Quality Improvement Analyst Senior (US)

Anticipated End Date:

2026-03-07

Position Title:

Quality Improvement Analyst Senior (US)

Job Description:

Quality Improvement Analyst Senior- Analysis

Locations: The selected candidate must reside within a reasonable commuting distance of the designated posting location(s): Tampa, FL  

Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace.

The Quality Improvement Analyst Senior is responsible for assisting with the annual HEDIS medical record collection process is implemented timely and accurately.

How you will make an impact:  

• Interfaces with multiple enterprise departments and external vendor to annually field a new HEDIS pursuit application that has been tested for new technical specifications and quality checked that all data feeds are valid and report accurate information from the field medical record abstractions.
• Creation of a web-based application that is compliant with the current year’s NCQA technical specifications measures.
• Analysis of the data base is conducted daily to ensure the final rate output achieves the NCQA auditors, approval for that reporting year’s hybrid rates to maintain NCQA accreditation and multiple state contract requirements.
• Performs quality checks for multiple external data feeds to application, responsible to coordinate information exchange with external vendors and collaborative partners, train and monitor multiple end-users nationally through development of training manuals and classes for application end users.
• Track national field staff data collection daily to ensure annual project accreditation and regulatory submission deadlines are met, participate in onsite accreditation audits , produce and report valid HEDIS measure rate reports to NCQA certified auditor, serve as data resource for internal customer developed requests for ad hoc HEDIS statistics and trended data reports.

Minimum requirements:

• Requires a BS/BA degree in a related field, 3-5 years of data analysis, NCQA accreditation standards and HEDIS technical specifications; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

• Experience navigating and operating Cotiviti’s HEDIS software highly preferred.  
• Proficient in using SQL for querying and analyzing data strongly preferred.

Job Level:

Non-Management Exempt

Workshift:

1st Shift (United States of America)

Job Family:

QLT > Analysis

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patien