analyze quality performance reports including <b>UDS, HEDIS, PCMH, CMS</b>, and internal quality measures.</p></li><li><p>
Extract, validate, and manage data from <b>Epic</b> using Reporting Workbench and other internal reporting tools.</p></li></ul><p><b>
What You&rsquo;ll Bring</b></p><ul><li>
Bachelor&rsquo;s degree in <b>Public Health, Healthcare Administration, Data Analytics</b>, or related field.</li><li><b>
1&ndash;3 years</b> of experience in healthcare quality, data analysis, or population health.</li><li>
Strong proficiency in <b>Microsoft Excel</b>.</li><li>
Experience with data visualization (charts, graphs, dashboards).</li><li>
Familiarity with quality improvement methodologies.</li><li>
Knowledge of <b>SQL</b>.</li><li>
Experience with <b>Epic Reporting Workbench, Slicer Dicer</b>, or other Epic reporting tools.</li><li>
Understanding of <b>UDS, HEDIS, PCMH</b>, and other clinical quality metrics.</li></ul><p><b>
Preferred</b></p><ul><li><b>
Epic Cogito</b> certification.</li><li>
Experience working in an <b>FQHC</b> or community health center environment.</li><li>
Additional experience with other reporting/analytics tools.</li><li>
Demonstrated background supporting population health and value based care initiatives.</li></ul><ul><li><p>
Produce monthly and quarterly dashboards aligned with organizational quality priorities.</p></li><li><p>
Track performance against quality goals and communicate updates to leadership and operational teams.</p></li></ul><p><b>
Data Analysis &amp; Visualization</b></p><ul><li><p>
Clean, organize, and analyze large datasets using <b>Microsoft Excel</b> and other tools.</p></li><li><p>
Create clear, compelling charts and visualizations to support data-driven decision making.</p></li><li><p>
Identify patterns and trends; collaborate with teams to design actionable and measurable improvements.</p></li></ul><p><b>
Quality Improvement Support</b></p><ul><li><p>
Participate in quality initiatives using <b>PDSA cycles</b>, root cause analysis, workflow mapping, and related methodologies.</p></li><li><p>
Support clinical and operational teams with data validation and monitoring intervention outcomes.</p></li><li><p>
Assist in documentation and reporting for <b>PCMH</b> and accreditation requirements.</p></li></ul><p><b>
Operational &amp; Clinical Support</b></p><ul><li><p>
Support population health activities including <b>panel management</b>, care gap reporting, and related analytics.</p></li><li><p>
Provide routine and ad‑hoc data analysis for clinical and administrative teams.</p></li><li><p>
Conduct ongoing audits and validation to maintain high standards of data integrity.</p></li></ul><p><b>
Other Duties:</b></p><p>
Please note, this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.</p><p><b>
EEO &amp; Accommodation Statement:</b></p><p>
NeighborHealth is an equal employment/affirmative action employer. We ensure equal employment opportunities for all, without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or expression or any other non-job-related characteristic. If you need accommodation for any part of the application process because of a medical condition or disability, please send an e-mail to HRrecruit@NeighborHealth.com or call 617-568-4480 to let us know the nature of your request</p><p><b>
Federal Trade Commission Statement:</b><br>
According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website. We do not ask or require downloads of any applications, or &ldquo;apps.&rdquo; Job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.</p><p><b>
E-Verify Program Participation Statement:</b></p><p>
NeighborHealth participates in the Electronic Employment Verification Program, E-Verify. As an E-Verify employer, all prospective employees must complete a background check before beginning employment.</p></div>

Analyst, Quality

Mac Care

<p><b>Job Summary</b></p><p>We are seeking a detail-oriented <b>Clinical Data Analyst</b> with strong expertise in healthcare analytics and hands-on experience working with <b>clinical research data</b>. This role will support our <b>Value-Based Care (VBC)</b> and <b>MSSP initiatives</b>, while also contributing to the analysis and interpretation of clinical datasets from research and quality improvement programs.</p><p>The ideal candidate will transform complex healthcare and clinical research data into actionable insights to improve patient outcomes, ensure regulatory compliance, and drive data-informed decision-making.</p><p><b>Key Responsibilities</b></p><ul><li>Analyze and manage <b>CCLF, HCC, and quality data</b> for MSSP and Value-Based Care programs.</li><li>Work with <b>clinical research datasets</b> (e.g., study data, patient cohorts, outcomes data) to support research analysis and reporting.</li><li>Develop and maintain <b>interactive dashboards</b> using Power BI to track performance, clinical outcomes, and quality metrics.</li><li>Perform <b>data extraction, transformation, and cleaning</b> using Power Query and SQL.</li><li>Collaborate with <b>clinical, research, and operations teams</b> to identify high-risk populations and monitor quality measures.</li><li>Support <b>CMS reporting</b>, risk adjustment analysis, and quality improvement initiatives.</li><li>Assist in <b>clinical study data validation, reconciliation, and audit readiness</b>.</li><li>Ensure data integrity, accuracy, and compliance with <b>healthcare regulations (HIPAA, CMS guidelines)</b>.</li><li>Translate complex datasets into <b>clear insights and recommendations</b> for leadership and stakeholders.</li></ul><p><b>Requirements</b></p><ul><li>Bachelor&rsquo;s degree in <b>Computer Science, Data Analytics, Public Health, Biostatistics</b>, or a related field.</li><li><b>2&ndash;4 years of experience</b> in healthcare data analytics, <b>clinical research data analysis</b>, or value-based care programs.</li><li>Hands-on experience working with <b>clinical datasets, research data, or population health data</b>.</li></ul><p><b>Technical Skills</b></p><ul><li>Power BI (2+ years) &ndash; dashboarding and visualization</li><li>Power Query (2&ndash;3 years) &ndash; data transformation</li><li>SQL &ndash; data extraction and manipulation</li><li>Strong skills in <b>data cleaning, validation, and analysis</b></li></ul><p><b>Domain Knowledge</b></p><ul><li>Understanding of <b>CMS programs, MSSP, and HCC risk adjustment</b></li><li>Familiarity with <b>clinical research processes, datasets, and reporting standards</b></li><li>Experience with <b>EMR/EHR systems and population health tools</b></li></ul><p><b>Preferred Qualifications</b></p><ul><li>Experience supporting <b>clinical trials, registry data, or outcomes-based research</b></li><li>Knowledge of <b>study design, cohort analysis, and healthcare quality measures (e.g., HEDIS)</b></li><li>Exposure to <b>statistical tools (R, Python, or similar)</b> is a plus</li></ul><p>Job Type: Full-time</p><p>Work Location: In person</p>

Clinical Data Analyst

<p>Job Summary</p><p>We are seeking a detail-oriented <b>Clinical Data Analyst</b> with strong expertise in healthcare analytics, hands-on experience working with clinical research data, and practical experience using <b>Athena EMR/EHR systems</b>. This role will support our Value-Based Care (VBC) and MSSP initiatives, while also contributing to the analysis and interpretation of clinical datasets from research and quality improvement programs.</p><p>The ideal candidate will transform complex healthcare and clinical research data into actionable insights to improve patient outcomes, ensure regulatory compliance, and drive data-informed decision-making.</p><p>Key Responsibilities</p><ul><li>Analyze and manage CCLF, HCC, and quality data for MSSP and Value-Based Care programs.</li><li>Work with clinical research datasets (e.g., study data, patient cohorts, outcomes data) to support research analysis and reporting.</li><li>Extract, validate, and analyze patient and operational data from <b>Athena EMR</b> and other healthcare systems.</li><li>Develop and maintain interactive dashboards using Power BI to track performance, clinical outcomes, and quality metrics.</li><li>Perform data extraction, transformation, and cleaning using Power Query and SQL.</li><li>Collaborate with clinical, research, and operations teams to identify high-risk populations and monitor quality measures.</li><li>Support CMS reporting, risk adjustment analysis, and quality improvement initiatives.</li><li>Assist in clinical study data validation, reconciliation, and audit readiness.</li><li>Ensure data integrity, accuracy, and compliance with healthcare regulations (HIPAA, CMS guidelines).</li><li>Translate complex datasets into clear insights and recommendations for leadership and stakeholders.</li></ul><p>Requirements</p><ul><li>Bachelor&rsquo;s degree in Computer Science, Data Analytics, Public Health, Biostatistics, or a related field.</li><li>2&ndash;4 years of experience in healthcare data analytics, clinical research data analysis, or value-based care programs.</li><li>Hands-on experience working with clinical datasets, research data, or population health data.</li><li>Experience working with <b>Athena EMR/EHR</b> systems for reporting, patient data extraction, workflow analysis, or operational support.</li></ul><p>Technical Skills</p><ul><li><b>Power BI (2+ years)</b> &ndash; dashboarding and visualization</li><li><b>Power Query (2&ndash;3 years)</b> &ndash; data transformation</li><li><b>SQL</b> &ndash; data extraction and manipulation</li><li>Experience navigating and reporting from <b>Athena EMR</b></li><li>Strong skills in data cleaning, validation, and analysis</li></ul><p>Domain Knowledge</p><ul><li>Understanding of CMS programs, MSSP, and HCC risk adjustment</li><li>Familiarity with clinical research processes, datasets, and reporting standards</li><li>Experience with EMR/EHR systems, especially <b>Athenahealth / Athena EMR</b>, and population health tools</li></ul><p>Preferred Qualifications</p><ul><li>Experience supporting clinical trials, registry data, or outcomes-based research</li><li>Knowledge of study design, cohort analysis, and healthcare quality measures (e.g., HEDIS)</li><li>Exposure to statistical tools such as R or Python is a plus</li></ul><p>Job Type: Full-time</p><p>Work Location: In person</p>

Clinical Data Analyst (Athena Experience Required)

Texas Health Resources

<div><div><p><b>Business Performance Analyst</b></p><p>
</p><p><i>Bring your passion to Texas Health so we are Better + Together</i></p><p>
</p><ul><li> <b>Work location: </b>Texas Health Ft. Worth, 1301 Pennsylvania Avenue, Ft. Worth, TX 76104</li><li> Quality Outcomes Department &ndash; using your healthcare knowledge to analyze data</li><li><b>
Work hours: </b>Full-time, Exempt position, 40 hours/week, Monday-Friday, Business Hours, some Flexibility with the hours. One (1) remote day per week &ndash; set schedule.</li></ul></div><div><p><b>
Here&rsquo;s What You Need:</b></p><ul><li> <b>Education:</b></li></ul>
Bachelor's degree Mathematics, Economics, Finance, Engineering, or related field <b>Required, </b>And<br>
Master's degree Mathematics, Economics, Finance, Engineering, or related field Preferred.<p>
</p><ul><li> <b>Experience:</b></li></ul>
Two (2) years with Bachelor's degree, 2 years related analytical experience in Healthcare, Consulting, Finance, Analytics or a closely related field Required <b>or</b><br>
With Master's degree, 0 years related analytical experience in Healthcare, Consulting, Finance, Analytics or a closely related field Required.<br>
<ul><li> Working knowledge of data visualization tools and experience creating data visualizations Required</li><li>
</li><li> <b>Quality Skills:</b></li></ul><ul><li>
Tableau, Power BI, Cognos, or equivalent visualization software.</li><li>
SQL or non-SQL tools to query, join tables, and create tables.</li><li>
Financial modeling, pro formas (preferred).</li><li>
Strong communication and interpersonal skills to effectively interact with other analytics teams, business leaders, and executives.</li></ul><p><b>
What You Will Do</b></p><ul><li> Extract, manipulate, and join data from multiple sources into a population set for comparative analysis.</li><li> Develop and maintain analytical models to determine financial, clinical, and consumer value of a wide range of business initiatives.</li><li> Responsible for and/or participates in dashboard development process, including creating data definitions, validating data, retrieving data from systems, maintaining technical documentation, and dashboard creation.
</li><li> Produce ad hoc reports, recurring reporting needs, and presentations that provide data-based insights for solutions to business questions.</li><li> Give presentations to work groups on findings using data visualization tools.</li><li> Develop relationships among partners and customers and manage those relationships to assure effective solutions.</li></ul><p>
</p><p></p><p><b>Additional perks of being a Texas Health Business Performance Analyst</b></p><ul><li> As a Texas Health Business Performance Analyst, you&rsquo;ll enjoy top-notch benefits including 401(k) with match, paid time off, competitive health insurance choices, healthcare and dependent care spending account options, wellness programs to keep you and your family healthy, tuition reimbursement, a student loan repayment program and more.</li><li> Explore our Texas Health careers site for info like Benefits, Job Listings by Category, recent Awards we&rsquo;ve won and more.</li></ul><p><b><i>
Do you still have questions or concerns? </i></b>Feel free to email your questions to recruitment@texashealth.org.</p></div></div>

Business Performance Analyst Full time

PepsiCo

<div>Overview:
<div>
People Experience and Operations Assistant Analyst (Talent Management and Learning) will be responsible for administering and activating all talent management and learning processes and programs for Frontline and Staff employees inline with agreed service catalog and SLAs. The role requires strong process orientation and SLA adherence experience.</div>
Responsibilities:
<div><b>
General</b></div><ul><li>
Deliver consistent services at the defined SLAs/KPIs and drive operational efficiency and continuous process improvement.</li><li>
Ensure a consistent and high level of customer service and operational excellence that will ensure transactions are resolved efficiently and in full compliance with relevant legal, company and process requirements.</li><li>
Manage escalation and take ownership for ultimate issue resolution.</li><li>
Ensure continuous and timely knowledge management platform update.</li><li>
Gather TM Capability monthly results &amp; update accordingly the Service Delivery Scorecard.</li></ul><div><b>
TM Activities</b></div><ul><li>
Administer local Reward &amp; Recognition programs including monthly &amp; quarterly cycles for FL population.</li><li>
Faciltate end to end functional academies &amp; Management Trainees Programs including managing the opening &amp; graduation events, activating all the learning offerings and managing all the needed logistics in coordination with In-field HR Ops teams as per the agreed timlines with the BU.</li><li>
Provide monthly reports for designated stakeholders.</li><li>
Administer company&rsquo;s Code of conduct &amp; Anti-Bribery trainings for PepsiCo&rsquo;s designated population in assigned markets.</li></ul><div><b>
Learning Activities</b></div><ul><li>
Activate &amp; facilitate training programs&rsquo; logistics, arrangements &amp; execution in coordination with In-field HR Ops teams.</li><li>
Gather &amp; analyze Learning programs&rsquo; attendance &amp; Satisfaction data to be shared with designated stakeholders.</li><li>
Manage learning provider relationships.</li><li>
Activate learning awareness campaigns to the target population per wave as per agreement with the BU.</li></ul>
Qualifications:
<ul><li>1-2 year of experience in Talent Management and Learning activation.</li><li>
HR Shared Services process and SLA management
</li><li>Process management and continuous improvement with a focus on optimization and productivity</li><li>
Technical / Functional Skills &amp; Knowledge of HR Tools and Interface</li><li>
Very good English language skills</li></ul></div>

People Experience and Operations Assistant Analyst (Talent Management and Learning)

University of North Carolina at Chapel Hill

<div><div><div>Posting Information
</div><p></p><div><div><div><div><b>Department</b></div> <div>Genetics-423501</div>
</div><br>
<div><div><b>Career Area </b></div><div>Information Technology</div>
</div><br>
<div><div><b>Posting Open Date</b></div> <div>05/08/2026</div>
</div><br>
<div><div><b>Application Deadline</b></div> <div>05/22/2026</div>
</div><br>
<div><div><b>Open Until Filled</b></div> <div>No</div>
</div><br>
<div><div><b>Position Type</b></div> <div>Permanent Staff (EHRA NF)</div>
</div><br>
<div><div><b>Working Title</b></div> <div>IT Analyst/Programmer - 2 (Haendel)</div>
</div><br>
<div><div><b>Appointment Type</b></div> <div>EHRA Non-Faculty</div>
</div><br>
<div><div><b>Position Number</b></div> <div>20067396</div>
</div><br>
<div><div><b>Vacancy ID</b></div> <div>NF0009740</div>
</div><br>
<div><div><b>Full Time/Part Time</b></div> <div>Full-Time Permanent</div>
</div><br>
<div><div><b>FTE</b></div> <div>1</div>
</div><br>
<div><div><b>Hours per week</b></div> <div>40</div>
</div><br>
<div><div><b>Position Location</b></div> <div>North Carolina, US</div>
</div><br>
<div><div><b>Hiring Range</b></div> <div>$75,000 - $105,000</div>
</div><br>
<div><div><b>Proposed Start Date</b></div> <div>07/06/2026</div>
</div><br>
</div></div></div><div><div>Position Information
</div><p></p><div><div><div><div><b>Be a Tar Heel!</b></div>
<div><div>A global higher education leader in innovative teaching, research and public service, the <b>University of North Carolina at Chapel Hill</b> consistently ranks as <b>one of the nation&rsquo;s top public universities</b>. Known for its beautiful campus, world-class medical care, commitment to the arts and top athletic programs, Carolina is an ideal place to teach, work and learn.</div><div>
One of the best college towns and best places to live in the United States, Chapel Hill has diverse social, cultural, recreation and professional opportunities that span the campus and community.</div><div>
University employees can choose from a wide range of <b>professional training opportunities</b> for career growth, skill development and lifelong learning and enjoy <b>exclusive perks</b> for numerous retail, restaurant and performing arts discounts, savings on local child care centers and special rates on select campus events. UNC-Chapel Hill offers full-time employees a <b>comprehensive benefits package</b>, paid leave, and a variety of health, life and retirement plans and additional programs that support a healthy work/life balance.</div></div>
</div><br>
<div><div><b>Primary Purpose of Organizational Unit</b></div>
<div>Our mission is to improve the health and well-being of North Carolinians and others whom we serve. We accomplish this by providing leadership and excellence in the interrelated areas of patient care, education and research.<br>
<br>
Patient care: We promote health and provide superb clinical care while maintaining our strong tradition of reaching underserved populations and reducing health disparities across North Carolina and beyond.<br>
<br>
Education: We prepare tomorrow`s healthcare professionals and biomedical researchers from all backgrounds by facilitating learning within innovative and integrated curricula and team-oriented interprofessional education to ensure a highly skilled workforce.<br>
<br>
Research: We develop and support a rich array of outstanding health sciences research programs, centers and resources. We provide infrastructure and opportunities for collaboration among disciplines throughout and beyond our university to support outstanding research. We foster programs in the areas of basic, translational, mechanistic and population research.</div>
</div><br>
<div><div><b>Position Summary</b></div>
<div>The Department of Genetics invites applications for an IT Analyst/Programmer (Semantic Engineer) in the Translational and Integrative Sciences Laboratory (TISLab.org). This IT Analyst/Programmer (Semantic Engineer) position will join a highly interactive, supportive, and interdisciplinary group of faculty, staff scientists, postdoctoral fellows, and students. The IT Analyst/Programmer (Semantic Engineer) position will contribute to the Department of Genetics and TISLab&rsquo;s diverse portfolio of research, including grant-funded programs, potential commercialization opportunities of developed software, and transdisciplinary and trans-institutional partnerships. The IT Analyst/Programmer (Semantic Engineer) will provide IT/software engineering support, leading the development of and contributing to semantic pipelines and algorithms, data models, ontologies, and semantic data harmonization and integration strategies for a variety of translational research contexts, including the following data types: clinical research variables, basic research experiments, imaging metadata, genotype-phenotype data, expression, and other &lsquo;omics data. Other responsibilities of the IT Analyst/Programmer (Semantic Engineer) include technical contribution to research publications and preliminary work for grants and funding applications, and collaborations with community-wide efforts aimed at promoting open, integrated, and rigorous practices in research, data engineering, and scholarly communication. TISLab focuses on areas such as automated and manual bio data curation, knowledge representation, semantic engineering, automated reasoning, and the development and evaluation of algorithms and software systems that advance these practices in support of artificial intelligence. Flexible work arrangements, including virtual/hybrid work locations, are an integral part of the School of Medicine&rsquo;s Working Forward initiative. As such, this position&rsquo;s work location is designated as virtual. Please note that the designated work location is subject to change based on the unit&rsquo;s business needs.</div>
</div><br>
<div><div><b>Minimum Education and Experience Requirements</b></div>
<div>Master&rsquo;s and 1-2 years&rsquo; experience; or Bachelors and 2-4 years&rsquo; experience; or will accept a combination of related education and experience in substitution.</div>
</div><br>
<div><div><b>Required Qualifications, Competencies, and Experience</b></div>
<div>Experience in semantic data engineering.</div>
</div><br>
<div><div><b>Preferred Qualifications, Competencies, and Experience</b></div>
<div>Experience implementing informatics/bioinformatics pipelines and export of human interpretable format(s) (graphs/figures, tables, etc&hellip;); processing, analysis, and display Experience in engineering and graph database work. Experience programming in Python and deploy Jupyter notebooks. Experience working independently and openly on GitHub. Education within computer science, clinical informatics, biomedical informatics, biosciences, or a related field. Experience working with one or more of the following: Graph databases, Triplestores, Ontologies, Semantic data models or other semantic technologies. Experience in the collection, storage, transformation, standardization, harmonization, and analysis of legacy data stored in a variety of formats (e.g., OWL, RDF, JSON-LD, JSON, Python, SPARQL, and/or graph query languages such as Cypher, relational databases such as MySQL, PostgreSQL, SQL Server, Oracle, Triplestores, or other semantic technologies). Experience with software development and project management tools, and file version control systems (e.g., Git/GitHub, Jira, Confluence). Experience with web application and user interface development using semantic technologies and/or deploying semantic artifacts in the context of software system architecture, design, and implementation Experience modeling and managing semantically annotated data. Experience developing and evaluating data curation workflows, data quality, and validation according to semantic standards. Experience managing technical aspects of informatics/information science projects</div>
</div><br>
<div><div><b>Special Physical/Mental Requirements</b></div>
</div><br>
<div></div><div><div><b>Campus Security Authority Responsibilities</b></div>
<p>Not Applicable.</p></div></div></div></div></div><p></p>

IT Analyst/Programmer - 2 (Haendel)

Alliance Health Plan

<div><p>The NCQA Quality &amp; Accreditation Analyst serves as the project management lead and subject matter expert for assigned NCQA standard areas and manages the assessment of related business functions for corresponding departments within the scope of NCQA standards (e.g. Provider and Member Services, Utilization Management, Population Health, Care Management, Provider Network, Member and Provider Communications, Delegation Oversight) to support high-quality performance and ensure successful NCQA Accreditation process. Additionally, this role supports the Continuous Quality Improvement Committee.</p>
<p><b>
This position is fulltime remote. Selected candidate must reside in North Carolina. Some travel for onsite meetings at the Home office (Morrisville, NC) may be required.</b></p>
<p><b>
Responsibilities &amp; Duties</b></p>
<p>
Implement and Monitor Accreditation Workplan</p>
<ul>
<li>Project lead for assigned NCQA standard categories to achieve and maintain Health Plan Accreditation with LTSS distinction and any additional accreditations Alliance Health pursues</li>
<li>Identify gaps and risks and provide regular status reports from NCQA tracker to leadership</li>
<li>Serve as lead for NCQA Accreditation reviews for assigned standard categories by gathering all necessary documents and information from business areas, managing timely document submissions to NCQA, facilitating NCQA requests for additional information, and coordinating onsite review activities</li>
<li>Review and update policies and procedures, reports, materials, and files for completeness, accuracy, and compliance with NCQA Standards</li>
<li>Maintain ongoing collection and tagging relevant policies/procedures, reports, materials, and files as appropriate</li>
<li>Participate in Delegation Oversight and audits as appropriate</li>
</ul>
<p>Drive Organizational Accreditation Efforts</p>
<ul>
<li>Provide technical support and education to staff regarding NCQA Health Plan Accreditation and LTSS Distinction Standards and supporting documentation</li>
<li>Assess business area functions against current and upcoming NCQA standards and identify potential performance gaps and associated risks and update NCQA tracker upon release of new/updated standards</li>
<li>Serve as the accreditation subject matter expert within organizational wide, cross-functional, and multi-disciplinary teams to bring each business area to a state of readiness</li>
<li>Identify and facilitate business area process improvements via means such as policies, workflows, and processes; follow-up to ensure improved outcomes</li>
<li>Coordinate and collaborate with cross-departmental teams to identify and implement organization-wide strategic initiatives that support quality performance</li>
<li>Communicate reporting due dates and reminders to business leads and leadership as appropriate</li>
<li>Maintain clear status updates regarding NCQA Readiness on NCQA Tracker, communicating risks as appropriate</li>
<li>Lead the compliance review for non-clinical standards</li>
<li>Partner with other departments to align documentation, policies, and practices with NCQA standards</li>
<li>Conduct standards reviews, present findings to departments and leadership</li>
<li>Develop and communicate compliance recommendations</li>
</ul>
<p>Support Continuous Quality Improvement Committee</p>
<ul>
<li>Review and maintain documentation, agendas, minutes, follow up items</li>
<li>Ensure documentation meets NCQA compliance</li>
<li>Track and remeasure impact of interventions with business leads</li>
<li>Conduct orientation with new Committee members</li>
</ul>
<p><b>Minimum Requirements</b></p>
<p>
Education &amp; Experience</p>
<p>
Required:</p>
<p>
Bachelor&rsquo;s degree in healthcare, human services, public health administration, nursing, business, or related field and five (5) years of managed care with knowledge and practical experience health care quality or NCQA Health Plan accreditation processes and requirements.</p>
<p>
Preferred:</p>
<p>
Experience with NCQA Accreditation standards.</p>
<p>
Knowledge of regulatory reporting, compliance requirements, and auditing procedures.</p>
<p>
Project management.</p>
<p><b>
Knowledge, Skills, &amp; Abilities</b></p>
<ul>
<li>Knowledge of NCQA accreditation processes and standards</li>
<li>Knowledge and understanding of federal and state regulations</li>
<li>Project Management</li>
<li>Excellent communication skills (written and verbal).</li>
<li>Interpersonal skills which are effective, respectful, and sensitive to a diverse and multicultural population of children, families, and co-workers,</li>
<li>Problem-solving, mediation, and conflict resolution skills</li>
<li>Teamwork and collaboration skills</li>
<li>Microsoft Project, Excel, Word (Edits and Tracking), and PowerPoint skills</li>
<li>Facilitation skills</li>
</ul>
<p><b>Salary Range</b></p>
<p>
$77,868 - $99,282/Annually</p>
<p><b>
Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity.</b></p>
<p><i>
An excellent fringe benefit package accompanies the salary, which includes:</i></p>
<ul>
<li><i>Medical, Dental, Vision, Life, Long Term Disability</i></li>
<li><i>Generous retirement savings plan</i></li>
<li><i>Flexible work schedules including hybrid/remote options</i></li>
<li><i>Paid time off including vacation, sick leave, holiday, management leave</i></li>
<li><i>Dress flexibility</i></li></ul></div>

NCQA Quality & Accreditation Analyst (Full-Time Remote, North Carolina Based)

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