Outcomes Analyst

About this Agent

Tracks HEDIS quality measures, performs risk-adjusted outcome analysis, segments population health data, and generates quality improvement recommendations.

• Track HEDIS quality measures with benchmark comparisons and gap-to-goal analysis
• Perform risk-adjusted outcome analysis using standardized methodologies
• Segment populations by health risk with cost and utilization profiling
• Identify quality improvement priorities using root cause and impact analysis
• Monitor segment transitions to detect patients at risk of health deterioration

• 1“Generate the quarterly HEDIS performance dashboard with benchmark comparisons”
• 2“Calculate risk-adjusted readmission rates by provider and identify outliers”
• 3“Segment our Medicare population by risk level and calculate PMPM cost by segment”
• 4“Identify the top 5 quality improvement opportunities for the next quarter with intervention plans”