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

Lensa; Des Moines (IA); Remote; USD 80,000 - 100,000; Full time

Job summary

A leading company is seeking a Senior Analyst for Quality Analytics to design and develop reporting solutions for HEDIS audits and performance improvement projects. The role involves data analysis, report development, and collaboration with various departments to enhance healthcare quality metrics. Ideal candidates will have extensive experience in managed care, SQL, and statistical analysis.

Qualifications

• 5+ years in data mapping, scrubbing, and cleaning.
• 5+ years in managed care with SQL and data design.
• 3+ years in predictive modeling in healthcare quality data.

Responsibilities

• Collaborate with departments to capture requirements and build reports.
• Support predictive intervention analytics and track progress.
• Analyze managed care data including claims and HEDIS rates.

Skills

Data Analysis

Statistical Analysis

Predictive Modeling

Data Mapping

Data Scrubbing

Data Cleaning

Education

Bachelor's Degree in Computer Science

Bachelor's Degree in Finance

Bachelor's Degree in Math

Bachelor's Degree in Economics

Tools

SQL

T-SQL

SSIS

SSRS

Python

R

Azure

AWS

Hadoop

Job description

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

This role supports Molina's Quality Analytics team by designing and developing reporting solutions for HEDIS audits, rate tracking, and targeted interventions. The analyst will assist with research, development, and completion of performance improvement projects.

Essential Job Duties

• Collaborate with departments to capture requirements, build reports, and train users.
• Support predictive intervention analytics and track progress and impact.
• Assist with retrospective HEDIS rate tracking and data impact reporting.
• Develop reports for Medical Record Review and team productivity.
• Develop and QA analytical and reporting modules related to Quality/HEDIS for various plans.
• Analyze managed care data, including claims, pharmacy, lab, and HEDIS rates.
• Support HEDIS measure deep dives for audits and revenue reporting.
• Calculate and track HEDIS rates for interventions and markets.
• Perform data analysis, mining, verification, and root cause analysis in an agile environment.
• Conduct root cause analysis for data issues.
• Analyze data trends for anomalies and opportunities using statistical tools.
• Participate in research and special projects for internal and external stakeholders.
• Manage changes in the Datawarehouse platform and ensure smooth upgrades.
• Conduct impact analyses for logic and source code changes.
• Develop expertise in HEDIS to improve health plan performance.

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 managed care with SQL, functions, procedures, and data design.
• 5+ years with T-SQL, SSIS, and 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 records, and interventions.
• 3+ years handling complex data problems related to financial and performance metrics.
• 3+ years in statistical analysis and trend forecasting.

Physical Demands

Work is generally performed in an office environment with adequate lighting and temperature. Must be able to sit for long periods. Reasonable accommodations are available for individuals with disabilities.

Interested Molina employees should apply through the intranet. Molina offers competitive benefits and is an EOE.