Demo

DATA AND REPORTING ANALYST

American Postal Workers Union
Glen Burnie, MD Full Time
POSTED ON 2/16/2025
AVAILABLE BEFORE 5/12/2025

POSITION PURPOSE :

This position is responsible for supporting the APWU Health Plan compliance duties to comply with applicable laws, regulations and accreditation standards.

NATURE AND SCOPE :

This position reports to the Chief Compliance Officer and may be assigned tasks by the Chief Compliance Officer, Senior Program Manager for Accreditation & HIPAA Privacy Compliance and the HEDIS CAHPS Program Manager to achieve and maintain the Health Plan's Accreditations and coordinate HEDIS and CAHPS project management.

The incumbent will be responsible for compiling data, analyzing files for accuracy, and creating reports for audits, quality performance measurements, and implementation of the Health Plan's programs at the direction of the Compliance Program Managers.

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, (2) create target lists and compile claims data; and (3) program timelines. This position will complete and distribute the annual HEDIS roadmap.

This position functions under the constraints of Health Plan, Department of Health and Human Services, and the Office of Personnel Management (OPM) guidelines and policies.

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.

Perform other duties as assigned.

QUALIFICATIONS :

Bachelor degree in Information Technology, Statistics and Analytics, Business Administration or a related field.

A minimum of 2-3 years' in developing analytical reports and project management is preferred.

Knowledge of Health Equity and HEDIS is desired.

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.

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