Sr Analyst, HEDIS/Quality Reporting (Remote in Michigan)

$54,373 - $117,809/Yr

Molina Healthcare - Detroit, MI

Full-time - Mid Level

Remote - Detroit, MI

251-500 employees

Insurance Carriers and Related Activities

About the position

The Senior Analyst, HEDIS/Quality Reporting at Molina Healthcare is responsible for overseeing and implementing healthcare quality improvement initiatives and education programs. This role involves conducting data collection, reporting, and monitoring for key performance measurement activities, as well as providing direction for NCQA accreditation surveys and compliance activities. The position requires collaboration with various departments to ensure the integrity and validity of reports and to streamline data analytics processes.

Responsibilities

• Develop and provide reports and cost-benefit analysis tools to meet Quality Improvement (QI) requirements.
• Act as a lead analyst to provide project, program, and initiative-related direction for other analysts.
• Develop, code, run, and prepare formatted reports to support critical Quality Improvement functions.
• Perform quality assurance checks on reports prior to completion.
• Establish and document quality assurance process checks to ensure report integrity.
• Prioritize reports according to business needs and regulatory requirements.
• Collaborate with department leads to understand and document business requirements for reporting.
• Produce accurate reports and conduct analyses according to timelines and project plans.
• Convert HEDIS data sources for use in HEDIS reporting as needed.
• Assist with generation of State-specific performance measurement requirements.

Requirements

• Bachelor's Degree or equivalent combination of education and work experience.
• 3 years of experience in healthcare or equivalent experience in a non-financial regulated industry.
• 1 year experience in managed healthcare or equivalent.
• Technical experience in reporting and/or programming.
• Proficiency with Excel and Visio, and ability to learn new information systems and software programs.
• Proficiency with data manipulation and interpretation.
• Knowledge of basic statistics.

Nice-to-haves

• Master's Degree or higher in a clinical field, IT, Public Health or Healthcare.
• HEDIS reporting or collection experience.
• CAHPS improvement experience.
• 1+ years in managed healthcare non-financial reporting.
• 1+ years health care information systems experience or in a role as an IS liaison/contact for QI projects.
• State QI experience.
• Supervisory experience.
• Project management and team building experience.
• Experience developing performance measures that support business objectives.
• Experience using multiple programming languages, including SQL / SSRS.

Benefits

• Competitive benefits and compensation package.