Detroit, MI, 48208, USA
11 days ago
Sr Analyst, HEDIS/Quality Reporting (Remote in Michigan)
**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. \#PJQA \#LI-AC1 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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