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

Lensa; Spokane (WA); Remote; USD 77,000 - 156,000; Full time

Job summary

A leading company in IT Services and Consulting is seeking a Senior Analyst for Quality Analytics. The role involves designing reporting solutions for HEDIS, analyzing healthcare data, and supporting performance improvement projects. Candidates should have a Bachelor's degree and extensive experience in data management and analysis, particularly in a healthcare setting.

Qualifications

• 5+ years experience with data mapping, cleaning, and management.
• Extensive experience with SQL and managed care.
• 3+ years in healthcare quality data modeling and analysis related to HEDIS.

Responsibilities

• Design and develop reporting solutions for HEDIS audits and interventions.
• Analyze managed care data including claims and HEDIS rates.
• Support predictive intervention strategies and track effectiveness.

Skills

Data mapping

Data cleaning

Data management

Analytical skills

Statistical methods

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

Become a key contributor to Molina Healthcare's Quality Analytics team as a Senior Analyst. Your role will involve designing and developing reporting solutions to support HEDIS audits, rate tracking, targeted interventions, and outcome monitoring. You will also assist in research, development, and execution of performance improvement projects.

Key Responsibilities

• Collaborate with various departments to gather requirements, develop reports, and train users.
• Support predictive intervention strategies and track their effectiveness.
• Perform retrospective HEDIS rate and data impact reporting.
• Create reports for Medical Record Review projects and team productivity.
• Develop and QA analytical and reporting modules related to Quality/HEDIS for Medicaid, Marketplace, and Medicare/MMP.
• Analyze managed care data including claims, pharmacy, labs, and HEDIS rates.
• Assist in deep dives into HEDIS measures to support audits and revenue reporting.
• Calculate and monitor HEDIS rates across interventions, markets, and lines of business.
• Extract meaningful insights from large datasets through data analysis, mining, and root cause analysis.
• Identify data issues and conduct root cause analysis.
• Analyze data trends for anomalies and opportunities, applying statistical methods to forecast future trends.
• Support special projects and ensure smooth data warehouse upgrades without impacting end-users.
• Perform impact analyses for data logic and source code changes.
• Develop expertise in HEDIS to improve health plan performance on key measures.

Qualifications

• Bachelor's Degree in Computer Science, Finance, Math, Economics, or related field.
• At least 5 years of experience with data mapping, cleaning, and management.
• Extensive experience with SQL, T-SQL, SSIS, and SSRS in a managed care setting.
• Knowledge of data science techniques and languages like Python and R is a plus.
• Experience with cloud platforms such as Azure, AWS, or Hadoop.
• At least 3 years of experience in healthcare quality data modeling and analysis, especially related to HEDIS.
• Strong analytical skills in complex data environments for financial and performance metrics.

Physical & Work Environment

The role is primarily office-based with typical lighting and temperature conditions. Ability to sit for long periods is required. Reasonable accommodations are available for individuals with disabilities.

Interested current Molina employees should apply via the intranet. Molina offers competitive benefits and is an Equal Opportunity Employer.

Additional Details

• Salary Range: $77,969 - $155,508 annually, depending on location, experience, and skills.
• Seniority Level: Mid-Senior level
• Employment Type: Full-time
• Job Function: Quality Assurance
• Industry: IT Services and Consulting