Data Analyst, Quality Data Analytics

The Data Analyst will manage the analysis and reporting of data supporting Quality Initiatives in Health Services. The Data Analyst will help increase the use of data in clinical decision-making and improving data quality by identifying data gaps impacting Health Services Quality Initiatives including Quality Improvement and Population Health Management. You will support quality reporting for the Medi-Cal and D-SNP lines of business.

The Quality Data Analytics (QDA) team values collaboration and teamwork, as the team works with other teams, from clinical staff to our ITS Department, and external partners such as providers and regulatory agencies

SFHP is proud to offer a hybrid work environment. As such, this role will be required to be onsite, in office a minimum of 4 days per month.

Salary: $80,000 to 100,000 annually

WHAT YOU WILL DO:

• Perform effective and accurate data analysis, trending, and reporting.
• Resolve data quality issues affecting HEDIS and Star Ratings performance and other Quality Initiatives.
• Validate our requirements for exchange of data between healthcare systems.
• Identify new ways to integrate existing data sources or reports from several internal or external stakeholders supporting the programs managed by the Quality Data Analytics team including CMS, DMHC, DHCS, and NCQA reporting
• Design and develop reports using the data from the Quality Reporter and Jiva applications.
• Ensure the integrity of data being reported and used is accurate and valid.
• Interface with users and other stakeholders to achieve mutually agreeable deliverables, timeframes, resources, and outcomes.
• Be a liaison with Data Management, Business Analytics and other ITS teams for any changes or updates in data exchanges.
• Coordinate small projects following standardized project management methodologies.
• Coordinate materials for SFHP committees and meetings that have direct impact on the programs managed by the Quality Data Analytics team.
• Perform other administrative duties and special projects as assigned.

WHAT YOU WILL BRING:

• Bachelor’s degree in MIS, Business, Public Health, or other relevant areas; or equivalent work experience.
• 2 to 3 years of experience with Medi-Cal and Medicare quality reporting including HEDIS and STAR ratings.
• 2 to 3 years of experience in health plan operations, health care clinical/data quality improvement, direct patient care, or other experience directly related to position duties and knowledge.
• Familiarity with key technologies including Cotiviti Quality Reporter, QNXT, and Jiva is helpful.
• Understanding health care data sets impacting Quality Initiatives and Measures including HEDIS, Member, Provider, Claim, Encounter, Lab, Electronic Health Record (EHR), and Pharmacy data.
• Strong data analysis and problem-solving skills.
• Advanced proficiency in SQL, including report development.

WHAT WE OFFER:

• Health Benefits
  • Medical: You’ll have a choice of medical plans, including options from Kaiser and Blue Shield of California, heavily subsidized by SFHP.
  • Dental: You’ll have a choice of a basic dental plan or an enhanced dental plan which includes orthodontic coverage.
  • Vision: Employee vision care coverage is available through Vision Service Plan (VSP).
• Retirement – Employer-matched CalPERS Pension and 401(a) plans, 457 Plan.
• Time off – 23 days of Paid Time Off (PTO) and 13 paid holidays.
• Professional development: Opportunities for tuition reimbursement, professional license/membership.

ABOUT SFHP:

Established in 1997, San Francisco Health Plan (SFHP) is an award-winning, managed care health plan whose mission is to provide affordable health care coverage to the underserved low and moderate-income residents in San Francisco County. SFHP is chosen by eight out of every ten San Francisco Medi-Cal managed care enrollees and its 175,000 members have access to a full spectrum of medical services including preventive care, specialty care, hospitalization, prescription drugs, and family planning services.

San Francisco Health Plan is proud to be an equal opportunity employer. We are committed to a work environment that supports, inspires, and respects all individuals and in which our people processes are applied without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

San Francisco Health Plan is an E-Verify participating employer.

Hiring priority will be given to candidates residing in the San Francisco Bay Area and California.

#LI-Hybrid

Salary : $80,000 - $100,000