Senior Analyst, Quality Analytics & Performance Improvement - Power BI/SQL/Hedis - Remote

Lensa; Ann Arbor (MI); Remote; USD 77,000 - 156,000; Full time

Job summary

A leading company in healthcare analytics is seeking a Senior Analyst to join their Quality Analytics team. The role involves designing reporting solutions for HEDIS audits and performance improvement projects, utilizing SQL and data analysis skills. Candidates should have a strong background in data management and experience in the healthcare sector. Competitive benefits and a collaborative work environment are offered.

Benefits

Competitive benefits

Accommodations available for disabilities

Qualifications

• 5+ years experience in data mapping, cleaning, and management.
• 5+ years experience with SQL, SSIS, and SSRS in a managed care setting.
• 3+ years experience in healthcare quality data modeling and analysis.

Responsibilities

• Design and develop reporting solutions for HEDIS audits and rate tracking.
• Analyze managed care data including claims, pharmacy, lab, and HEDIS rates.
• Support predictive intervention strategy analytics and track progress.

Skills

Data mapping

Data cleaning

Data management

Analyzing complex data

Forecasting trends

Education

Bachelor's Degree in Computer Science, Finance, Math, Economics, or related field

Tools

SQL

SSIS

SSRS

Python

R

Azure

AWS

Hadoop

Job description

Senior Analyst, Quality Analytics & Performance Improvement - Power BI/SQL/Hedis - Remote

Job Description

The Analyst, Quality Analytics and Performance Improvement will support Molina's Quality Analytics team by designing and developing reporting solutions for HEDIS audits, rate tracking, and targeted interventions. The role involves research, development, and execution of performance improvement projects.

Essential Job Duties

1. Collaborate across departments to gather requirements, build reports, and train users.
2. Support predictive intervention strategy analytics and track progress and impact.
3. Assist in retrospective HEDIS rate tracking and supplemental data impact reporting.
4. Develop medical record review project reports and team productivity metrics.
5. Create and QA ad-hoc and automated reports related to Quality/HEDIS for Medicaid, Marketplace, and Medicare/MMP.
6. Analyze managed care data including claims, pharmacy, lab, and HEDIS rates.
7. Support HEDIS measure deep dives for audits and revenue reporting.
8. Calculate and monitor HEDIS rates for interventions and overall markets.
9. Extract meaningful insights from large datasets using data analysis, mining, and root cause analysis.
10. Perform root cause analysis for data issues.
11. Identify trends and anomalies using statistical tools and methodologies.
12. Participate in research and special projects for internal and external stakeholders.
13. Manage changes in the Datawarehouse platform and perform upgrades to reporting modules.
14. Conduct impact analyses for logic and code changes.
15. Develop expertise in HEDIS to improve performance on underperforming measures.

Job Qualifications

• Bachelor's Degree in Computer Science, Finance, Math, Economics, or related field.
• 5+ years experience in data mapping, cleaning, and management.
• 5+ years experience with SQL, SSIS, and SSRS in a managed care setting.
• Familiarity with Python and R is advantageous.
• 3+ years experience with cloud platforms like Azure, AWS, or Hadoop.
• 3+ years experience in healthcare quality data modeling and analysis.
• Experience with HEDIS rate tracking and medical record review analysis.
• Strong skills in analyzing complex data and forecasting trends.

Physical & Work Environment

Office environment with minimal hazards. Ability to sit for long periods. Accommodations available for disabilities.

Interested employees should apply via the intranet. Molina offers competitive benefits. EOE M/F/D/V.

Pay Range: $77,969 - $155,508 annually. Compensation varies based on location, experience, and skills.