Lead Analyst, Quality Analytics and Performance Improvement (HEDIS)

The Lead Analyst, Quality Analytics and Performance Improvement role supports Molina's Quality Reporting team by designing and developing reporting solutions to assist with HEDIS Outbound and Inbound data extraction, reports, and dashboards. This position focuses on capturing, documenting, and educating users on how to utilize reports to track performance and identify areas for improvement.

Requirements

• Bachelor's Degree in Computer Science, Finance, Math or Economics or equivalent
• 5+ years’ experience supporting, designing and/or implementing application changes
• 5+ Years of experience working with HEDIS tools such as Inovalon or ClaimSphere
• 5+ Years of experience working with HEDIS Domain - such as Measure analysis/reconciliation on data w.r.t measure specifications
• 5+ Years of experience 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, Databricks SQL and PowerBI
• Familiarity with Data Science Techniques and languages like Python and R programming
• Familiarity with Microsoft Azure, AWS or Hadoop
• 5+ Years of experience with predictive modeling in healthcare quality data
• 5+ 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
• 5+ Years of experience in working with increasingly complex data problems in quantifying, measuring, and analyzing financial/performance management and utilization metrics

Benefits

• Competitive benefits package