The Business Analyst-Quality Management provides design, development, implementation, and support of mission-critical reports that allow for successful evaluation of the quality components of Alliance Health. The Analyst also conducts quality assurance testing related to IT reporting, data integrity, and analyses and functions as a liaison between Quality Management, Business Owners, and IT to coordinate data collection and report development efforts.
This position will allow the successful candidate to work primarily remote. There is no expectation of being in the office routinely, but they will be required to report to the corporate home office located in Morrisville, NC as needed and be a resident of North Carolina.
Responsibilities & Duties
Analyze business requirements and translate into specifications
Analyze healthcare business activities to identify report and data requirements
Translate business requirements into business report documentation specifications
Conduct research through business specifications, contracts, journals, web resources, and in-person interviews to determine data requirements for projects
Lead efforts to clarify any specifications that are unclear
Develop reports and data visualization solutions
Perform data acquisition, analysis, evaluation, and analytics via advanced SQL queries and stored procedures, MicroStrategy, and other data management tools
Write advanced SQL queries with multiple joins to extract data from data warehouse
Design solutions using BI concepts including dynamic and parameter driven reporting, dashboards, data visualization, and alerts
Using thorough knowledge of available data, design products that merge data from various sources including EDI files, HIE, State data, transactional system, and data warehouse create and provide data visualization solutions to stake holders
Provide support as required to ensure the accuracy of developed reports and metrics for both external and internal users
Ensure that reporting activities are conducted in ways that correspond with externally mandated specifications
Assist the QM Department with any data assurance/integrity efforts required as part of larger quality activities, and with the completion and validation of state-required reports
Perform geocoding activities through GIS software to analyze spatial statistics
Develop and document processes
Audit, develop, and document processes to accurately monitor data associated with contract performance measures, HEDIS measures, and program requirements
Engineer efficient processes for gathering statistical data, identifying complex trends, and translating insights into actionable recommendations
Collaborate with other departments to enhance operations
Work closely with IT Department to enhance operations and automation of reports and processes and perform quality assurance testing of systems and products
Actively participate in Data Governance committee and Business Analyst teams
Serve as the department liaison on Alliance Claims System development; participate in the Alliance Claims System user group meetings
Attend IT/Reporting trainings or meetings that are relevant to the above responsibilities.
Manage testing and end user support
Manage the User Acceptance Testing process and feedback
Provide End User support on solutions and data interpretation
Conduct peer reviews and test solutions for functionality and data accuracy
Knowledge, Skills, & Abilities
Advanced experience with SQL (At minimum having experience writing original queries, with multiple joins)
Experience with tools such as MicroStrategy, Power BI, or Tableau
Knowledge of data integration (validation and cleaning)
Knowledge of complex data and structures
Knowledge of geographic information science and systems and ability to perform spatial analysis
Knowledge of the healthcare industry
Advanced knowledge of relational database systems, statistical analysis, data mining, predictive analytics, performance measurement, and other data science concepts
Knowledge of data visualization principles and strategies
Knowledge of Programming / scripting and software development life cycle is preferred
Excellent interpersonal (verbal and written) communication skills are required to support working in project environments that includes internal, external and customer teams
Strong analytical, conceptual, and problem-solving skills
Ability to manage projects and deliver within specified timeframes
Ability to manage multiple priorities and adjust quickly to changing priorities
Ability to work with large-volume clinical and financial data and transactions
Minimum Requirements
Bachelor’s degree from an accredited college or university in computer science, business administration, or related field, or degree related to healthcare and two (2) years of experience in analysis, design, development, and testing of applications or reports and dashboards, or an equivalent combination of education and experience.
Experience working in a healthcare setting preferred.
Salary Range
$66,240 -$86,112/Annually
Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity. An excellent fringe benefit package accompanies the salary, which includes:
Medical, Dental, Vision, Life, Long Term Disability
Generous retirement savings plan
Flexible work schedules including hybrid/remote options
Paid time off including vacation, sick leave, holiday, management leave