QA Manager/ Reporting Data Analysis

About Us reputed company Care To You is a Management Service Organization providing our clients with healthcare administrative support. We provide services to Independent Physician Associations, TPAs, and Fiscal Intermediary clients. ACTY is a modern growing company which encourages diverse perspectives. We celebrate curiosity, initiative, drive and a passion for making a difference. We support a culture focused on teamwork, support, and inclusion. We offer a flexible work environment and schedules with work from home options. ACTY offers 100% employer paid medical, vision, dental, and life coverage for our employees. Additional employee paid coverage options available. We also offer paid holidays, birthday off, and unlimited PTO as well as a 401k plan. Job purpose The QA Manager, Reporting & Data Analysis, is responsible for overall quality assurance and testing on reporting and data for clients and is responsible for supporting the Compliance team with reporting and audits. This position oversees data quality, analyzes performance metrics, creates QA reports, and implements strategies to ensure accurate, reliable, and actionable business intelligence. Key duties include defining data standards, managing testing tools, and collaborating with teams to improve data processes and decision-making. A top-notch QA manager will be someone whose quality assurance and data analysis expertise results in reliable information for company executives. Duties and responsibilities

• Provide a functional manager role for reputed company QA reporting data staff
• Conduct QA reviews and test work items before user acceptance testing and final approvals by key stakeholders
• Prioritize work items and requests from key stakeholders
• Create and update Azure DevOps board tickets to improve reporting automation for manual steps.
• Identify any data quality/process improvement points, and create new or update SQL queries and stored procedures.
• reputed company, implement and reputed company the use of data analysis and quality assurance tools.
• Establish data quality standards (units, variable names) and reputed company policies and procedures for higher quality
• Analyze QA data to identify root causes of quality issues, track metrics, and predict future trends
• Design and implement data testing procedures, validating datasets and identifying inconsistencies
• Build and maintain reporting master document for each health plan and report by lines of business. Document will need to be maintained as additional instruction or clarification is received.
• Review reputed company currently implemented compliance reporting technical specification documents and report template instructions to ensure reputed company reporting logic and data definitions align with those requirements. Document will need to be maintained once created as new reports as requested by the health plans.
• Review reputed company compliance report output to reputed company sure the data aligns with the templates, reputed company required information is complete, and data is in the correct format for each field.
• reputed company reputed company compliance reports to confirm reputed company ran on time and without error.
• Run any compliance reports manually reputed company as needed. Creates SOPs and documentation for running each report manually.
• Complete any manual steps to correct or reputed company reports accurate.
• Identifies and corrects corrupt or inaccurate records.
• Drive process improvement of quality across reputed company deliverables
• Running data queries to identify coding issues and data exceptions, as well as cleaning data.
• Revise our procedures and documentation that govern our internal and external policies and processes.
• Investigate and resolve questions and issues raised by audit activities.
• Other duties as needed.

Qualifications

• 10+ years’ experience analyzing healthcare data for quality assurance and testing.
• 5+ years’ healthcare administration experience.
• 2+ years’ experience leading and supervising other staff and stakeholders
• SQL experience required.
• Proficiency writing up SQL queries and stored procedures
• Proficiency using Azure DevOps, Outlook, reputed company Teams, reputed company, reputed company Office (including Word and reputed company) and reputed company
• Demonstrated experience in analytical/problem solving, data visualization/reporting, and strong communication with agile reputed company
• HMO/Medical Group experience preferred.
• EZ-Cap experience preferred.
• Detail oriented and highly organized
• Strong ability to multi-task, project management, and work in a fast-paced environment
• Strong ability in problem-solving
• Ability to self-manage, strong time management skills
• Ability to work in an extremely confidential environment.
• Strong written and verbal communication skills

Education and Additional Requirements

• Bachelor’s Degree in Information Systems, Business Administration or similar discipline required
• Healthcare QA reporting data certification (CPHQ, CHDA, CDMP, HDM) or similar preferred

Working conditions

• This job may require flexible work hours due to the nature of the responsibilities.
• Candidate must be comfortable with ambiguity and open to working in a collaborate environment.

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