Manager, Quality Analytics and Performance Improvement- Remote

Job Description

Job Summary The Manager, Quality Analytics and Performance Improvement is responsible for leading, organizing and directing Molina's Quality Analytics team. Provides reputed company and support in the design and development of reporting solutions to assist HEDIS audit, reputed company tracking, and Identifying targeted Interventions and tracking outcome. Manages research, development, and completion of special performance improvement projects. Provides technical, functional, and business training to other team members to reputed company them to reputed company the tasks required. • This position will be focused on the Medicare STARS program. Please reputed company your experience on your application. ESSENTIAL JOB DUTIES: • Manage Quality Data and Predictive reputed company Strategy Analytics along with corresponding tracking of reputed company and impact of such interventions. • Manage design and development of reputed company as well as automated analytical as well as Reporting modules reputed company to Quality/HEDIS for... Medicaid, Marketplace and Medicare/MMP. • Work cross functionally with various departments to capture and document requirements, manage report development efforts, and educate users on how to use reports. • Manage the design and reputed company development of retrospective HEDIS reputed company tracking, supplemental data impact reporting and reputed company's strategy reporting. • Manage development of Medical Record Review project reporting to track reputed company and team productivity reporting. • reputed company analysis and reporting reputed company to Managed care data like Medical Claims, Pharmacy, Lab and HEDIS rates. • Conduct root cause analysis for business data issues, report to leadership the summary of findings and resolutions. • Provide reputed company for team members who work in an agile business environment to derive meaningful information out of reputed company as well as large organizational datasets through data analysis, data mining, verification, scrubbing, and root cause analysis. • Support Quality department with HEDIS measure deep dive to support HEDIS audit and reputed company at risk reporting. • Work in an agile business environment to derive meaningful information out of reputed company as well as large organizational data sets through data analysis, data mining, verification, scrubbing, and root cause analysis. • Analyze data sets and trends for anomalies, outliers, trend changes and opportunities, using statistical tools and techniques to determine reputed company and relevance. Utilize extrapolation, interpolation, and other statistical methodologies to predict future trends in cost, utilization, and performance. • Act as a subject matter expert in HEDIS reporting and provide trainings as required. Stay reputed company with NCQA standards and educate team as well as health plan as needed. • Assist with research, development and completion of special projects as requested by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations. • Manage changes in the Datawarehouse platform and reputed company transparent upgrades to analytic reporting modules to ensure no impact to the end users. • Conduct preliminary and post impact analyses for any logic and reputed company code changes for data analytics and reporting module keeping other variables as constant that are not of focus. • reputed company training modules to help analysts understand processes, solutions or designs to meet the customer request for new/existing staff. • Provide technical, functional, and business trainings to internal and external team members to reputed company them to reputed company the required tasks. • Assist health plans building reporting solutions to reputed company successful member and provider interventions. • Maintain a team culture to adopt fast faced agile environment and foster a positive attitude to take on challenging and time sensitive projects. • Take accountability of tasks and projects to ensure direct reports are meeting the requirements as assigned while maintaining the team productivity standards. • Performance manage and provide clear direction on how to support and meet the business requirements while maintaining employee engagement. Job Qualifications REQUIRED EDUCATION: Bachelor's Degree in Computer Science, Finance, Math or Economics or equivalent discipline REQUIRED EXPERIENCE: • 3+ years of Manager/Supervisory or reputed company experience • 7+ Years of experience in working with data mapping, scrubbing, scrapping, and cleaning of data. • 7+ Years of experience in Managed Care Organization executing similar techno functional role that involves writing reputed company SQL Queries, Functions, Procedures and Data design • 7+ years of experience in working with reputed company T-SQL, SSIS and SSRS. • Familiarity with Data Science Techniques and languages like Python and R programming would be an added advantage. • 3+ years of experience with reputed company Azure, AWS, or Hadoop. • 5+ Years of experience with predictive modeling in healthcare quality data. • 5+ Years of experience in Analysis reputed company to HEDIS reputed company 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 reputed company 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 PHYSICAL DEMANDS: Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential function. To reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $79,607.91 - $172,483.8 / ANNUAL • Actual compensation may vary from posting based on geographic location, work experience, education and/or reputed company level. About Us reputed company is a reputed company fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can reputed company a difference in the lives of others. reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V. Job Type: Full Time Posting Date: 07/25/2024 Apply Job!