Be an early applicantLess than 25 applicantsPosted by Agency

Company

Molina Healthcare · 6 hours ago

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

Michigan, United States

Full-time

Remote

Mid, Senior Level

$54K/yr - $118K/yr

3+ years exp

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Responsibilities

Acts as a lead analyst to provide project-, program-, and / or initiative-related direction and guidance for other analysts within the department and/or collaboratively with other departments.

Develops, codes, runs, and/or prepares formatted reports to support critical Quality Improvement functions (e.g., reporting for key performance measurement activities, including HEDIS, state-based measure reporting and medical record review).

Collaborates and / or assists in performing quality assurance checks on reports prior to completion

Works with Director and / or Manager to establish and / or document quality assurance process checks to be utilized by all staff to ensure the integrity, completeness and validity of external and internal reports

Understands how to prioritize reports according to business need, regulatory requirements, urgency and / or other key business factors

Collaborates with department leads and other partnering departments to understand and / or document business requirements and / or implement required reporting.

Writes and / or produces accurate reports and conducts analyses according to set timelines and project plans.

Collaborates with other department staff to convert HEDIS data sources for use in HEDIS reporting as needed.

Coordinates data and analyses from MHI and / or Health Plans as needed.

Assists with generation of State-specific performance measurement requirements.

Assists program managers with research regarding performance measurement outliers when asked.

Uses industry standard techniques determined by the department to reduce report writing errors.

Modifies reports in response to error identification and / or approved change requests; understand the balance between responsiveness to business requests for enhancements versus department needs to complete work efficiently and timely.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Healthcare experienceHEDIS reportingData manipulationExcel proficiencyVisio proficiencyBasic statisticsSQLTechnical reportingMicrosoft CertificationSupervisory experienceState QI experienceCAHPS improvementHealthcare information systemsProject management

Required

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 (flow chart equivalent) and demonstrated ability to learn new information systems and software programs.

Proficiency with data manipulation and interpretation.

Knowledge of basic statistics.

Preferred

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 but not limited to, SQL / SSRS.

Microsoft Certification(s)

Benefits

Competitive benefits and compensation package

Company

Molina Healthcare

Glassdoor

3.4

Molina Healthcare is a healthcare company that specializes in government-sponsored healthcare programs for families and individuals.

Founded in 1980

Long Beach, California, USA

10001+ employees

https://careers.molinahealthcare.com

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

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Trends of Total Sponsorships

2023 (33)

2022 (36)

2021 (33)

2020 (60)