Specialist, HEDIS/ Quality Reporting - Remote in Sacramento, CA
Company: Molina Healthcare
Location: Long Beach
Posted on: January 10, 2021
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Job Description:
Job Summary Molina's Quality Improvement function oversees,
plans, and implements new and existing healthcare quality
improvement initiatives and education programs; ensures maintenance
of programs for members in accordance with prescribed quality
standards; conducts data collection, reporting and monitoring for
key performance measurement activities; and provides direction and
implementation of NCQA accreditation surveys and federal/state QI
compliance activities. Knowledge/Skills/Abilities In collaboration
with Quality Improvement (QI) management, the Senior Analyst,
HEDIS/Quality Reporting develops and provides reports and
cost-benefit analysis tools to meet QI requirements and uses
automated software tools and processes to help streamline
activities and improve data/analytics for the quality team. * Acts
as a lead analyst to provide project-, program-, and / or
initiative-related direction and guidance for other analystswithin
the department and/or collaboratively with other departments. *
Develops, codes, runs, and/or prepares formatted reports to support
critical Quality Improvement functions (e.g.,reporting for key
performance measurement activities, including HEDIS, state-based
measure reporting and medical record review). * Collaborates and /
or assists in performing quality assurance checks on reports prior
to completion* Works with Director and / or Manager to establish
and / or document quality assurance process checks to be utilized
byall staff to ensure the integrity, completeness and validity of
external and internal reports * Understands how to prioritize
reports according to business need, regulatory requirements,
urgency and / or other keybusiness factors * Collaborates with
department leads and other partnering departments to understand and
/ or document businessrequirements and / or implement required
reporting. * Writes and / or produces accurate reports and conducts
analyses according to set timelines and project plans.*
Collaborates with other department staff to convert HEDIS data
sources for use in HEDIS reporting as needed.* Coordinates data and
analyses from MHI and / or Health Plans as needed.* Assists with
generation of State-specific performance measurement requirements.*
Assists program managers with research regarding performance
measurement outliers when asked.* Uses industry standard techniques
determined by the department to reduce report writing errors.*
Modifies reports in response to error identification and / or
approved change requests; understand the balance
betweenresponsiveness to business requests for enhancements versus
department needs to complete work efficiently and timely Job
Qualifications Required Education Bachelor's Degree or equivalent
combination of education and work experience. Required Experience *
3 years of experience in healthcare, or equivalent experience in a
non-financial regulated industry.* 1 year experience in managed
healthcare, or equivalent* Technical experience in reporting and/or
programming.* Proficiency with Excel and Visio (flow chart
equivalent) and demonstrated ability to learn new information
systems andsoftware programs. * Proficiency with data manipulation
and interpretation.* Knowledge of basic statistics.Required
License, Certification, Association N/A Preferred Education
Master's Degree or higher in a clinical field, IT, Public Health or
Healthcare. Preferred Experience * HEDIS reporting or collection
experience.* CAHPS improvement experience.* 1+ years in managed
healthcare non-financial reporting.* 1+ years health care
information systems experience or in a role as an IS
liaison/contact for QI projects.* State QI experience.* Supervisory
experience.* Project management and team building experience.*
Experience developing performance measures that support business
objectives.* Experience using multiple programming languages,
including but not limited to, SQL / SSRS.Preferred License,
Certification, Association Microsoft Certification(s) 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.
Keywords: Molina Healthcare, Long Beach , Specialist, HEDIS/ Quality Reporting - Remote in Sacramento, CA, Advertising , Long Beach, California
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