Healthcare Data Analyst III

Position: Quality Analyst III Client: Health Insurance Client Location: 100% Remote - EST Work Schedule Start Date: ASAP Contract Length: 6-month Contract Summary: The Quality Analyst III is responsible for analyzing, interpreting, and transforming complex healthcare data to support quality improvement initiatives across the organization. This role partners with cross-functional teams to deliver actionable insights, enhance reporting capabilities, and support payer quality programs such as HEDIS, Population Health, Pharmacy Quality, Health Equity, and Accreditation activities. Essential Functions: • Develop and maintain comprehensive reports, dashboards, and visualizations that clearly summarize data and performance trends for key stakeholders. • Review data for patterns, special-cause variation, and emerging trends; provide clear, concise summaries explaining key findings and operational implications. • Provide technical guidance on SQL and Alteryx best practices, workflows, data transformations, and data source utilization. • Interpret and maintain understanding of technical specifications and quality reporting requirements, ensuring timely implementation of updates and communication to relevant stakeholders. • Collaborate closely with business partners to evaluate data patterns, investigate issues, and identify improvement opportunities. • Gather, validate, and refine business requirements for analytics requests across HEDIS, Population Health, Pharmacy Quality, Accreditation, Health Equity, business development, and RFP initiatives. • Partner with IT and data engineering teams to improve data collection, data quality, and reporting infrastructure. Education and Experience: • Bachelor’s degree in MIS, Computer Science, Data Analytics, Public Health, or related field (or equivalent work experience) required. • Master’s degree in Public Health (MPH), Business Administration (MBA), Statistics, Mathematics, or related field preferred. • Minimum of three (3) years of experience in data analysis or analytic programming required. • Minimum of three (3) years of experience with HEDIS or similar healthcare quality performance metrics required. • 3–5 years of programming experience using SQL and analytic tools is required. • Experience with Alteryx Designer (reporting, workflows, automation) required or strongly preferred. • Experience in healthcare payer or clinical delivery settings preferred. Competencies, Knowledge, and Skills: • Proficiency with Microsoft Office Suite (Excel, PowerPoint, Word). • Strong analytical and complex problem-solving skills with the ability to address multi-dimensional business questions. • Proficiency in SQL and Alteryx (workflow development, ETL processes, automation). • Understanding of managed care principles, payer operations, and healthcare data structures. • Strong written and verbal communication skills with an ability to present complex concepts to non-technical audiences. • Ability to lead analytic initiatives and partner effectively across departments. • Knowledge of healthcare coding standards and payer data sources. • Familiarity with advanced data architecture and collaboration with IT/data engineering teams. • Exposure to statistical concepts and methodologies preferred.