Kern Health Systems - Bakersfield, CA
posted 3 months ago
The Quality Performance Operational Analyst position at Kern Health Systems is a vital role that provides operational support for various processes, projects, and assignments within the organization. This position is focused on Quality Performance (QP) reporting needs, specifically related to the Managed Care Accountability Set (MCAS), HEDIS, and site review reporting. The Operational Analyst will act as a subject matter expert, ensuring that the department's reporting needs are met effectively. This includes utilizing light data queries and self-service reporting tools to support dynamic assignments based on operational needs, as well as participating in annual corporate projects and long-term functional assignments. The role requires the Operational Analyst to gain expertise in departmental systems through hands-on experience and training. This position is central to addressing the needs of the assigned operational business unit, leveraging data analytics to facilitate operational discussions both internally and externally. The analyst will report findings to management for review and provide recommendations for process improvements, assisting in the development of action plans to implement necessary corrections. Additionally, the Operational Analyst will oversee and validate data submissions for the annual Department of Health Care Services (DHCS) MCAS/HEDIS audit, serving as a liaison between the QP Department, vendors, and other internal departments such as IT. This role is crucial for ensuring compliance and accuracy in reporting, which directly impacts the quality of care provided to members.