Lead Analyst, Data Quality Analytics and Performance Improvement- Remote

$65,792 - $142,549/Yr

Molina Healthcare - Georgetown, KY

Full-time

Remote - Georgetown, KY

Insurance Carriers and Related Activities

About the position

The Lead Analyst for Data Quality Analytics and Performance Improvement at Molina Healthcare focuses on the Medicare STARS program. This role involves designing and implementing processes for data analysis, modeling, and reporting to support informed business decisions. The analyst will collaborate across departments to address key business problems, utilizing advanced statistical techniques and technologies to develop solutions and improve business performance.

Responsibilities

• Leverage analytics and quantitative methods to inform and influence decision making
• Responsible for data compilation, data management, data analysis, and reporting
• Influence and build relationships with people across all levels of the organization, internally and externally
• Extract and compile various sources of information and large data sets from various systems or applications
• Set up process for monitoring, tracking and trending information and data using various systems or applications
• Prepare well-organized, easily understood reports, analysis, and summary of findings for use by management
• Research and analyze report results identifying opportunities and trends
• Work with internal, external and enterprise individuals as needed to research, develop and document new standard reports or processes
• Consolidate data from multiple sources, using industry-based tools or manually; able to process data effectively using Microsoft Excel
• Support management and other team members as requested on all things data related

Requirements

• Associate degree or equivalent combination of education and 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
• 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
• 5+ years of experience in Statistical Analysis and forecasting of trends in HEDIS rates to provide analytic support for quality, finance, and health plan functions

Nice-to-haves

• Bachelor's Degree or equivalent combination of education and experience
• 7-9 years of experience

Benefits

• Competitive benefits and compensation package