Molina Healthcare · 8 hours ago
Analyst, Quality Interventions/QI Compliance (Remote in Iowa)
Iowa, United States
Full-time
Remote
Mid Level
$47K/yr - $97K/yr
3+ years exp
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Responsibilities
Collaborates with other Quality Improvement staff to analyze and reports the results of quality improvement studies, initiatives and / or projects to monitor, evaluate and / or continuously improve the quality of healthcare services provided to Molina members.
Evaluates the collection, evaluation and / or dissemination of quality improvement data for quality initiatives, studies and / or projects to comply with regulatory requirements and / or accreditation standards.
Writes, prepares, and / or presents reports and analyses to evaluate performance improvement using a variety of sources, including, but not limited to: internal quantitative data; external industry data; survey data; input from members, providers and / or other key stakeholders; input from Molina employees and senior leaders, etc.
Produces reports and analyses that show graphically the results of QI projects and collaborates as needed to ensure reports meet required timelines, business needs, and NCQA or other regulatory requirements.
Performs qualitative and / or quantitative analyses to identify important and urgent concerns; develops improvement plans and / or measurements to assess impact of actions.
Participates in NCQA accreditation and regulatory audit preparedness activities including preparing reports, narratives, graphs, charts, etc., updating policies and procedures, and / or participating in program committees.
May participate in other activities such as, but not limited to: the analysis of quality of care issues and serious reportable adverse conditions, the analysis of credentialing files, the analysis of quality metric data, including, but not limited to, HEDIS, STARS, etc., the analysis of medical records data, etc.
Qualification
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Required
Bachelor's Degree or equivalent combination of education and work experience.
Min. 3 years experience in healthcare with 1 year experience in health plan quality improvement, managed care or equivalent experience.
Demonstrated solid business writing experience.
Operational knowledge and experience with Excel and Visio (flow chart equivalent).
Preferred
Master's Degree or higher in a clinical field, Public Health or Healthcare.
1 year of experience in Medicare and in Medicaid.
HEDIS reporting or collection experience.
Experience developing and / or analyzing performance measures that support business objectives.
Certified Professional in Health Quality (CPHQ)
Nursing License (RN may be preferred for specific roles)
Certified HEDIS Compliance Auditor (CHCA)
Company
Molina Healthcare
Molina Healthcare is a healthcare company that specializes in government-sponsored healthcare programs for families and individuals.
10001+ employees
H1B Sponsorship
Molina Healthcare has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2023 (33)
2022 (36)
2021 (33)
2020 (60)
Funding
Current Stage
Public CompanyTotal Funding
$1.5B2024-11-13Post Ipo Debt· $750M
2021-11-16Post Ipo Debt· $750M
2014-09-09Post Ipo Equity· $3.11M
Leadership Team
Dave Reynolds
Executive Vice President, Regional Health Plans
Debbie Simkins
Vice President, Office of the CIO
Recent News
Business Wire
2024-12-17
thefly.com
2024-12-10
2024-12-10
Company data provided by crunchbase
