Talent.com
Lead Analyst, Quality Analytics and Performance Improvement (HEDIS)
Lead Analyst, Quality Analytics and Performance Improvement (HEDIS)Molina Healthcare • Yonkers, NY, United States
Lead Analyst, Quality Analytics and Performance Improvement (HEDIS)

Lead Analyst, Quality Analytics and Performance Improvement (HEDIS)

Molina Healthcare • Yonkers, NY, United States
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

Job Summary

The Lead Analyst, Quality Analytics and Performance Improvement role will support Molina's Quality Reporting team. Designs and develops reporting solutions to assist HEDIS Outbound, Inbound extracts, Data Ingestions, Dashboards, Reports & Extracts for rate tracking and other outreach purposes.

ESSENTIAL JOB DUTIES :

  • Mentors and leads 2-10 software engineers on multiple projects for project deliverables, assess deliverables' quality, plan and implement corrective and preventive actions to improve application quality.
  • Evaluates alternative systems solutions and recommends solution that best meets the need of the business.
  • Develops the BRDs along with business stakeholders, Conceptual Designs for multiple projects concurrently. SOX compliant Project deliveries and Project coordination.
  • Translates user requirements into overall functional architecture for complex s / w solutions in compliance with industry regulations.
  • Provides subject matter expertise and reviews applications designs built using .Net Framework 1.1 / 2.0, C#, VB.NET, ASP.NET, VB6.0, VB Script, Java Script, XML, HTML, DHTML, SharePoint server, BizTalk Server 2004 / 6, Microsoft SQL Server 2000 / 5, DTS / SSIS / SSRS on windows platform.
  • Drives Joint Applications Development session with business stakeholders to define business requirements and provides systems / application expertise for multiple projects concurrently.
  • Communicates with cross functional teams (and if applicable, vended partners) to coordinate requirements, design and enhancements with the development team(s).
  • Assesses and analyzes computer system capabilities, work flow and scheduling limitations to determine if requested program or program change is possible within existing system.
  • Recognizes, identifies and documents potential areas where existing business processes require change, or where new processes need to be developed, and makes recommendations in these areas.
  • Works independently and resolves complex business problems with no supervision.
  • Mentors and leads 2-10 systems or programmer analysts on multiple projects for project deliverables, assesses deliverables' quality, plans and implements corrective and preventive actions to improve application quality.
  • Works with project managers to define work assignments for development team(s).
  • Identifies, defines and plans software engineering process improvements and verifies compliance.
  • Mentors and trains systems / programmer analysts on software applications, business domain and design standards.
  • Conducts peer review of other analysts (internal and contract staff) to ensure standards and quality.
  • Recommends, schedules and performs software systems / applications improvements and updates.
  • Conducts studies pertaining to designs of new information systems to meet current and projected needs.
  • Defines and plans software releases in accordance with other software applications.

Assists in the project definition, execution and implementation. Provides application, business process or functional domain leadership / expertise and peer mentoring to IT staff. Provides expertise to one or multiple domain such as application development, business process re-engineering, enterprise integration, logical data modeling, project coordination, estimation, metrics generation, status reporting. Provides thought leadership or hands-on expertise for problem resolution, application enhancements, user training and documentation of business processes. Strong application delivery methodology or SDLC background, functional domain or software engineering expertise or proficiency. Manages small or medium size projects as assigned.

  • Excellent verbal and written communication skills.
  • Must be knowledgeable of business processes, industry standard quality norms, systems and applications development best practices, project management methodologies and estimation processes.
  • JOB QUALIFICATIONS

    Required Education

    Bachelor's Degree in Computer Science, Finance, Math or Economics or equivalent discipline

    Required Experience

  • 5+ years’ experience supporting, designing and / or implementing application changes.
  • Highly Preferred Experience

  • 5+ Years of experience in working with HEDIS tools such as Inovalon or ClaimSphere
  • 5+ Years of experience in working with HEDIS Domain – such as Measure analysis / reconciliation on data w.r.t measure specifications.
  • 5+ Years of experience in working with data mapping, scrubbing, scrapping, and cleaning of data.
  • 5+ Years of experience in Managed Care Organization executing similar techno functional role that involves writing complex SQL Queries, Functions, Procedures and Data design
  • 5+ years of experience in working with Microsoft T-SQL, Databricks SQL and PowerBI.
  • Familiarity with Data Science Techniques and languages like Python and R programming would be an added advantage.
  • Familiarity with Microsoft Azure, AWS or Hadoop.
  • 3-5 Years of experience with predictive modeling in healthcare quality data.
  • 5+ Years of experience in Analysis related to HEDIS rate tracking, Medical Record Review tracking, Interventions tracking for at least one line of business among Medicaid, Marketplace and Medicare / MMP.
  • 5+ Years of experience in working with increasingly complex data problems in quantifying, measuring, and analyzing financial / performance management and utilization metrics.
  • 5+ Years of experience in Statistical Analysis and forecasting of trends in HEDIS rates to provide analytic support for quality, finance, and health plan functions
  • 5 years of experience in working with complex data to include quantifying, measuring, and analyzing financial / performance management and utilization metrics
  • 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.

    Pay Range : $80,412 - $188,164 / ANNUAL

  • Actual compensation may vary from posting based on geographic location, work experience, education and / or skill level.
  • serp_jobs.job_alerts.create_a_job

    Lead Quality Analyst • Yonkers, NY, United States

    Job_description.internal_linking.related_jobs
    Senior ELR Data & Analytics Programs Lead

    Senior ELR Data & Analytics Programs Lead

    Uber • New York, NY, United States
    serp_jobs.job_card.full_time
    A leading technology company is seeking a Sr.Technical Program Manager to lead initiatives that enhance employee relations' data, systems, and technology. The role involves managing cross-functional...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Senior Analyst, Analytics / Insights

    Senior Analyst, Analytics / Insights

    IPG Health • New York, NY, United States
    serp_jobs.job_card.full_time
    As a Senior Analyst, Analytics / Insights, you will drive business growth through data-driven insights, designing and delivering actionable dashboards, reports, and analytics solutions.You will colla...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Advisor, Quality Management & Performance Improvement

    Advisor, Quality Management & Performance Improvement

    Northwell Health • Sleepy Hollow, NY, United States
    serp_jobs.job_card.full_time
    Coordinates and manages activities related to quality management / performance improvement and safety for the quality management programs across the organization. Ensures the achievement of clinical g...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Analyst, MS&T

    Analyst, MS&T

    SK Life Science • Paramus, NJ, United States
    serp_jobs.job_card.full_time
    Manage Contract Manufacturing Organization (CMO) in the following areas : commercial product manufacturing (Drug Substance, Drug Product & Packaging), and testing laboratories (Quality Control for ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Senior Data Analyst / Analytics Engineer

    Senior Data Analyst / Analytics Engineer

    Public • New York, New York, United States
    serp_jobs.job_card.full_time
    Public is the long-term investing platform.Investors use AI and a vast variety of asset classes, from stocks and bonds to crypto and options, to build portfolios for the long haul.Launched in 2019,...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Provider Capacity Analyst

    Provider Capacity Analyst

    Columbia University • New York, NY, United States
    serp_jobs.job_card.full_time
    Job Type : Officer of Administration.Standard Work Schedule : 9AM-5PM, M-F.Building : 3 Columbus Circle, New York, NY 10019. The salary of the finalist selected for this role will be set based on a var...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Services Data Analyst, Team Lead

    Services Data Analyst, Team Lead

    Optimove • New York, New York, United States
    serp_jobs.job_card.full_time
    Optimove is a global marketing tech company, recognized as a Leader by Forrester and a Challenger by Gartner.We work with some of the world's most exciting brands, such as Sephora, Staples, and Ent...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Data Quality Technical Lead

    Data Quality Technical Lead

    Martian Wall • new york city, NY, US
    serp_jobs.job_card.full_time
    Job Title : Collibra Data Quality Technical SME Location : New York, NY Phys Location : Onsite - 3 Days Onsite and 2 Days Remote Description : Focus : Installation, configuration, and ongoing administra...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Senior / Lead Data Analyst

    Senior / Lead Data Analyst

    Medal, Highlight, & Ai Research • New York, New York, United States
    serp_jobs.job_card.full_time
    At Medal, we’re redefining the way gamers connect, share, and relive their greatest in-game moments.Our platform makes it easy to clip, edit, and share gaming content—whether you're capturing a leg...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Senior Analyst, Analytics / Insights

    Senior Analyst, Analytics / Insights

    McCann Health London • New York, NY, United States
    serp_jobs.job_card.full_time
    As a Senior Analyst, Analytics / Insights, you will drive business growth through data-driven insights, designing and delivering actionable dashboards, reports, and analytics solutions.You will colla...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    FCRM KYC Quality Assurance, Senior Analyst (US)

    FCRM KYC Quality Assurance, Senior Analyst (US)

    Jobgether • New York, NY, US
    serp_jobs.job_card.full_time
    FCRM KYC Quality Assurance, Senior Analyst.This position is posted by Jobgether on behalf of a partner company.We are currently looking for a FCRM KYC Quality Assurance, Senior Analyst in United St...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    Customer Support Quality Lead

    Customer Support Quality Lead

    VirtualVocations • Yonkers, New York, United States
    serp_jobs.job_card.full_time
    A company is looking for a Customer Support Quality Lead to enhance customer support interactions.Key Responsibilities Establish and improve a QA program for evaluating agent performance across s...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Process Improvement Lead - Global Cards Solutions

    Process Improvement Lead - Global Cards Solutions

    United Nations Federal Credit Union • New York, NY, US
    serp_jobs.job_card.full_time
    Performs analytics, reporting, change management, training and process improvement efforts for debit / credit card operations, fraud / dispute processing, card transaction settlement and Regulation E a...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Senior Reinsurance Business Systems Analyst

    Senior Reinsurance Business Systems Analyst

    Edgesys Consulting • Hasbrouck Heights, NJ, US
    serp_jobs.job_card.full_time
    Reinsurance Business Systems Analyst Salary : $110K-$120K Per Annum + Ben Hybrid Full Time Position : (2-3 days onsite) New Canaan, CT Sr. Reinsurance Business Systems Analyst : Senior Reinsurance Busi...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Business / Data Analyst QA Specialist

    Business / Data Analyst QA Specialist

    Matrix Global • Jersey City, New Jersey, United States
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time
    Matrix Global is seeking a highly skilled .Business / Data Analyst – QA Specialist.The ideal candidate will collaborate with the . New Jersey office three days per week.Partner with technology and b...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    QUALITY ANALYST

    QUALITY ANALYST

    Akaasa Technologies • Brooklyn, New York, USA
    serp_jobs.job_card.full_time
    ROLE : QUALITY ANALYST-PERFORMANCE TESTERS (.Note : Zoom Call is mandatory with Candidate Please provide Their availability for Tuesday & WED 10 AM -2 PM for 15 mins call. Candidate must have LinkedIn...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Claims Quality Analyst

    Claims Quality Analyst

    MetroPlus Health Plan • New York, NY, United States
    serp_jobs.job_card.full_time +1
    Water Street, 7th Floor, New York, NY 10004 .New Yorkers by uniting communities through care.We believe that Health care is a right, not a privilege. If you have compassion and a collaborative sp...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Senior Analyst, Strategy

    Senior Analyst, Strategy

    White & Case LLP • New York, NY, United States
    serp_jobs.job_card.full_time
    White & Case is an elite global law firm serving leading companies, financial institutions and governments worldwide.Our long history as an international firm means we are perfectly placed to help ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted