Sr Analyst, Quality Analytics & Performance Improvement (Remote)
Molina Healthcare Arizona; Phoenix, Arizona; Mesa, Arizona; Miami, Florida; Atlanta, Georgia; Caldwell, Idaho; Cedar Rapids, Iowa; Bowling Green, Kentucky; Kentucky; Grand Rapids, Michigan; Warren, Michigan; Lincoln, Nebraska; Washington; Roswell, New Mexico; Columbus, Ohio; Houston, Texas; San Antonio, Texas; Vancouver, Washington; Bellevue, Washington; Green Bay, Wisconsin; Savannah, Georgia; Nampa, Idaho; Des Moines, Iowa; Iowa City, Iowa; Lexington-Fayette, Kentucky; Nebraska; Texas; Kearney, Nebraska; Santa Fe, New Mexico; New York, New York; Georgia; Iowa; Covington, Kentucky; New York; Bellevue, Nebraska; Grand Island, Nebraska; Syracuse, New York; Austin, Texas; Spokane, Washington; Milwaukee, Wisconsin; Augusta, Georgia; Louisville, Kentucky; Owensboro, Kentucky; Michigan; West Valley City, Utah; Provo, Utah; Racine, Wisconsin; Jacksonville, Florida; Tampa, Florida; St. Petersburg, Florida; Boise, Idaho; Idaho Falls, Idaho; Detroit, Michigan; Sterling Heights, Michigan; New Mexico; Ohio; Buffalo, New York; Dayton, Ohio; Dallas, Texas; Orem, Utah; Tucson, Arizona; Chandler, Arizona; Scottsdale, Arizona; Columbus, Georgia; Utah; Albuquerque, New Mexico; Wisconsin; Rio Rancho, New Mexico; Yonkers, New York; Fort Worth, Texas; Madison, Wisconsin; Kenosha, Wisconsin; Meridian, Idaho; Sioux City, Iowa; Florida; Idaho; Las Cruces, New Mexico; Cleveland, Ohio; Akron, Ohio; Orlando, Florida; Macon, Georgia; Davenport, Iowa; Ann Arbor, Michigan; Omaha, Nebraska; Rochester, New York; Cincinnati, Ohio; Salt Lake City, Utah; Layton, Utah; Tacoma, Washington Job ID 2029479Job Description
Job Summary
The Sr. Analyst, Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and develops reporting solutions to assist HEDIS audit, rate tracking, and Identifying targeted Interventions and tracking outcome. 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 how to use reports.
- Assist Quality Data Analytics Leaders in Predictive Intervention Strategy Analytics along with corresponding tracking of progress and impact of such interventions.
- Assist retrospective HEDIS rate tracking and supplemental data impact reporting.
- Develop Medical Record Review project reporting to track progress and team productivity reporting.
- Development and QA of ad-hoc as well as automated analytical as well as Reporting modules related to Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP.
- Analysis and reporting related to Managed care data like Medical Claims, Pharmacy, Lab and HEDIS rates.
- Assist Quality department with HEDIS measure deep dive to support HEDIS audit and revenue at risk reporting.
- Calculate and track HEDIS rates for all intervention outcome and for overall markets and LOB.
- Work in an agile business environment to derive meaningful information out of complex as well as large organizational data sets through data analysis, data mining, verification, scrubbing, and root cause analysis.
- Do root cause analysis for business data issues as assigned by the team lead.
- Analyze data sets and trends for anomalies, outliers, trend changes and opportunities, using statistical tools and techniques to determine significance and relevance. Utilize extrapolation, interpolation, and other statistical methodologies to predict future trends in cost, utilization, and performance.
- Assist with research, development and completion of special projects as requested by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations.
- Track, Facilitate and Manage changes in the Datawarehouse platform and perform transparent upgrades to analytic reporting modules to ensure no impact to the end users.
- Conduct preliminary and post impact analyses for any logic and source code changes for data analytics and reporting module keeping other variables as constant that are not of focus.
- Develop oneself as HEDIS subject matter expert to help health plan improve performance on underperforming measures.
Job Qualifications
REQUIRED EDUCATION:
Bachelor's Degree in Computer Science, Finance, Math or Economics or equivalent discipline
REQUIRED EXPERIENCE:
- 5+ Years of experience in working with data mapping, scrubbing, scrapping, and cleaning of data.
- 5+ Years of experience in Managed Care Organization executing similar techno functional role that involves writing complex SQL Queries, Functions, Procedures and Data design
- 5+ years of experience in working with Microsoft T-SQL, SSIS and SSRS.
- Familiarity with Data Science Techniques and languages like Python and R programming would be an added advantage.
- 3+ years of experience with Microsoft Azure, AWS, or Hadoop.
- 3+ Years of experience with predictive modeling in healthcare quality data.
- 3+ Years of experience in Analysis related to HEDIS rate tracking, Medical Record Review tracking, Interventions tracking for at least one line of business among Medicaid, Marketplace and Medicare/MMP.
- 3+ Years of experience in working with increasingly complex data problems in quantifying, measuring, and analyzing financial/performance management and utilization metrics.
- 3+ Years of experience in Statistical Analysis and forecasting of trends in HEDIS rates to provide analytic support for quality, finance, and health plan functions
PHYSICAL DEMANDS:
Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Â Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $77,969 - $155,508 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Job Type: Posting Date: 12/23/2024ABOUT OUR LOCATION
View Map- Director, Financial Planning & Analysis - REMOTE Arizona, Nampa Idaho, Covington Kentucky, Sterling Heights Michigan, Yonkers New York, Layton Utah, Tacoma Washington, Wisconsin, Orlando Florida, Jacksonville Florida, Caldwell Idaho, Cedar Rapids Iowa, New York New York, Buffalo New York, Spokane Washington, Milwaukee Wisconsin, Idaho, Iowa, Kentucky, Michigan, Phoenix Arizona, Tucson Arizona, Miami Florida, Meridian Idaho, Louisville Kentucky, Detroit Michigan, Albuquerque New Mexico, West Valley City Utah, Provo Utah, Bellevue Washington, Green Bay Wisconsin, New Mexico, Atlanta Georgia, Davenport Iowa, Lincoln Nebraska, Bellevue Nebraska, Las Cruces New Mexico, Santa Fe New Mexico, Dayton Ohio, Houston Texas, San Antonio Texas, Fort Worth Texas, Ohio, Savannah Georgia, Bowling Green Kentucky, Owensboro Kentucky, Syracuse New York, Austin Texas, Racine Wisconsin, Georgia, Nebraska, Tampa Florida, St. Petersburg Florida, Augusta Georgia, Boise Idaho, Omaha Nebraska, Roswell New Mexico, Rochester New York, Cincinnati Ohio, Dallas Texas, Madison Wisconsin, Kenosha Wisconsin, Utah, Washington, Mesa Arizona, Florida, Idaho Falls Idaho, Iowa City Iowa, Ann Arbor Michigan, Kearney Nebraska, Rio Rancho New Mexico, Salt Lake City Utah, Orem Utah, Vancouver Washington, New York, Texas, Chandler Arizona, Des Moines Iowa, Sioux City Iowa, Lexington-Fayette Kentucky, Grand Rapids Michigan, Warren Michigan, Grand Island Nebraska, Columbus Ohio, Cleveland Ohio, Akron Ohio, Seattle Washington, Columbus Georgia, Macon Georgia, Scottsdale Arizona 01/28/2025
- Sr Data Analyst - Sales & Marketing Analytics - remote Arizona, Florida, Idaho, Iowa, Georgia, Kentucky, Michigan, Nebraska, New Mexico, Ohio, Texas, Utah, Wisconsin, Washington, New York 01/28/2025
- Medical Director (Marketplace) Arizona, Phoenix Arizona, Jacksonville Florida, Idaho Falls Idaho, Yonkers New York, Nebraska, New York, West Valley City Utah, Bellevue Washington, Kenosha Wisconsin, Miami Florida, Davenport Iowa, Omaha Nebraska, Lincoln Nebraska, Rochester New York, Syracuse New York, Kentucky, Wisconsin, Tucson Arizona, St. Petersburg Florida, Bowling Green Kentucky, Detroit Michigan, Sterling Heights Michigan, New Mexico, Utah, Austin Texas, Salt Lake City Utah, Layton Utah, Green Bay Wisconsin, Chandler Arizona, Atlanta Georgia, Nampa Idaho, Iowa City Iowa, Owensboro Kentucky, Bellevue Nebraska, Kearney Nebraska, Iowa, Dayton Ohio, San Antonio Texas, Tampa Florida, Augusta Georgia, Columbus Georgia, Meridian Idaho, Caldwell Idaho, Des Moines Iowa, Warren Michigan, Albuquerque New Mexico, Rio Rancho New Mexico, Roswell New Mexico, Buffalo New York, Cincinnati Ohio, Houston Texas, Washington, Madison Wisconsin, Racine Wisconsin, Mesa Arizona, Orlando Florida, Boise Idaho, Cedar Rapids Iowa, Lexington-Fayette Kentucky, Covington Kentucky, Ann Arbor Michigan, Grand Island Nebraska, Idaho, Michigan, Columbus Ohio, Cleveland Ohio, Akron Ohio, Fort Worth Texas, Scottsdale Arizona, Sioux City Iowa, Louisville Kentucky, Las Cruces New Mexico, New York New York, Texas, Orem Utah, Spokane Washington, Macon Georgia, Savannah Georgia, Grand Rapids Michigan, Florida, Georgia, Santa Fe New Mexico, Ohio, Dallas Texas, Provo Utah, Seattle Washington, Tacoma Washington, Vancouver Washington, Milwaukee Wisconsin 02/04/2025
- Program Manager - Enrollment Arizona, Green Bay Wisconsin, Iowa, Tampa Florida, Detroit Michigan, Warren Michigan, Sterling Heights Michigan, Buffalo New York, Yonkers New York, Cincinnati Ohio, Dayton Ohio, Tacoma Washington, Bellevue Washington, Phoenix Arizona, Chandler Arizona, Scottsdale Arizona, Ohio, Washington, Georgia, Miami Florida, Augusta Georgia, Ann Arbor Michigan, Salt Lake City Utah, Kenosha Wisconsin, Jacksonville Florida, Orlando Florida, Bellevue Nebraska, Rio Rancho New Mexico, Syracuse New York, Cleveland Ohio, San Antonio Texas, Dallas Texas, West Valley City Utah, Spokane Washington, Tucson Arizona, Michigan, New York, Florida, Macon Georgia, Nampa Idaho, Owensboro Kentucky, Grand Rapids Michigan, New York New York, Rochester New York, Fort Worth Texas, Milwaukee Wisconsin, Atlanta Georgia, Savannah Georgia, Meridian Idaho, Caldwell Idaho, Cedar Rapids Iowa, Davenport Iowa, Iowa City Iowa, Lexington-Fayette Kentucky, Bowling Green Kentucky, Omaha Nebraska, Kearney Nebraska, Albuquerque New Mexico, Santa Fe New Mexico, Akron Ohio, Houston Texas, Provo Utah, Nebraska, Sioux City Iowa, Racine Wisconsin, Kentucky, New Mexico, St. Petersburg Florida, Boise Idaho, Des Moines Iowa, Louisville Kentucky, Lincoln Nebraska, Grand Island Nebraska, Roswell New Mexico, Layton Utah, Vancouver Washington, Mesa Arizona, Texas, Utah, Wisconsin, Idaho, Columbus Georgia, Idaho Falls Idaho, Covington Kentucky, Las Cruces New Mexico, Columbus Ohio, Austin Texas, Orem Utah, Madison Wisconsin 02/04/2025
No recently viewed jobs.
View All JobsNo saved jobs.
View All Jobs