Talent.com
Lead Analyst, Quality Analytics and Performance Improvement (HEDIS)

Lead Analyst, Quality Analytics and Performance Improvement (HEDIS)

Molina HealthcareDallas, TX, United States
13 hours ago
Job type
  • Full-time
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.
  • Create a job alert for this search

    Lead Quality Analyst • Dallas, TX, United States

    Related jobs
    • Promoted
    QE Lead Performance Engineer

    QE Lead Performance Engineer

    Marsh LLCAddison, TX, United States
    Full-time
    Award-winning, inclusive, Top Workplace culture doesn’t happen overnight.It’s a result of hard work by extraordinary people. The industry’s brightest talent drive our efforts to deliver purposeful w...Show moreLast updated: 30+ days ago
    • Promoted
    Director, Analytics Enablement

    Director, Analytics Enablement

    RAPPDallas, TX, United States
    Full-time
    RAPP Dallas is looking for a Director, Analytics Enablement to join our award-winning Marketing Sciences team.We are RAPP - world leaders in activating growth with precision and empathy at scale.As...Show moreLast updated: 30+ days ago
    • Promoted
    Fast Pay - Earn at least $2015 in your first 165 trips, guaranteed.

    Fast Pay - Earn at least $2015 in your first 165 trips, guaranteed.

    UberRosser, TX, US
    Full-time +1
    Earn at least $2015 driving with Uber when you complete your first 165 trips in 30 days.Driving is an easy way to boost your income while maintaining the flexibility your schedule requires (gig, pa...Show moreLast updated: 6 days ago
    • Promoted
    Quick Earnings : Earn At Least $2015 For Your First 165 Trips, Guaranteed.

    Quick Earnings : Earn At Least $2015 For Your First 165 Trips, Guaranteed.

    UberRosser, TX, US
    Full-time +1
    Earn at least $2015 driving with Uber when you complete your first 165 trips in 30 days.Driving is an easy way to boost your income while maintaining the flexibility your schedule requires (gig, pa...Show moreLast updated: 6 days ago
    • Promoted
    Lead, Systems Engineer (Cost Engineer - TruePlanning))

    Lead, Systems Engineer (Cost Engineer - TruePlanning))

    L3Harris TechnologiesNEVADA, Texas, United States
    Full-time
    L3Harris is dedicated to recruiting and developing high-performing talent who are passionate about what they do.Our employees are unified in a shared dedication to our customers’ mission and quest ...Show moreLast updated: 30+ days ago
    • Promoted
    Flexible $ : Earn At Least $2015 For Your First 165 Trips, Guaranteed.

    Flexible $ : Earn At Least $2015 For Your First 165 Trips, Guaranteed.

    UberRosser, TX, US
    Full-time +1
    Earn at least $2015 driving with Uber when you complete your first 165 trips in 30 days.Driving is an easy way to boost your income while maintaining the flexibility your schedule requires (gig, pa...Show moreLast updated: 6 days ago
    • Promoted
    Fraud Analytics and Innovation Lead Analyst

    Fraud Analytics and Innovation Lead Analyst

    Bank of AmericaPlano, TX, United States
    Full-time
    Fraud Analytics and Innovation Lead Analyst.Charlotte, North Carolina;Plano, Texas; Richmond, Virginia; Sun City West, Arizona. Boston, Massachusetts; Chandler, Arizona; Tampa, Florida; Chicago, Il...Show moreLast updated: 3 days ago
    • Promoted
    Analytics Senior Lead

    Analytics Senior Lead

    PMGDallas, TX, US
    Full-time
    Best Places to Work for 10 years in a row and.Best Workplaces for Innovators since 2022, PMG is a global independent marketing services and technology company that seeks to inspire people and brand...Show moreLast updated: 30+ days ago
    • Promoted
    Senior Quality Performance Improvement Manager

    Senior Quality Performance Improvement Manager

    Parkland Health and Hospital SystemDallas, TX, US
    Full-time
    Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland ...Show moreLast updated: 30+ days ago
    • Promoted
    Senior Quality Program Data Analyst- Health Plan

    Senior Quality Program Data Analyst- Health Plan

    Parkland Health and Hospital SystemDallas, TX, US
    Full-time
    Are you looking for a career that offers both purpose and the opportunity for growth? Parkland Community Health Plan (PCHP) is a proud member of the Parkland Health family.PCHP is a Medicaid Manage...Show moreLast updated: 30+ days ago
    • Promoted
    Director, Analyst - Supply Chain Quality Leadership

    Director, Analyst - Supply Chain Quality Leadership

    GartnerIrving, TX, United States
    Full-time
    Gartner Analysts are industry thought leaders who create must-have research, market predictions and best practices for a broad range of world-leading organizations. A Director possesses a keen eye f...Show moreLast updated: 30+ days ago
    Senior Board Certified Behavior Analyst (BCBA)

    Senior Board Certified Behavior Analyst (BCBA)

    BrightPath BehaviorRockwall, TX, US
    Full-time
    Quick Apply
    Total Compensation Package from $85,000 to $112,000 annually.Earn up to $1,000 per month, up to.CEUs per year + Annual CEU Stipend + CASP Membership. You’ll support an average of 7 clients.Includes ...Show moreLast updated: 30+ days ago
    • Promoted
    Remote Investment Analyst – AI Trainer ($50-$60 / hour)

    Remote Investment Analyst – AI Trainer ($50-$60 / hour)

    Data AnnotationRockwall, Texas
    Remote
    Full-time +1
    We are looking for a finance professional to join our team to train AI models.You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of ...Show moreLast updated: 20 days ago
    • Promoted
    Quality Analytics Team Lead - Value Based Programs

    Quality Analytics Team Lead - Value Based Programs

    UT Southwestern Medical CenterDallas, TX, United States
    Full-time
    With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we st...Show moreLast updated: 8 days ago
    • Promoted
    Senior Analyst - Excelerate

    Senior Analyst - Excelerate

    Vizient, Inc.Irving, TX, United States
    Full-time
    When you're the best, we're the best.We instill an environment where employees feel engaged, satisfied and able to contribute their unique skills and talents. We provide extensive opportunities for ...Show moreLast updated: 7 days ago
    • New!
    SDET / QA Analyst

    SDET / QA Analyst

    ZapcomDallas, TX, us
    Full-time
    Quick Apply
    Design, develop, and maintain robust automated test frameworks and test suites for web, API, and mobile applications.Collaborate closely with development, product, and DevOps teams to ensure qualit...Show moreLast updated: 8 hours ago
    • Promoted
    Remote FinTech Product Analyst - AI Trainer ($50-$60 / hour)

    Remote FinTech Product Analyst - AI Trainer ($50-$60 / hour)

    Data AnnotationRockwall, Texas
    Remote
    Full-time +1
    We are looking for a finance professional to join our team to train AI models.You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of ...Show moreLast updated: 20 days ago
    • Promoted
    Earn At Least $2015 For Your First 165 Trips, Guaranteed.

    Earn At Least $2015 For Your First 165 Trips, Guaranteed.

    UberRosser, TX, US
    Full-time +1
    Earn at least $2015 driving with Uber when you complete your first 165 trips in 30 days.Driving is an easy way to boost your income while maintaining the flexibility your schedule requires (gig, pa...Show moreLast updated: 6 days ago