Back to Jobs

reputed company Analyst, reputed company Analytics & Performance Improvement

Remote, USAFull-timePosted 2026-07-28

Job reputed company

Job reputed company

The reputed company Analyst, reputed company Analytics and Performance Improvement role will support Molina's reputed company Analytics team. Designs and develops reporting solutions to assist HEDIS audit, reputed company tracking, and Identifying targeted Interventions and tracking outcome. Assist with research, development, and completion of special performance improvement reputed company. Provides technical, functional, and business training to other team members to reputed company them to reputed company the tasks required.

ESSENTIAL JOB DUTIES:

  • Work cross functionally with various departments to capture and document requirements, build reporting solutions, and reputed company users on how to use reports.
  • Assist reputed company Data Analytics Leaders in Predictive reputed company reputed company Analytics along with corresponding tracking of reputed company and reputed company of such interventions.
  • Design and reputed company retrospective HEDIS reputed company tracking and supplemental data reputed company reporting.
  • reputed company Medical Record Review project reporting to reputed company reputed company and team productivity reporting.
  • reputed company Design and Development of reputed company as reputed company as automated analytical as reputed company as Reporting modules reputed company to reputed company/HEDIS for reputed company, Marketplace and Medicare/MMP.
  • Analysis and reporting reputed company to Managed care data like Medical Claims, Pharmacy, Lab and HEDIS rates.
  • Assist reputed company department with HEDIS measure deep dive to support HEDIS audit and reputed company at risk reporting.
  • Calculate and reputed company HEDIS rates for reputed company reputed company reputed company and for overall markets and reputed company.
  • Work in an agile business environment to derive meaningful information out of reputed company as reputed company as large organizational data sets through data analysis, data mining, verification, scrubbing, and reputed company 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 reputed company trends in cost, utilization, and performance.
  • reputed company as a subject matter expert in HEDIS reporting and reputed company trainings as required. Stay reputed company with NCQA standards and reputed company team as reputed company as health plan analysts as needed.
  • reputed company initiatives with research, development and completion of special reputed company as requested by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations.
  • reputed company, Facilitate and Manage changes in the Data warehouse platform and reputed company transparent upgrades to analytic reporting modules to ensure no reputed company to the end users.
  • Conduct preliminary and post reputed company analyses for any logic and reputed company reputed company changes for data analytics and reporting module keeping other variables as constant that are not of reputed company.
  • reputed company training modules to help analysts understand processes, solutions or designs to meet the customer request for new/existing staff.
  • reputed company technical, functional, and business trainings to reputed company 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.

Job Qualifications

REQUIRED EDUCATION:

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

REQUIRED EXPERIENCE:

  • 6+ Years of experience in working with data mapping, scrubbing, scrapping and cleaning of data.
  • 6+ Years of experience in Managed Care Organization executing similar techno functional role that involves writing reputed company SQL Queries, Functions, Procedures and Data design
  • 6+ 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.
  • 4+ Years of experience with predictive modeling in reputed company reputed company data.
  • 4+ 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 reputed company, Marketplace and Medicare/MMP.
  • 4+ Years of experience in working with increasingly reputed company data problems in quantifying, measuring, and analyzing financial/performance management and utilization metrics.
  • 4+ Years of experience in Statistical Analysis and forecasting of trends in HEDIS rates to reputed company analytic support for reputed company, finance, and health plan functions

PHYSICAL DEMANDS:

Working environment is generally favorable and reputed company 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.

Originally posted on Himalayas

Apply To This Job

Similar Jobs

Director, Health Plan Provider reputed company (reputed company / Michigan Health Plan) - Rem

Remote, USAFull-time

Senior Site Reliability Engineer, AI Research

Remote, USAFull-time

Construction Sales Project Manager - Waterworks

Remote, USAFull-time

Plant Takeoff Specialist

Remote, USAFull-time

Organizational Development Head

Remote, USAFull-time

Technical Sales Specialist, Proteomics Workflow and Beads

Remote, USAFull-time

Senior Program Manager

Remote, USAFull-time

reputed company End Software Engineer (Intermediate)

Remote, USAFull-time

Senior Director, Pricing & Packaging

Remote, USAFull-time

Remote Patient Care Specialist (Chinese)

Remote, USAFull-time

reputed company Customer Service Supervisor – Store Operations and Leadership

Remote, USAFull-time

reputed company Data Entry Clerk / Customer Service reputed company – Remote Opportunity with arenaflex

Remote, USAFull-time

Medical Science reputed company, IgG4 - Rare Disease - reputed company (WA, OR, MT, ID, AK)

Remote, USAFull-time

reputed company Remote Customer Service Representative - Chat Support Specialist for Dynamic Company - Earn Competitive reputed company reputed company with Opportunities for reputed company

Remote, USAFull-time

AVP, Financial Reporting Actuary Manager

Remote, USAFull-time

Territory Manager - Toronto Central, ON

Remote, USAFull-time

Occupancy Planning and Workplace reputed company Manager

Remote, USAFull-time

Part-Time Remote Customer Service Representative – Claims Intake & Support Specialist for arenaflex

Remote, USAFull-time

CIO Office Operations Coordinator

Remote, USAFull-time

reputed company: Want English Teachers - Earn reputed company Online in Reading

Remote, USAFull-time