Job Description

Location: Sacramento, CA (Hybrid/Onsite)

Salary: $100,000 – $120,000 Annually

Position Type: Full-Time

"Our purpose is strong, our impact is lasting, join us on the journey"

Western Health Advantage

Western Health Advantage is seeking a Senior Healthcare Quality Data Analyst to support HEDIS and Align, Measure, Perform (AMP) initiatives across all lines of business. This role is responsible for clinical quality data analysis, reporting, compliance audits, vendor coordination, and identifying opportunities to improve quality outcomes and close care gaps.

Reporting to the Healthcare Data Program Manager, this position partners closely with Quality Improvement, Population Health, IT teams, medical groups, vendors, and regulatory agencies to ensure compliance with state and federal requirements.

Key Responsibilities

• Support HEDIS and AMP program operations and reporting
• Analyze and validate clinical quality and supplemental data
• Coordinate HEDIS Roadmap submissions and audit activities
• Maintain AMP databases and reporting portals including IHA and OnPoint
• Assist with CAHPS, Medicare CAHPS, and QHP reporting requirements
• Develop and maintain reports using Cognos, Excel, Access, and related tools
• Collaborate with medical groups, vendors, and government agencies to improve data quality and close care gaps
• Support regulatory audits, accreditation surveys, and compliance activities
• Participate in process improvement and clinical data reporting initiatives

Qualifications

• Bachelor’s degree in healthcare, public health, analytics, or related field preferred
• Minimum 4 years of healthcare or managed care experience, including quality reporting and data analysis
• Experience with HEDIS reporting and quality improvement initiatives preferred
• Proficiency with reporting and analytics tools such as Cognos, Cozeva, Excel, Access, and SPSS preferred
• Strong analytical, organizational, and communication skills
• Ability to manage multiple priorities and deadlines in a fast-paced environment

Western Health Advantage is committed to providing equal employment opportunities to employees and applicants for employment on the basis of merit and without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, physical or mental disability, medical condition, genetic information, marital status, ancestry, military or veteran status, or any other basis made unlawful by federal or state law.

Western Health Advantage values and supports the unique talents and strengths that each employee brings to our organization. Collaborating with the best and the brightest means a dynamic, fulfilling work experience for you — and excellent customer service for our members.

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