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Quality Improvement Analyst HEDIS

Wellcare - Chicago, IL

Quality Improvement Analyst HEDIS','1705375','!*!About WellCare: WellCare Health Plans, Inc. is a Fortune 500 company traded on the New York Stock Exchange (symbol: WCG). It provides managed care services targeted to government-sponsored health care programs, including Medicaid, Medicare, Prescription Drug Plans and the Health Insurance Marketplace. Headquartered in Tampa, Fla., WellCare offers a variety of health plans for families, children, and the aged, blind and disabled. The company serves approximately 4 million members and employs approximately 6,500 people nationwide as of Sept. 30, 2014. For more information about WellCare, please visit our website at or view our videos at All qualified applicants shall receive consideration for employment without regard to race, color, religion, sex, age forty (40) and over, disability, veteran status, or national origin.','!*!Coordinates complex assignments involving cross functional teams in the fulfillment of contract deliverables, regulatory and accreditation requirements with focus on data analytics and performance improvement. Models and promotes the core values of the Collaborative and Wellcare. Provides data analytics assistance to all levels within Quality Improvement at both a market and corporate level.

DEPARTMENT:  Health Services-Quality

REPORTS TO:  Manager, Quality ImprovementEssential Functions:

Defines analysis methodology and provides analytic support to QI staff.

Maintains databases and reports specific to QI functions and regulatory and accreditation requirements.

Collaborates with other teammates to deliver solid, effective solutions.

Provides data for select performance measures to regional offices.

Communicates with external data sources as needed to gather data necessary to measure identified outcomes.

Prepares ad hoc reports as needed for QI management.

Identifies, evaluates and implements new data-driven strategies and processes for the organization.

Develops tools and reports that lend valuable insights that capitalize on a combination of internal and external data.

Recommends enhancements to existing systems in accordance to business needs by creating ad hoc and standard reports as well as new information delivery technologies.

Acts as point of contact for business users providing both tool support and data expertise.

Develops and provides insights into streamlining analytic QI processes.

Assists in the HEDIS data collection process, analyzing trends, and identifying areas of improvement..

Prepares reports and quality improvement studies in an accurate,concise and timely fashion.

Coordinates centralized and market work plans and actions with team members assuring project timeliness and expectations are met.

Manages key project initiatives associated with delegated vendor functions, monitoring and summarizing vendor oversight project progress.

Participates in cross functional internal and external quality teams to improve overall organization performance.

Performs data collection, analysis, reporting and presentation of quality improvement activities.

Performs other duties as assigned.


','!*!Candidate Education:

Required a Bachelor's Degree in Public Health, Epidemiology, Information Management or other related health field

Preferred a Master's Degree in a related field Candidate Experience:

Required 3 years of experience in data analytics via collecting, analyzing, and presenting data and recommendations to management Candidate Skills:

Intermediate demonstrated written communication skills

Intermediate demonstrated interpersonal/verbal communication skills

Intermediate ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions

Intermediate ability to multi-task

Intermediate ability to work in a fast paced environment with changing priorities

Intermediate ability to implement process improvements

Intermediate ability to work within tight timeframes and meet strict deadlines

Intermediate demonstrated analytical skills

Intermediate demonstrated problem solving skills

Intermediate knowledge of quality improvement philosophy and techniques

Beginner ability to utilize other data management systems to pull and analyze information to draw conclusions and recommendations Licenses and Certifications:A license in one of the following is required:

Preferred Certified Professional in Healthcare Quality (CPHQ) Technical Skills:

Required intermediate Microsoft Excel

Required intermediate Microsoft PowerPoint

Required intermediate Microsoft Outlook

Required intermediate Microsoft Word

Preferred beginner Microsoft Access

Preferred beginner Statistical Analysis Systems (SAS)

','US-IL-Chicago','29 North Wacker Dr','Suite 300','Chicago','60606','','No','No','No','Quality Improvement Analyst HEDIS'

11 days 7 hours ago



Quality Improvement Analyst HEDIS Wellcare - Chicago, IL, United States


Location: Chicago, IL

Company Profile:
WellCare Health Plans, Inc. focuses exclusively on providing government-sponsored managed care services, primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug Plans, to families, children, seniors and individuals with complex medical needs. The company served approximately 3.8 million members nationwide as of Sept. 30, 2015. For more information about WellCare, please review our website and view the company’s videos. WellCare has developed a full complement of expertise in three major areas of government-sponsored health care…. Medicaid, Medicare Advantage and Medicare Prescription Drug Plans. Leveraging our expertise for our members' benefit is a key part of the value we bring to our members. WellCare focuses on those members who are dually eligible for both Medicaid and Medicare. This is an area of specialization that many other health plans simply do not have. We are committed to continually improving the quality of care and service that we provide to our members. We help our members access the right care at the right time in the appropriate setting. For some members, this includes the use of coordinated care teams and community partnerships. And we’re focused on government customers and use a disciplined approach to ensure a competitive cost structure.