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

Lensa; Savannah (GA); Remote; USD 59,000 - 130,000; Full time

Job summary

A leading company is seeking a Senior Analyst for Quality Analytics and Performance Improvement. This remote role involves developing reporting solutions for HEDIS audits and supporting data analytics initiatives. Candidates should have extensive experience in data management and SQL, with a focus on healthcare analytics. Join a dynamic team to drive improvements in quality performance and outcomes.

Benefits

Competitive Benefits

Qualifications

• Minimum 5+ years in data mapping, scrubbing, and cleaning.
• 5+ years in managed care organizations involving SQL, data design.
• 3+ years in predictive modeling and HEDIS rate analysis.

Responsibilities

• Work cross-functionally to build reporting solutions and educate users.
• Analyze managed care data and develop reports for Medical Record Review.
• Perform root cause analysis for data issues and analyze data trends.

Skills

Data Mapping

Statistical Analysis

Predictive Modeling

Data Scrubbing

Education

Bachelor's Degree in Computer Science

Bachelor's Degree in Finance

Bachelor's Degree in Math

Bachelor's Degree in Economics

Tools

SQL

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

Essential Job Duties

• Work cross-functionally with various departments to capture and document requirements, build reporting solutions, and educate users on report usage.
• Assist Quality Data Analytics Leaders in predictive intervention strategy analytics, tracking progress and impact.
• Support retrospective HEDIS rate tracking and supplemental data impact reporting.
• Develop reports for Medical Record Review projects to monitor progress and team productivity.
• Develop and QA 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.
• Assist with HEDIS measure deep dives to support audits and revenue at risk reporting.
• Calculate and track HEDIS rates for interventions and overall markets.
• 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 to determine significance and forecast future trends.
• Support research and development of special projects as requested.
• Manage changes in the Datawarehouse platform and perform upgrades to analytics modules with minimal impact.
• Conduct impact analyses for logic and source code changes in analytics and reporting modules.
• Develop expertise as a HEDIS subject matter expert to improve performance on underperforming measures.

Job Qualifications
Education: Bachelor's Degree in Computer Science, Finance, Math, Economics, or related field.
Experience: Minimum 5+ years in data mapping, scrubbing, and cleaning; 5+ years in managed care organizations involving SQL, data design; 3+ years with cloud platforms like Azure, AWS, or Hadoop; 3+ years in predictive modeling, HEDIS rate analysis, and statistical analysis in healthcare.

Physical Demands
Work environment is generally office-based, with minimal exposure to hazards. Must be able to sit for long periods. Accommodations available for disabilities.

Interested Molina employees should apply through the intranet. Molina offers competitive benefits. EOE. Pay range: $59,810.6 - $129,589.63 annually, varies by location and experience.

Additional Details

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

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