Molina Healthcare · 7 hours ago
Analyst, Risk & Quality Reporting (Remote TX)
United States
Full-time
Remote
Entry Level
1+ years expMolina Healthcare is a provider of health services, and they are seeking an Analyst for Risk and Quality Reporting. The role involves designing and developing custom health plan reports to support interventions and tracking outcomes, while also educating users on report utilization for various health plans.
Health CareHospitalMedical
Responsibilities
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 intervention 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 databricks SQL, PowerBi, excel, and techniques to determine significance 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
Qualification
Required
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 Microsoft T-SQL, Databricks SQL and PowerBI
Familiarity with Microsoft Azure, AWS or Hadoop
1-3 years of experience in Analysis related 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
Competitive benefits and compensation package
Company
Molina Healthcare
Molina Healthcare is a healthcare company that specializes in government-sponsored healthcare programs for families and individuals.
10001+ employees
H1B Sponsorship
Molina Healthcare has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (47)
2024 (45)
2023 (43)
2022 (31)
2021 (35)
2020 (55)
Funding
Current Stage
Public CompanyTotal Funding
$2.35B2025-11-17Post Ipo Debt· $850M
2024-11-13Post Ipo Debt· $750M
2021-11-16Post Ipo Debt· $750M
Leadership Team
Dave Reynolds
Executive Vice President, Health Plans & Medicaid Chief Operating Officer
Debbie Simkins
Vice President, Office of the CIO
Recent News
2025-12-30
The Motley Fool
2025-12-30
Company data provided by crunchbase