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

Lensa; Mesa (AZ); 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. This role involves designing reporting solutions for HEDIS audits and analyzing managed care data to improve performance metrics. Candidates should have significant experience in data analysis, SQL, and healthcare quality metrics. This full-time position offers a competitive salary and comprehensive benefits.

Qualifications

• 5+ years in data mapping, scrubbing, and cleaning.
• Experience with SQL and managed care roles.
• Familiarity with Python and R is a plus.

Responsibilities

• Design and develop reporting solutions for HEDIS audits.
• Analyze managed care data and report on HEDIS rates.
• Support predictive intervention strategy analytics.

Skills

Data mapping

Data scrubbing

Data cleaning

Predictive modeling

Statistical analysis

Trend forecasting

Education

Bachelor's Degree in Computer Science, Finance, Math, 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

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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 involves designing and developing reporting solutions to assist HEDIS audits, rate tracking, and identifying targeted interventions and tracking outcomes. The role also includes research, development, and completion of special performance improvement projects.

Essential Job Duties

1. Work cross-functionally with various departments to capture and document requirements, build reporting solutions, and educate users on report usage.
2. Assist Quality Data Analytics Leaders in predictive intervention strategy analytics and tracking progress and impact of interventions.
3. Assist with retrospective HEDIS rate tracking and supplemental data impact reporting.
4. Develop Medical Record Review project reporting to track progress and team productivity.
5. Develop and QA ad-hoc and automated analytical and reporting modules related to Quality/HEDIS for Medicaid, Marketplace, and Medicare/MMP.
6. Analyze and report on managed care data like medical claims, pharmacy, lab, and HEDIS rates.
7. Support HEDIS measure deep dives to aid audits and revenue at risk reporting.
8. Calculate and track HEDIS rates for intervention outcomes, markets, and lines of business.
9. Derive meaningful insights from large data sets using data analysis, mining, verification, scrubbing, and root cause analysis.
10. Perform root cause analysis for business data issues.
11. Analyze data trends for anomalies, outliers, and opportunities using statistical tools and techniques to predict future trends.
12. Support research and development of special projects as needed.
13. Manage changes in the Datawarehouse platform and perform upgrades to analytic reporting modules with minimal impact.
14. Conduct impact analyses for logic and source code changes in analytics and reporting modules.
15. Develop expertise as a HEDIS subject matter expert to help improve performance on underperforming measures.

Job Qualifications

Education:

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

Experience:

• 5+ years in data mapping, scrubbing, scrapping, and cleaning.
• 5+ years in managed care roles involving SQL, data design.
• 5+ years with 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 rate tracking, Medical Record Review, and interventions for Medicaid, Marketplace, or Medicare/MMP.
• 3+ years analyzing complex data for financial and performance metrics.
• 3+ years in statistical analysis and trend forecasting.

Physical and Environmental Demands

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

Current Molina employees interested should apply through the intranet. Molina offers competitive benefits. Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $77,969 - $155,508 annually. Actual pay may vary 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