Health Plan Risk & Quality Reporting Analyst

Molina Healthcare, Inc.; New Mexico; Remoto; USD 50.000 - 97.000; Tempo integral

Resumo da vaga

Molina Healthcare, Inc. is seeking an experienced health plan data analyst to support risk and quality reporting activities.

You will design and develop custom reports, educate users on HEDIS-related reporting, and track outcomes of interventions across Medicaid, Medicare, Marketplace, and MMP programs. The role involves conducting root-cause analyses, building QA reports, and collaborating with the national risk and quality team to test pre-production reporting changes in the Datawarehouse

Qualificações

• 2+ years data mapping, cleaning for HEDIS or risk adjustment.
• Analytical mindset with high attention to detail.
• Experience with large, complex data and performance metrics.
• Proficient in T-SQL, Databricks SQL, and Power BI.
• Experience with Azure, AWS, or Hadoop.

Responsabilidades

• Captures and documents reporting requirements, educates users on reports.
• Builds intervention strategy reporting for risk and quality measures.
• Creates ad hoc quality reports to track HEDIS performance.
• Develops QA reports for Medicaid, Marketplace, and Medicare/MMP.
• Analyzes data sets for anomalies using SQL, Power BI, Excel.
• Represents HEDIS SME and tests changes in the Datawarehouse.
• Performs root-cause analysis for data issues.

Conhecimentos

Analytical mindset

Attention to detail

Multi-priority management

Business acumen

Strong communication

Ferramentas

T-SQL

Databricks SQL

Power BI

Azure

AWS

Hadoop

Excel

Descrição da vaga

Molina Healthcare, Inc. is seeking an experienced health plan data analyst to support risk and quality reporting activities.

You will design and develop custom reports, educate users on HEDIS-related reporting, and track outcomes of interventions across Medicaid, Medicare, Marketplace, and MMP programs. The role involves conducting root-cause analyses, building QA reports, and collaborating with the national risk and quality team to test pre-production reporting changes in the Datawarehouse