BACKGROUND ON THE ROLE ***THIS IS A REMOTE ROLE BUT THE CANDIDATE MUST RESIDE IN CA! Feedback from the hiring manager; Partnership provides insurance services to low income customers in California through Medi-Caid funds. In order for the medical providers to continue to be eligible to work with Partnership and provide services tp Partnerships customers, they have to prove that they are providing sound preventative care services to Partnerships customers through a compliance program called HEDIS. Examples of the kind of Provider data that would be reviewed include: - Did everyone over 70 years of age receive the flu vaccine? - Did pregnant mothers receive pre-natal care? - Were patients over 50 screened for colon cancer? This role has two primary functions: 1. Data Loading & Fulfilling Data Requests a. The team will get the HEDIS provider data from the Landing Zone (after it has been tansformed for use by the Data Warehouse team) and use their SQl skills to load it into the HEDIS Vendor Software Platform called Inovalon. b. The team will also fulfill data requests for anyone at Partnership who requests specific HEDIS data. They will need their SQL skills to pull the data from a data lake in Inovalon and forward it in an Excel spreadsheet to the team member requesting the data. 2. Data Quality Review for Abnormalities a. Review the provider data look for abnormalities such as in 2024 provider X only screened 30% of patients over 50 for colon cancer and for 2025 they screened them at 80%. They are able to review the detailed data for each metric to determine if it makes sense or not. If not, the abnormalities will need to flagged b. The QI Analyst will meet with an Auditor from the state and talk through the numbers- why certain providers were flagged, others not These abnormalities will need to flagged and reviewed by a doctor next. MANAGER SAID THAT CANDIDATE WILL NEED TO RESIDE IN CALIFORNIA FOR THIS FULLY REMOTE ROLE. POSITION PURPOSE To prepare, analyze, report, and manage data used for both plan-wide and regional decision making for evaluating performance in key quality measures and the effective use of health plan resources on a routine and ad hoc basis. Works collaboratively with departments company-wide to identify data needs, develop and maintain data queries and tools, and complete accurate reporting to support performance and process improvements. Project/program involvement may include PHCs Healthcare Effectiveness Data Information Set (HEDIS) reporting initiative, Partnership Quality Dashboard (PDQ), PHCs provider pay-for-performance programs, and others as assigned. ESSENTIAL DUTIES AND RESPONSIBILITIES Develops and maintains working knowledge (technical and user interfaces) of PHC data management and analytics programs and systems. May manage/monitor data integration into data infrastructure and may lead system-level user testing. Utilizes the Enterprise Data Warehouse and other data sources to identify and isolate data for analysis. Validates data reports and manages key data sources within program requirements, to ensure the completeness and accuracy of data. Works collaboratively with various departments (i.e. QI, IT, Finance, and Analytics teams) and external stakeholders to define business requirements and identify data needs. Refines reporting requests to support operational excellence initiatives and creates tools and reports to measure process/performance changes. Develops and executes data collection plans that identify baseline performance and capture the impact of interventions. Analyzes performance data (which may include data trending or stratification) to identify areas for improvement. Provides actionable recommendations and informs stakeholders of the impact of key decisions based on available data. Serves as active contributor in data quality or analytics workgroups. Develops and maintains standards and methodologies in data governance and data quality issue resolution timelines; streamlines reporting to reduce unnecessary duplication; ensures consistent and accurate use of data reporting; and provides accurate definitions of all data elements. Serves as a primary contact for internal and external stakeholders related to PHC performance data management. Serves as the analytic lead on select operational initiatives as assigned. Maintains expert knowledge of assigned business unit. Provides project management support for data related and performance/process improvement projects, which may include HEDIS, PDQ, pay-for-performance programs, and others as assigned. Tracks multiple deliverables and collaborates closely with broader project team. Demonstrated aptitude for acquiring and applying technical skills in data analysis, reporting, and data systems Good oral and written communication skills. Strong analytical skills MINIMUM HIRING CRITERIA - Knowledge of MS Excel, Access, and other analytic software. Knowledge of Lean and Model for Improvement methodologies. - Familiar with quality measurement and healthcare data - Bachelors degree in related field; one two (1-2) years of experience providing the knowledge and abilities listed.
excel vlookups, Reviewing Data, Trend Analysis, analysis, Excel, Data Analysis
excel vlookups,Reviewing Data,Trend Analysis
Able to manage work, proactive
Entry Level
This is a Contract position based out of Fairfield, CA.
The pay range for this position is $30.00 - $32.00/hr.
Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: Medical, dental & vision Critical Illness, Accident, and Hospital 401(k) Retirement Plan Pre-tax and Roth post-tax contributions available Life Insurance (Voluntary Life & AD&D for the employee and dependents) Short and long-term disability Health Spending Account (HSA) Transportation benefits Employee Assistance Program Time Off/Leave (PTO, Vacation or Sick Leave)
This is a Contract position based out of Fairfield, CA.
This position is anticipated to close on Nov 13, 2026.
This is a fully remote position.
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
Were a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. Were a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. Were strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. Were building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.
Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.
We’re TEKsystems and TEKsystems Global Services. We accelerate business transformation for our customers, so they can capitalize on change and master the momentum of technology. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities.
TEKsystems and TEKsystems Global Services are Allegis Group companies.
