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

Lead Analyst, Quality Analytics and Performance Improvement (HEDIS)

Molina Healthcare • Madison, WI, 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 • Madison, WI, United States

    Job_description.internal_linking.related_jobs
    Senior Analyst, IT Business Solutions

    Senior Analyst, IT Business Solutions

    Cardinal Health • Madison, WI, United States
    serp_jobs.job_card.full_time
    What Application Development & Maintenance contributes to Cardinal Health.Information Technology oversees the effective development, delivery, and operation of computing and information services.Th...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    BCBA - Board Certified Behavior Analyst - Open to Relocation

    BCBA - Board Certified Behavior Analyst - Open to Relocation

    ICBD • Madison, WI, US
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    Board Certified Behavior Analyst / BCBA – Open to Relocation - ABA Centers.Exciting Relocation Opportunity – Up to $15,000 in Assistance!. We're offering generous relocation support—.STUDENT LOAN FO...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30
    Analyst - Transportation

    Analyst - Transportation

    AmerisourceBergen Corporation (Cencora) • Madison, WI, United States
    serp_jobs.job_card.full_time
    Our team members are at the heart of everything we do.At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Epic Beaker Certified Analyst

    Epic Beaker Certified Analyst

    Evergreen Healthcare Partners • Madison, WI, US
    serp_jobs.job_card.full_time
    Evergreen, founded in 2017, is committed to building authentic partnerships with clients and consultants.Evergreen offers industry-leading consulting services to health systems across the country i...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Business Development Analyst

    Business Development Analyst

    Markent Personnel • Brodhead, WI, US
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    A well-established leader in agricultural equipment manufacturing.Unique in developing innovative agricultural solutions. This is not just a workplace; it’s a career-launching platform for aspiring ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Sr Analyst,Digital Product

    Sr Analyst,Digital Product

    CVS Health • Madison, WI, United States
    serp_jobs.job_card.full_time
    At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading h...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    IAM Analyst

    IAM Analyst

    Beacon Technologies • Madison, Wisconsin, United States
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    Beacon Technologies is seeking an Identity Access Management (IAM) Analyst for our client partner.We’re looking for an Identity Access Management (IAM) Analyst to play a pivotal role in protecting ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days
    Lead Analyst, Performance Analytics

    Lead Analyst, Performance Analytics

    Evolent • Madison, WI, United States
    serp_jobs.job_card.full_time
    Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Data Analyst / Systems & Business Analyst

    Data Analyst / Systems & Business Analyst

    Medica • Madison, WI, United States
    serp_jobs.job_card.full_time
    Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences an...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Care Manager, LTSS (RN) - Field travel in Dane County, WI

    Care Manager, LTSS (RN) - Field travel in Dane County, WI

    Molina Healthcare • Sun Prairie, WI, US
    serp_jobs.job_card.full_time
    Will travel throughout Dane County • • •.Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated deli...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Cath Lab Tech in Orfordville, WI - $9859 / month

    Travel Cath Lab Tech in Orfordville, WI - $9859 / month

    Vetted Health • Orfordville, WI, United States
    serp_jobs.job_card.temporary
    Job Opportunity : Cath Lab Tech.Location : Janesville, Wisconsin.Provides specialized healthcare services in a clinical setting. Works collaboratively with healthcare team members.Maintains profession...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Lead Knowledge and Request Analyst

    Lead Knowledge and Request Analyst

    American Family Mutual Insurance Company • Madison, WI, United States
    serp_jobs.job_card.full_time
    The Team Lead for Knowledge and Request Management plays a crucial role in overseeing and guiding the team responsible for managing the organization's knowledge base and handling service requests e...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Remote Content QA Reviewer

    Remote Content QA Reviewer

    Outlier • Madison, WI, United States
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time
    Earn up to $15 / hour + performance bonuses.Outlier, a platform owned and operated by Scale AI, is looking for.If you're passionate about improving models and excited by the future of AI, this is you...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Side Hustle Project Lead

    Side Hustle Project Lead

    Finance Buzz • Brodhead, Wisconsin, US
    serp_jobs.job_card.full_time +1
    We’re offering a role for someone who wants to lead their own side-income project in their spare time.You’ll explore various proven side hustles, select the ones that fit your lifestyle, and run th...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Marketing Intern, Cell and Protein Analysis

    Marketing Intern, Cell and Protein Analysis

    Promega Corporation • Madison, WI, United States
    serp_jobs.job_card.full_time
    Assist Cell and Protein Analysis Portfolio Global Product Managers with project work and day-to-day operations, including performing market research and business analysis in support of marketing st...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Lead Knowledge and Request Analyst

    Lead Knowledge and Request Analyst

    American Family Insurance • Madison, WI, United States
    serp_jobs.job_card.full_time
    The Team Lead for Knowledge and Request Management plays a crucial role in overseeing and guiding the team responsible for managing the organization's knowledge base and handling service requests e...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Director I Site Leader

    Director I Site Leader

    Leonardo DRS • Madison, WI, United States
    serp_jobs.job_card.full_time
    DRS Daylight Solutions business provides industry-changing mid-infrared laser light technology for government and commercial markets, including : defense and security. life sciences; and industrial ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Banking Center Manager

    Banking Center Manager

    Old National Bank • DeForest, WI, United States
    serp_jobs.job_card.full_time
    Old National Bank has been serving clients and communities since 1834.With over $70 billion in total assets, we are a regional powerhouse deeply rooted in the communities we serve.As a trusted part...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted