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

Lensa; Buffalo (NY); Remote; USD 77,000 - 156,000; Full time

Job summary

A leading company in IT Services is seeking a Senior Analyst for Quality Analytics and Performance Improvement. This remote role involves designing reporting solutions for HEDIS audits and collaborating with various departments. Candidates should have extensive experience in data analysis and a Bachelor's degree in a relevant field.

Benefits

Competitive benefits

Qualifications

• 5+ years in data mapping, scrubbing, and cleaning.
• 5+ years in managed care with SQL and data design.
• Experience with Microsoft T-SQL, SSIS, SSRS required.

Responsibilities

• Collaborate with departments to develop reporting solutions.
• Analyze managed care data and report on HEDIS rates.
• Support special performance improvement projects.

Skills

Data mapping

Data scrubbing

Data cleaning

Statistical analysis

Trend forecasting

SQL

Data design

Predictive modeling

Data analysis

Education

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

Tools

Microsoft T-SQL

SSIS

SSRS

Python

R

Azure

AWS

Hadoop

Job description

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

1 day ago Be among the first 25 applicants

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

The Analyst, Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. This position involves designing and developing reporting solutions to support HEDIS audits, rate tracking, targeted interventions, and outcome tracking. The role also includes research, development, and execution of special performance improvement projects.

Essential Job Duties

• Collaborate cross-functionally with various departments to gather requirements, develop reporting solutions, and train users.
• Assist in predictive intervention strategy analytics and track progress and impact of interventions.
• Support retrospective HEDIS rate tracking and supplemental data impact reporting.
• Develop reports for Medical Record Review projects and team productivity.
• Create and QA ad-hoc and automated analytical and reporting modules related to Quality/HEDIS for Medicaid, Marketplace, and Medicare/MMP.
• Analyze and report on managed care data such as Medical Claims, Pharmacy, Lab, and HEDIS rates.
• Support HEDIS measure deep dives to assist audits and revenue risk reporting.
• Calculate and monitor HEDIS rates for interventions and overall markets and lines of business.
• Work in an agile environment to analyze large datasets, perform data mining, verification, scrubbing, and root cause analysis.
• Perform root cause analysis for data issues as assigned.
• Analyze data trends for anomalies and opportunities using statistical tools, and forecast future trends.
• Participate in research and development of special projects as requested.
• Manage changes in the Datawarehouse platform and ensure seamless upgrades to reporting modules.
• Conduct impact analyses for logic and source code changes in analytics modules.
• Develop expertise in HEDIS to improve performance on underperforming measures.

Job Qualifications

Education:

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

Experience:

• 5+ years in data mapping, scrubbing, and cleaning.
• 5+ years in a managed care organization role involving SQL, data design.
• 5+ years with Microsoft T-SQL, SSIS, SSRS.
• Familiarity with Python and R is a plus.
• 3+ years with cloud platforms like Azure, AWS, or Hadoop.
• 3+ years in predictive modeling in healthcare quality data.
• 3+ years analyzing HEDIS rates, medical record reviews, interventions across Medicaid, Marketplace, Medicare/MMP.
• 3+ years working with complex data problems related to financial and performance metrics.
• 3+ years in statistical analysis and trend forecasting.

Physical Demands

The work environment is generally office-based with minimal hazards. Must be able to sit for long periods. Reasonable accommodations can be made for disabilities.

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

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

Additional Details

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