Elite Technical is seeking a Data and Reporting Analyst to support our Healthcare customer. The selected candidate will be responsible for compiling claims and member data, analyzing files for accuracy, and creating reports (via Power BI) for audits and quality performance measurements. The individual will support the Compliance Department and liaison with other departments to complete regulatory compliance documents. Collaborate with departments to design, implement and monitor effectiveness of interventions. The position will serve as point of contact for outreach initiatives to improve HEDIS quality measures to include:

(1) work with vendors on data/file needs and ensure accuracy of files from vendors
(2) coordinate vendor meetings
(3) create target lists and compile claims and member data
(4) create dashboards for executive review
(5) complete and distribute the annual HEDIS roadmap.

PRIMARY ACCOUNTABILITIES:
- Collect and analyze data and records as needed for ongoing reviews and reports. Participate in meetings with staff and vendors.
- Conduct activities required to prepare for audits.
- Coordinate the policy review process for accreditation and quality performance measurements.
- Compile the meeting materials and draft the meeting minutes for the Quality Improvement Committee.

Required Skills

- Bachelor degree in Information Technology, Statistics and Analytics, Business Administration or a related field.
- A minimum of 3 years in developing analytical reports/dashboards (preferred data is surrounding healthcare payor claims and member data)
- Recent Healthcare Insurance Experience is required. Government/Federal, HEDIS or CAHPS is highly preferred.
- Preferred Knowledge of the healthcare payor industry, QNXT, HEDIS is HIGHLY desired.
- Tech Stack: SQL Querying, MS Excel (expert level required), creation Power BI & dashboard reports from data gathered
- Ability to prioritize and manage multiple projects in accordance with the priorities set by the Compliance Department leadership.
- Proven track record of effectively and productively working with varied levels of personnel including with external vendors and business organizations both individually and in a group setting.
- Strong communication skills are required. The incumbent must demonstrate skillful communication verbally and in writing to successfully interact with internal and external personnel with different levels of responsibility.
- Demonstrated proficiency with Microsoft Office 365 including Excel, PowerPoint, Outlook, SharePoint and Word