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*Quality Improvement Analyst - Columbia, MO-1402395

IBM Type Full time Posted 4/23/2014
Salary - n/a - Starts - n/a -
MO - Missouri (All) - Columbia Referral - n/a -    
*Quality Improvement Analyst - Columbia, MO-1402395
About WellCare: WellCare Health Plans, Inc. provides managed care services targeted to government-sponsored health care programs, focusing on Medicaid and Medicare. Headquartered in Tampa, Fla., WellCare offers a variety of health plans for families, children, and the aged, blind and disabled, as well as prescription drug plans. The company serves approximately 3.3 million members nationwide as of January 1, 2014. The company employs more than 5,100 nationwide. For more information about WellCare, please visit the company's website at www.wellcare.com. A Fortune 500 company traded on the New York Stock Exchange (symbol: WCG).

EOE: 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 fullfillment 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. 
Essential Functions:
  • Defines analysis methodology and provides analytic support to QI staff.
  • Maintains databases and reports specific to QI functions and regualtory 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,consise 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.
Education:  A Bachelor's Degree in Public Health, Epidemiology, Information Management or other related health field required.  A Master's Degree preferred or directly related or equivalent work experience.                                                          
Experience:  3-5 years of experience in collecting, analyzing, and presenting data and recommendations to management required. Knowledge of quality improvement philosophy and techniques desirable. Experience in mainframe applications and/or statistical applications.   
Licenses/Certifications:  Certified Professional in HealthCare Quality is desired.                                       
Special Skills (e.g. 2nd language): 
Excellent communication skills
Ability to communicate effectively with people with varying levels of education
Ability to provide draw conclusions from data analysis
Ability to multitask in a fast paced environment 
Technical Skills/Requirements: 
Proficient in Microsoft Office such as Word, Excel, PowerPoint, Access and Outlook.  Ability to utilize other data management systems to pull and analyze information to draw conclusions and recommendations.

Primary Location




Is a relocation package available?