QUALITY IMPROVEMENT DATA ANALYST - LEAD

Lead Quality Improvement Data Analyst role in TennCare’s Quality Improvement (QI) Data Analytics team supporting the Chief Medical Office (CMO). Responsibilities Deliver analytics and data expertise for CMO teams and TennCare Value Based Payment (VBP) programs Use claims data to surface key trends and insights that inform CMO leadership on clinical areas and outcomes Design strategies and methodologies to complete complex data requests Support the creation of new VBPs, attend related meetings, and provide data and quality measure expertise Write technical specifications for quality measures Code and calculate quality metrics using claims data, and produce requested analysis comparisons Evaluate quality measures at the individual provider and aggregate level using measure specifications and relevant information Run annual CMS Core Measures, including stratification by MCO and Region Research external data sources (including Medicare data) for inclusion in CMS Core Measures for mandatory reporting Query, collect, prepare, and safeguard data to deliver outputs required for CMS, legislative, and other ad-hoc requests Support high-priority legislative reporting at the request of CMO and TennCare leadership Review and summarize complex reports using analytics expertise Perform quality checks on data and reports provided by MCOs and collaborate with MCOs to complete reporting on time Develop advanced analytic approaches using multiple complex databases to build health outcome measures stratified by providers, hospitals, and MCOs Partner with clinical data leads to support development of the TennCare quality strategy Contribute to QI dashboard design and development Collaborate with other CMO teams to explore and use data specific to each team Provide technical assistance and training to new analysts, including claims data knowledge, answering technical questions, and reviewing projects for efficiency improvements Design and develop dashboards for CMO teams to highlight projects and initiatives, meeting CMO expectations and DA design standards Meet with teams to understand requirements and present final dashboards Develop methodology for pulling and/or aggregating data Assist with Data Ecosystem items, including providing expertise in meetings with the DE contractor Ensure data sources and methodology are correct Build expert-level knowledge of data sources and how they are used across projects Requirements Education + experience option 1: Bachelor’s degree in a quantitative or related discipline AND 5+ years of relevant professional work experience Education + experience option 2: Master’s degree in a quantitative or related discipline AND 1 to 2+ years of relevant professional work experience Experience option 3: 10+ years of relevant professional work experience Technologies SAS SQL Tableau Power BI Excel Access PowerPoint Word R Python Desirable Qualifications Master’s degree in statistics, applied statistics, social or behavioral sciences, health sciences, business, business administration, or public policy, plus 4+ years full time work developing research methodology and/or directing statistical research OR Bachelor’s degree in statistics, applied statistics, social or behavioral sciences, health sciences, business, business administration, or public policy, plus 6+ years full time work developing research methodology Strong computer skills, including mastery of Microsoft tools (Excel, Access, Word, PowerPoint) and statistical software (SAS, R, Python, etc.) Strong, clear, and concise oral and written communication Strong organizational skills, including the ability to prioritize, multi-task, and manage workload to meet deadlines Experience with Tableau or Power BI Experience in other visualization software Experience in healthcare and/or quality measurement Experience with survey development and analysis Experience working with hospital data Background Check Criminal background check required; you may be asked to provide information about your criminal history Location: Nashville, TN (hybrid) Compensation: USD 89,496 - 143,220 per year Minimum Experience: 5 years Education: Bachelor’s degree in a quantitative or related discipline #J-18808-Ljbffr TennCare