Sr Analyst, HEDIS/Quality Reporting (Remote in Michigan)
Molina Healthcare
**JOB DESCRIPTION**
**Job Summary**
Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of programs for members in accordance with prescribed quality standards; conducts data collection, reporting and monitoring for key performance measurement activities; and provides direction and implementation of NCQA accreditation surveys and federal/state QI compliance activities.
**Candidates residing in Michigan with SQL, Quality/HEDIS and Health plan experience are strongly preferred.**
**KNOWLEDGE/SKILLS/ABILITIES**
In collaboration with Quality Improvement (QI) management, the Senior Analyst, HEDIS/Quality Reporting develops and provides reports and cost-benefit analysis tools to meet QI requirements and uses automated software tools and processes to help streamline activities and improve data/analytics for the quality team.
+ 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.
**JOB QUALIFICATIONS**
**Required Education**
Bachelor's Degree or equivalent combination of education and work experience.
**Required 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 Education**
Master's Degree or higher in a clinical field, IT, Public Health or Healthcare.
**Preferred Experience**
+ 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.
**Preferred License, Certification, Association**
Microsoft Certification(s)
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
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Pay Range: $60,415 - $117,809 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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