Analyst, Quality Interventions/QI Compliance (Remote in CA)

Lensa; Los Angeles (CA); Remote; USD 68,000 - 112,000; Full time

Job summary

A leading healthcare organization is seeking an Analyst for Quality Interventions and Compliance. This role focuses on overseeing healthcare quality initiatives, conducting data analysis, and ensuring compliance with quality standards. Ideal candidates will have a background in healthcare quality improvement and strong analytical skills. Join a dynamic team dedicated to enhancing healthcare services.

Qualifications

• Minimum 3 years healthcare experience, with 1 year in health plan quality improvement.
• Operational knowledge of Excel and Visio.

Responsibilities

• Collaborating with staff to analyze quality improvement studies.
• Preparing and presenting reports and analyses.
• Participating in NCQA accreditation and regulatory audits.

Skills

Business Writing

Data Analysis

Quality Improvement

Education

Bachelor's Degree

Master's Degree

Tools

Excel

Visio

Job description

Analyst, Quality Interventions/QI Compliance (Remote in CA)

1 day ago Be among the first 25 applicants

Get AI-powered advice on this job and more exclusive features.

Lensa is the leading career site for job seekers at every stage of their career. Our client, Molina Healthcare, is seeking professionals. Apply via Lensa today!

Job Description

Job Summary
Molina's Quality Improvement function oversees, plans, and implements healthcare quality initiatives and education programs; ensures maintenance of programs for members in accordance with quality standards; conducts data collection, reporting, and monitoring for key performance activities; and manages NCQA accreditation surveys and QI compliance activities.

Knowledge/Skills/Abilities
The Analyst, Quality Improvement (QI) Interventions/Compliance contributes to Clinical Quality Interventions and QI Compliance. Responsibilities include:

• Collaborating with Quality Improvement staff to analyze and report on quality improvement studies and initiatives to monitor and improve healthcare services.
• Evaluating quality improvement data for regulatory and accreditation compliance.
• Preparing and presenting reports and analyses using various data sources.
• Producing graphical reports on QI projects and ensuring timely delivery.
• Performing qualitative and quantitative analyses to identify concerns and develop improvement plans.
• Participating in NCQA accreditation and regulatory audit activities.
• Supporting other activities like analyzing quality of care issues, credentialing files, and performance metrics such as HEDIS and STARS.

Job Qualifications
Required Education
Bachelor's Degree or equivalent experience.

Required Experience

• Min. 3 years healthcare experience, with 1 year in health plan quality improvement or managed care.
• Strong business writing skills.
• Operational knowledge of Excel and Visio.

Preferred Education
Master's Degree or higher in a clinical or healthcare field.

Preferred Experience

• 1 year experience in Medicare and Medicaid.
• HEDIS reporting experience.
• Experience developing or analyzing performance measures.

Preferred Certifications
CPHQ, Nursing License (RN), CHCA.

To apply, current Molina employees should use the intranet. Molina offers competitive benefits. EOE.

Pay Range: $68,640 - $111,967 annually.

Additional Details

• Seniority level: Mid-Senior level
• Employment type: Full-time
• Job function: Quality Assurance
• Industry: IT Services and Consulting