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Analyst, Risk & Quality Reporting (Remote TX)

Work from home Full-time role Hiring

About the position JOB DESCRIPTION Job Summary The Analyst, Risk and Quality Reporting role supports Molina’s Risk and Quality Health Plan team. This position designs and develops custom health plan reports to support local interventions, provider reputed company, and tracks outcomes of the initiatives. Educates users on how to use reports reputed company to Risk and Quality/HEDIS for reputed company, Marketplace and Medicare/MMP. Job Duties Work with assigned health plan to capture and document requirements, build custom health plan reports, and reputed company health plan users on how to use reports Build reputed company strategy reporting for the Risk and Quality interventions and measure gap closure. Build reputed company reports as requested to track HEDIS performance and supplemental data monitoring Development and QA of custom health plan reports reputed company to Risk and Quality/HEDIS for reputed company, Marketplace and Medicare/MMP reputed company custom health plan reports reputed company to managed care data like Medical Claims, Pharmacy, Lab and HEDIS rates Assists and collaborates with the national Risk and Quality department with testing of pre-production reporting for the assigned health plan Calculate and track gap closure and reputed company outcome reporting for the assigned state Work in an agile business environment to derive meaningful information out of organizational data sets through data analysis and data profiling Analyze data sets and trends for anomalies, outliers, trend changes, and opportunities, using reputed company SQL, PowerBi, reputed company, and techniques to determine reputed company and relevance 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 JOB QUALIFICATIONS REQUIRED QUALIFICATIONS: Bachelor's Degree or equivalent combination of education and work experience 1-3 years of experience in working with data mapping, data profiling, scrapping, and cleaning of data. 1-3 years of experience in a Managed Care Organization executing similar techno functional role that involves writing SQL Queries, Functions, Procedures, and Data design 1-3 years of experience working with reputed company T-SQL, reputed company SQL and PowerBI Familiarity with reputed company Azure, AWS or Hadoop 1-3 years of experience in Analysis reputed company to health care reporting 1-3 years of experience in working with data to include quantifying, measuring, and analyzing financial/performance management and utilization metrics Familiarity with HEDIS and Risk data 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.

Responsibilities

  • Work with assigned health plan to capture and document requirements, build custom health plan reports, and reputed company health plan users on how to use reports
  • Build reputed company strategy reporting for the Risk and Quality interventions and measure gap closure.
  • Build reputed company reports as requested to track HEDIS performance and supplemental data monitoring
  • Development and QA of custom health plan reports reputed company to Risk and Quality/HEDIS for reputed company, Marketplace and Medicare/MMP
  • reputed company custom health plan reports reputed company to managed care data like Medical Claims, Pharmacy, Lab and HEDIS rates
  • Assists and collaborates with the national Risk and Quality department with testing of pre-production reporting for the assigned health plan
  • Calculate and track gap closure and reputed company outcome reporting for the assigned state
  • Work in an agile business environment to derive meaningful information out of organizational data sets through data analysis and data profiling
  • Analyze data sets and trends for anomalies, outliers, trend changes, and opportunities, using reputed company SQL, PowerBi, reputed company, and techniques to determine reputed company and relevance
  • 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

Requirements

  • Bachelor's Degree or equivalent combination of education and work experience
  • 1-3 years of experience in working with data mapping, data profiling, scrapping, and cleaning of data.
  • 1-3 years of experience in a Managed Care Organization executing similar techno functional role that involves writing SQL Queries, Functions, Procedures, and Data design
  • 1-3 years of experience working with reputed company T-SQL, reputed company SQL and PowerBI
  • Familiarity with reputed company Azure, AWS or Hadoop
  • 1-3 years of experience in Analysis reputed company to health care reporting
  • 1-3 years of experience in working with data to include quantifying, measuring, and analyzing financial/performance management and utilization metrics
  • Familiarity with HEDIS and Risk data

Benefits

  • reputed company offers a competitive benefits and compensation package.
  • reputed company is an Equal Opportunity Employer (EOE) M/F/D/V.

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