Risk & Quality Reporting Analyst (Must have SQL, PowerBi, Databricks, Managed Care) - REMOTE
Molina Healthcare · US
JOB DESCRIPTION Job Summary The Analyst, Risk and Quality Reporting role supports Molina’s Risk and Quality Health Plan team. This position designs and devel...
Job description
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 outreach, and tracks outcomes of the initiatives. Educates users on how to use reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. Job Duties: - Work with assigned health plan to capture and document requirements, build custom health plan reports, and educate health plan users on how to use reports - Build intervention strategy reporting for the Risk and Quality interventions and measure gap closure. - Build ad hoc reports as requested to track HEDIS performance and supplemental data monitoring - Development and QA of custom health plan reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP - Develop custom health plan reports related 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 intervent...