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CQM Analyst

CompuGroup Medical

3 years

0 Lacs

Uttar Pradesh

Posted:1 week ago| Platform: GlassDoor logo

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Skills Required

sql development reporting data extraction analysis analyze compliance reports metrics cms extract database resolve collaboration healthcare regulations measurement efficiency analytics documentation query optimization communication

Work Mode

On-site

Job Type

Part Time

Job Description

Job Summary:

We are seeking a highly skilled and detail-oriented professional to join our team as a CQM (Clinical Quality Measures) Analyst with SQL Development expertise. The ideal candidate will play a key role in analyzing, designing, and implementing solutions to monitor and improve clinical quality measures. This role requires strong analytical skills, in-depth knowledge of CQM reporting standards, and hands-on experience with SQL development for data extraction and analysis.

Key Responsibilities:

CQM Analysis and Reporting:

Analyze clinical data to monitor compliance with regulatory and organizational quality measures.
Develop and maintain reports to track performance against quality metrics (e.g., HEDIS, CMS measures).
Identify trends and areas for improvement in clinical quality measures.

SQL Development:

Write and optimize SQL queries to extract and manipulate data from large databases.
Create and maintain stored procedures, triggers, and database scripts for reporting and analysis.
Troubleshoot and resolve issues with database queries and data accuracy.

Collaboration and Stakeholder Engagement:

Work closely with clinical and operational teams to understand data requirements and objectives.

Regulatory Compliance:

Ensure adherence to relevant healthcare regulations and standards (e.g., HIPAA, NCQA).
Stay updated on changes in clinical quality measurement guidelines and adapt processes accordingly.

Process Improvement:

Continuously seek opportunities to improve data quality, reporting efficiency, and analytics accuracy.
Develop documentation for data analysis processes and SQL scripts.

Qualifications:

Education and Experience:

Bachelor's degree in Computer Science, Healthcare Informatics, Data Analytics, or a related field.
3+ years of experience in CQM analysis, data analytics, or a similar role in the healthcare industry.

Technical Skills:

Proficiency in SQL development, including query optimization and database management.
Familiarity with healthcare data standards (e.g., HL7, FHIR) and electronic health records (EHR).

Other Requirements:

Strong analytical and problem-solving skills.
Excellent written and verbal communication skills.
Ability to work independently and collaboratively in a fast-paced environment.

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CQM Analyst