QM Operations Senior Analyst
Job Ref: 57790
Category: Quality Assurance
Department: QUALITY MANAGEMENT
Location: 160 Water St. #3, New York, NY
Job Type: Regular
Employment Type: Full-Time
Hire In Rate: $40,764.00
Salary Range: $40,764.00 - $93,783.00
MetroPlus Health Plan provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlus’ network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlus has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life.
The primary function of the QM Operations Senior Analyst is to support data management functions that operationally and technically support Quality Management Operations activities. The QM Operations Senior Analyst should be able to work independently to develop analytical and operational business solutions. The role requires advanced working knowledge of SQL, MS Access, MS Excel & VBA. This position will function as a developer of internal tracking tools and quality assurance tests and will also conduct ongoing analyses that will support QM operations and QM improvement specialists in identifying target populations and efficient approaches to improve quality scores. The role will also mentor and train staff on all applications and reports developed. The position may also be responsible for duties tied to the development of new programs and initiatives as assigned by the Director of QM Operations.