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Trillium Health Resources · 3 days ago

Head of Performance Measures

United States

Full-time

Remote

Mid, Senior Level

$76K/yr - $101K/yr

1+ years exp

Trillium Health Resources is a Tailored Plan and Managed Care Organization serving 46 counties across North Carolina. The Head of Performance Measures provides leadership for the oversight and supervision of QM data analysis activities, ensuring compliance with contract requirements and managing reporting activities.

Child CareHealth CareMental HealthNon Profit

Responsibilities

Maintain a working knowledge of all Federal Medicaid regulations, State rules and regulations, accreditation standards and Trillium requirements through ongoing review of contracts and manuals

Support Accreditation and Delegation with the organization’s achievement and on-going maintenance of national accreditation and delegations

Provide input to the annual Quality Management and Improvement Program (QMIP) Plan, the Quality Assurance and Performance Improvement work plan and QM Evaluation, as well as QM related policies and procedures and forms

Responsible for the management of the development of analytical reports, including conducting analysis, information synthesis, summarizing and interpretation of results, to include the identification of patterns and trends in data

Prepare project plan for Health Plan HEDIS Measurements with prioritization of activities after conducting analysis and evaluation of performance data

Responsible for all internal and external reporting activities derived from Health Plan HEDIS reported datasets

Qualification

Data analysisMicrosoft SQL ServerHEDIS reportingQuality improvementPower BIMicrosoft ExcelSupervision experiencePredictive Analytics certificationsHealthcare Quality certificationSix Sigma Green Belt

Required

Associate's degree and three (3) years of experience in data collection, analysis, reporting, and/or use of databases. Must have a working knowledge of Microsoft SQL Server and experience handling large datasets

Bachelor's degree and one (1) year of experience in data collection, analysis, reporting, and/or use of databases. Must have a working knowledge of Microsoft SQL Server and experience handling large datasets

Equivalent combination of education/experience

Must have a valid driver's license

Must reside within North Carolina

Must be able to travel within catchment as required

Preferred

Degree in: Information Technology, Statistics, Mathematics, Business, Human Service field (such as Psychology, Social Work, etc.), or other data related degree program

Experience in supervision of 2 or more employees

Experience in quality improvement activities, HEDIS and relational databases, and Microsoft Excel (VLOOKUP, pivot tables, graphs)

A working knowledge of Power BI

Certified Specialist in Predictive Analytics (CSPA), Certified Machine Learning – Specialty (AWS), Predictive Analytics Certificate (SOA), and/or CAHIMS, ITIL v3 or equivalent certifications

Certified Professional in Healthcare Quality (CPHQ) preferred. Six Sigma Green Belt level certification