Excellus Health Plan Inc.
Rochester, NY, USA
Job Description: This position consults with internal and external stakeholders in order to extract, analyze and develop reports in ways that can be easily understood and complete with summaries and recommendations on findings to drive continuous improvement in measure results across all lines of business. Incumbents have the responsibility to understand HEDIS/CAHPS, Quality Assurance Reporting Requirements (QARR), Quality Rating System (QRS) reporting requirements along with influencing the Health Plan's quality ratings performance. The consultant monitors trends, outcomes and business processes using data mining techniques, statistical techniques, (i.e., control charting) and additional business intelligence technologies. This position partners with other analytical areas, project teams, external regulators and other Health Plans. Essential Accountabilities: Level I Develops on-going knowledge of Health Plan's data sources and structures to independently take in...