The Center for Human Development, (CHD) is seeking a Quality and Compliance Analyst, Healthcare to join our dynamic Organizational Excellence division of CHD. This is a full time, on-site position, located at our corporate office, in Springfield, MA.Your role as a Healthcare Data Analyst:The Quality and Compliance Analyst provides a broad range of administrative, facilitation, technical support and data analytics in the quality and compliance areas within the Organizational Excellence division of CHD. The Analyst will be responsible for the extraction and analysis of identified data utilizing statistical tools and generating visual reports. Contributes to the development, implementation, monitoring, of risk mitigation and continuous quality improvement initiatives. Contributes to the development and monitoring of performance indicators and metrics, collaborates with appropriate programs and departments to collect, analyze, and trend data from multiple reporting systems and sources to identify opportunities to, improve the quality of services, program performance, to minimize risk, increase compliance and enhance safety across divisions and programs. Works in partnership with all staff within and external to the Organizational Excellence (OE).Essential functions of this role include, but are not limited to:
- Analyzes complex data sets and interprets its significance for operational and strategic decision-making.
- Develops and implement analytical processes that allow for trend analyses and variation analyses.
- Communicates the outcomes to OE team members.
- Consults with internal stakeholders to develop and define metrics for quality reporting.
- Supports other functions in all project phases from concept to implementation
- Collect data to report on key performance indicators, regulatory requirements, and quality metrics.
- Works with the VP and Managers to develop and actualize the audit plan, identify risks, trends and propose operational changes based on findings.
- The Analyst supports CHD compliance through assigned compliance activities and audits to ensure effective documentation, identify compliance risks by coordinating independent reviews and assessments of assigned operational processes, and internal controls for completeness and accuracy
- Conducts audits including but not limited to billing, claims, EHR access, HIPAA privacy, clinical and medical records compliance;
- Pursues effective relationships with others by proactively providing resources, information, advice, and expertise with coworkers and members. Listens to, seeks, and addresses performance feedback; provides mentoring to team members.
- Conducts data extraction, analyses, and presentations to support quality improvement efforts by conducting descriptive and inferential statistics for quality improvement evaluations.
- Creates visualization of data as part of data reporting via MS Excel, Power BI or similar applications.
- Maintains the documentation of all audits and reviews in designated software systems
- Report issues and observations related to audit processes and outcomes; provides information concerning such issues through resolution
- Participate in and make important contributions in committees and working groups
- Conduct investigations regarding significant suspected fraudulent activities within the organization as assigned.
- Validates findings of audits are in compliance with state and federal regulations, internal policy and procedure mandates; and recommends process, procedure, and policy improvements to mitigate against identified risks or gaps in performance.
- Perform other related duties incidental to the work described herein or as assigned.
- Acts in the role of investigator as part of the CHD investigations team.
- Provides and participates in relevant CHD trainings as assigned
- Completes other tasks and projects as assigned and completes tasks within requested timeframes.
- Escalates high-risk issues and trends to appropriate leadership staff for resolutions.
REQUIRMENTS:
- Experience with advanced analytics, data management, and, data visualization tools.
- Solid statistical analysis experience
- Project management skills preferred
- Proficient in MS Office and Power BI
- Advanced Excel Skills
- Strong problem solving & analytical skills
- Excellent verbal and written communication skills in English
- Highly developed ability to interact with diverse groups
- Willing and able to adapt to changes in work environment, procedures, priorities, and job duties
- Excellent customer service skills with appropriate sense of urgency and sensitivity to business needs
- Ability to function well within a cross-functional team setting and independently
- Ability to give and receive feedback and resolve conflict effectively and in a professional manner
- Experience with healthcare data and data integration
- Demonstrated ability to manage time and multiple projects at once in an effective, productive manner
- Demonstrates good judgment in making decisions
- Completes assigned duties and responsibilities in an accurate, timely and efficient manner
- Outstanding skills in data collection, analysis, and presentation
- Must demonstrate integrity, sound judgment and demonstrated leadership skills
- Ability to effectively present information and respond to questions from all levels of internal staff as well as external entities.
- Ability to work collaboratively with staff at all levels and across all departments and programs
- Sensitivity to the needs of the individuals served.
- Must have a valid driver's license and a working vehicle.
Take advantage of a competitive compensation of $55,000-$65,000, complimented with a phenomenal benefits that includes Dental, Health and Life insurance. Paid time off, earned vacation time and paid holidays just to name a few.AT CEnter for human development (chd) Care Finds a way: The Center for Human Development (CHD) provides a broad range of high quality, community-oriented human services dedicated to promoting, enhancing, and protecting the dignity and welfare of people in need. At CHD we are celebrating differences, inclusion is not just a policy- it is a daily practice. Multicultural, multilingual, and fluent in sign language, CHD is a reflection of those we serve. CONNECT WITH OUR TEAM TODAY! If this sounds like the right job for you, do not wait - apply today to join our team. We look forward to hearing from you!Equal Opportunity Employer/Protected Veterans/Individuals with DisabilitiesEqual Opportunity Employer/Protected Veterans/Individuals with DisabilitiesThe contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)