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

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

Job summary

A leading healthcare organization is seeking a Senior Analyst for Quality Analytics and Performance Improvement. This remote role involves developing reporting solutions for HEDIS audits, analyzing healthcare data, and supporting performance improvement projects. Ideal candidates will have extensive experience in data analysis and a Bachelor's degree in a related field.

Qualifications

• 5+ years in data mapping, scrubbing, and cleaning.
• 5+ years in managed care organizations with SQL.
• 3+ years analyzing HEDIS rate tracking and healthcare metrics.

Responsibilities

• Design and develop reporting solutions for HEDIS audits and interventions.
• Analyze managed care data including medical claims and HEDIS rates.
• Work cross-functionally to capture requirements and educate users.

Skills

Data mapping

Data scrubbing

Data analysis

Statistical analysis

Predictive modeling

Data science techniques

Education

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

Tools

Microsoft T-SQL

SSIS

SSRS

Azure

AWS

Hadoop

Job description

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

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

1 day ago Be among the first 25 applicants

Get AI-powered advice on this job and more exclusive features.

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

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, including tracking progress and impact of interventions.
3. Support 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 such as medical claims, pharmacy, lab, and HEDIS rates.
7. Assist the quality department with HEDIS measure deep dives to support audits and revenue at risk reporting.
8. Calculate and track HEDIS rates for intervention outcomes, overall markets, and lines of business.
9. Work in an agile environment to analyze large organizational data sets, perform data mining, verification, scrubbing, and root cause analysis.
10. Perform root cause analysis for business data issues as assigned.
11. Analyze data trends for anomalies, outliers, and opportunities using statistical tools and techniques to predict future trends.
12. Assist with research and development of special projects as requested.
13. Manage changes in the Datawarehouse platform and perform transparent upgrades to reporting modules.
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 support performance improvement.

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 organizations with SQL, functions, procedures, and data design.
• 5+ years with Microsoft T-SQL, SSIS, and SSRS.
• Familiarity with data science techniques and languages like 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 intervention tracking in Medicaid, Marketplace, or Medicare/MMP.
• 3+ years working with complex data problems related to financial and performance metrics.
• 3+ years in statistical analysis and trend forecasting in healthcare.

Physical and Work Environment

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

Additional Information

Interested current Molina employees should apply through the intranet. Molina 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.