Qlarant 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 have multiple lines of business including population health, utilization review, managed care organization quality review, and quality assurance for programs serving individuals with developmental disabilities. Qlarant is also a national leader in fighting fraud, waste and abuse for large organizations across the country. In addition, our Foundation provides grant opportunities to those with programs for under-served communities.

As a Data Analyst III working on our Unified Program Integrity Contractors (UPIC) team for the Western Jurisdiction, you can contribute to our efforts to make a positive difference in the future of our nation's healthcare programs. Our UPIC West team identifies and investigates fraud, waste and abuse in the Medicare and Medicaid programs covering 13 states and 3 territories. You will utilize your statistical analysis programming skills to detect patterns of potential fraud in large healthcare data sets. Experience in at least one of the following statistical analysis applications is required: Python, R and SAS. This position is perfect for a recent Master's grad with academic project/internship experience using Python, R or SAS.

This position could be based in our Los Alamitos, CA office or home based in most states of the continental US.

This position is an entry level professional performing 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 Data 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.
• Aid in design data analysis strategies to identify potential areas for quality improvement or focused investigation.
• Analyze data, draw conclusions, and summarize into quality indicator values
• Develop tabular and graphical presentations of data, which clearly and concisely illustrate current levels of care.
• Populate tabular and graphical presentation of data.
• Contribute to the development of interventions (i.e., develop educational materials for doctors and nurses) which will improve healthcare processes and outcomes.
• Facilitate 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.
• Support development of reports concerning all of the above.
• May mentor junior Data Analysts in technical aspects of their work.
• Assist in preparing findings for publishing in peer reviewed journals.
• Familiar with commonly used concepts, practices and procedures, relying on instructions and pre-established guidelines to perform the functions of the job.

Supervisory Responsibilities

This job has no supervisory responsibilities.

Salary Range: The hiring range is up to the midpoint in our salary range. Offers are based on skill level and experience. Internal equity is a major factor in our salary offers. The midpoint varies based on the cost of labor (not cost of living) in your region. For example, the hiring range for Chico, CA would be $59,100/yr to $82,700/yr and Los Angeles would be $65,000/yr to $91,000/yr. We offer a complete compensation package that includes health, dental, vision, and long and short term disability insurance, generous leave accruals, tuition reimbursement and a retirement plan that contributes an amount equal to 10% of your earnings with no required employee contribution. We also offer promotional opportunities (the reason this position is open) and a collaborative and inclusive work environment.

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.

Other Skills and Abilities

• To perform this job successfully, an individual should have fluency in Python, R or SAS and MS Office.
• Ability to work independently and in teams.
• Must possess familiarity with statistical methodologies, and automation techniques for analytic tasks.
• 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 (BA or BS) in Statistics, Biostatistics, Applied Mathematics or Mathematics required.
• Minimum of 2 years of hands-on work exprerience using Python, R or SAS. A Masters degree and academic project experience can be substitued.
• 6 months 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.