
Quality Analyst
Job Description
Quality Analyst
Department: Quality - Operations
Employment Type: Full Time
Location: 600 City Parkway West 10th Floor, Orange, CA 92868
Reporting To: Ananya Chandra
Compensation: $80,000 - $95,000 / year
Description
Our Values:
- Put Patients First
- Empower Entrepreneurial Provider and Care Teams
- Operate with Integrity & Excellence
- Be Innovative
- Work As One Team
What You'll Do
- Analyze program performance data including cost, utilization, risk adjustment, medical claims, and quality metrics
- Use SQL and Python to query and manipulate large healthcare datasets to identify trends, anomalies, and improvement opportunities.
- Develop dashboards, reports, and scorecards using tools like Tableau, Power BI, or Excel to communicate performance to internal and external stakeholders.
- Conduct root-cause analyses and evaluate ROI on initiatives aimed at closing gaps and optimizing outcomes.
- Support the design, tracking, and evaluation of initiatives aligned with performance programs focused on quality improvement and cost containment.
- Translate regulatory and contractual requirements into data queries and programmatic deliverables.
- Forecast performance and monitor key performance indicators (KPIs) across value-based contracts.
- Stay current on evolving quality measurement methodologies and value-based care structures.
- Partner with departments including Population Health, Quality, Clinical Programs, Finance, and IT to align strategies and ensure consistency across data sources and reporting.
- Serve as a key translator between technical findings and operational strategy—ensuring insights are actionable for clinical and non-technical audiences.
- Ensure data quality through validation and standardization of reporting sources.
- Contribute to enhancements in analytics methodologies and reporting frameworks.
- Stay up to date with healthcare analytics best practices and regulatory trends.
Qualifications
- Bachelor's degree in public health, Healthcare Administration, Statistics, Business, or related field.
- Minimum 3 years of experience working in healthcare analytics, population health, managed care, or program evaluation roles.
- Strong data analysis skills using SQL, Excel, Tableau, Power BI, Databricks, or other business intelligence tools.
- Experience synthesizing complex datasets into actionable insights and strategic recommendations.
- Ability to thrive in a fast-paced, cross-functional environment.
- Understanding healthcare delivery systems, provider networks, and quality improvement concepts.
- Thrive in cross-functional settings and can bridge the gap between clinical, operational, and technical teams.
- Have excellent communication skills and can explain technical findings to non-technical stakeholders.
- Are highly organized, detail-oriented, and able to manage competing priorities in a fast-paced environment.
- Are passionate about improving healthcare outcomes through data, strategy, and innovation.
Environmental Job Requirements and Working Conditions
- The national target pay range for this role is $80,000 - $95,000 per year. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.
- This role follows a remote work structure where the expectation is to work at home on a daily basis.
- The work hours are Monday through Friday, standard business hours (PST).