Analyst, Risk & Quality Reporting (Remote in CA)

Molina Healthcare; Long Beach (CA); Remote; USD 70,000 - 100,000; Full time

Job summary

A leading healthcare organization is seeking a Quality Improvement professional to enhance healthcare quality and member health outcomes. This role involves analyzing data, preparing reports, and participating in accreditation activities. Ideal candidates will have a Bachelor's degree, experience in healthcare quality improvement, and strong analytical skills.

Benefits

Career advancement opportunities

Competitive benefits and compensation package

Qualifications

• 3 years' experience in healthcare, minimum 1 year in quality improvement or managed care.
• Operational knowledge of data analysis tools.
• Demonstrated strong business writing capability.

Responsibilities

• Collaborate with Quality Improvement team to analyze outcomes.
• Prepare and present performance evaluation reports.
• Evaluate quality improvement data for compliance.

Skills

Data Analysis

Business Writing

Analytical Skills

Education

Bachelor's Degree

Tools

Excel

Visio

Job description

Employer Industry: Healthcare Quality Improvement

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Competitive benefits and compensation package
- Collaborate with a dedicated team focused on improving healthcare quality
- Engage in meaningful work that positively impacts member health outcomes
- Participate in NCQA accreditation and regulatory activities

What to Expect (Job Responsibilities):
- Collaborate with Quality Improvement staff to analyze and report the results of quality improvement initiatives
- Evaluate and disseminate quality improvement data to comply with regulatory requirements and accreditation standards
- Prepare and present reports and analyses to evaluate performance improvement using various data sources
- Produce graphical reports that illustrate the results of quality improvement projects
- Participate in NCQA accreditation and regulatory audit preparedness activities

What is Required (Qualifications):
- Bachelor's Degree or equivalent combination of education and work experience
- Minimum 3 years of experience in healthcare, with at least 1 year in health plan quality improvement or managed care
- Demonstrated solid business writing experience
- Operational knowledge and experience with Excel and Visio
- Proven ability to perform qualitative and quantitative analyses

How to Stand Out (Preferred Qualifications):
- Master's Degree or higher in a clinical field, Public Health, or Healthcare
- 1 year of experience in Medicare and Medicaid
- Experience with HEDIS reporting or collection
- Experience in developing and analyzing performance measures that support business objectives
- Certification as a Certified Professional in Health Quality (CPHQ) or Certified HEDIS Compliance Auditor (CHCA)

#HealthcareQuality #QualityImprovement #CareerGrowth #HealthcareIndustry #DataAnalysis

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