Qlarant, Inc., is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We're a national leader in fighting fraud, waste and abuse for large organizations across the country.
Qlarant is seeking an Senior Data Analyst to join our Easton, MD based Investigations MEDIC team. Our I-MEDIC team identifies and investigates fraud, waste and abuse in the Medicare Parts C & D programs nationwide.
This position on the I-MEDIC Request for Information (RFI) team extracts and analyzes data in response to request from internal and external customers. Internal customers include investigators, pharmacists and medical review staff who are evaluating potential fraud cases for referral to law enforcement. External customers include law enforcement agents (DOJ and OIG) and CMS who are investigating Medicare fraud, waste and abuse.
Job Summary: Senior professional position performs study design, data analysis, and report preparation. Studies originate from preliminary data analysis (trends), literature review, experience and expertise of the team, and mandated projects. Data analysis, including data preparation and presentation of findings is performed in conjunction with other analysts. Reports are drafted by teams with leadership of Scientists.
Essential Duties and Responsibilities include the following. Other duties may be assigned.
- Trend data to identify potential opportunities (e.g., variances, significant outliers, percentile ranked groups) for quality improvement or focused investigations.
- Design data analysis strategies to identify potential areas for quality improvement or focused investigation.
- Develop epidemiological sound indicators of the quality of care.
- Analyze data and summarize into quality indicator values
- Identify external benchmarks of care for comparative purposes.
- Develop tabular and graphical presentations of data which clearly and concisely illustrate current levels of care.
- Write draft reports which clearly and concisely illustrate current levels or care.
- Contribute to the development of interventions (e.g., develop educational materials for doctors and nurses) which will improve healthcare processes and outcomes.
- Design re-measurement strategies (after intervention) of healthcare processes and outcomes to effectively quantify impact of interventions for improvement.
- Analyze re-measurement data and summarize into quality indicator values.
- Draft reports concerning all of the above.
- Mentor Data Analysts in all technical aspects of their work.
- Prepare draft manuscripts for publishing in peer reviewed journals.
- Highly proficient in applying a large variety of more complex concepts, practices and procedures within the field.
- Relies on extensive experience and judgment to plan and accomplish goals.
- Performs a variety of the more complex tasks requiring a wide degree of creativity and latitude.
- May lead or direct the work of others, providing training and quality assurance for their work.
- Provides job specific orientation and training when called upon. With the Technical Trainer, the manager or others to develop training content, resources and programs specific to job functions. Documents records of training that include scheduling, registration and attendance, quality control of training products and evaluation summaries.
- Protects and maintains the privacy of associate personnel records, including compensation information.
Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
To perform the job successfully, an individual should demonstrate the following competencies:
Analytical - Synthesizes complex or diverse information; Collects and researches data; Uses intuition and experience to complement data.
Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions.
Judgment - Exhibits sound and accurate judgment; Supports and explains reasoning for decisions.
- Ability to read, analyze, and interpret common scientific and technical and professional journals, technical procedures, or governmental regulations.
- Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.
- Ability to work with multiple variables and constructs and hierarchical data structures.
- Ability to apply advanced mathematical concepts such as exponents, logarithms, quadratic equations, and permutations.
- Ability to perform mathematical and statistical computations and understand mathematical notation (e.g., be able to read a journal article describing a statistical techniques and then apply it to data).
- Ability to define problems, collect data, establish facts, and draw valid conclusions.
- Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.
Other Skills and Abilities
- To perform this job successfully, an individual must have fluency in SAS programming software and MS Office.
- Ability to work independently and in teams. Must possess superior analytical skills and knowledge of epidemiology and biostatistical methodologies. Must demonstrate leadership skills and the desire to work with others and foster collaboration with teams.
- Ability to work with highly sensitive information while preserving the confidentiality of the information.
- Working knowledge of healthcare systems, Medicare/Medicaid, preferred, healthcare databases and coding systems.
- Bachelor’s degree in Statistics, Biostatistics, Epidemiology, Public Health, or related discipline (Economics, Mathematics, Engineering, Computer Science)
- Minimum of 6 years SAS or other statistical programming work experience, or demonstrated equivalent combination of education and experience.
- 2-3 years’ experience with health related analytic research and quality improvement methodology (ISO, CQI, TQM, Six Sigma, Lean, Etc.) preferred.
Qlarant is an Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individuals with Disabilities.