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Sr. Data Analyst - Payment Integrity (remote)

Job ID 2003224
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Job Description

Job Summary
Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments and with customers to define requirements and understand business problems.  Uses advanced mathematical, statistical, querying, and reporting methods to develop solutions. Develops information tools, algorithms, dashboards, and queries to monitor and improve business performance. Creates solutions from initial concept to fully tested production, and communicates results to a broad range of audiences. Effectively uses current and emerging technologies.

• With limited supervision, the Sr. Analyst, Data is responsible for data compilation, data management, data analysis, and reporting
• Extracts and compiles various sources of information and large data sets from various systems or applications
• Set up process for monitoring, tracking and trending information and data using various systems or applications
• Prepares well-organized, easily understood reports, analysis, and summary of findings for use by management
• Assists in preparation of regularly produced reports to support executive decision-making
• Researches and analyze report results identifying opportunities and trends
• Works with internal, external and enterprise individuals as needed to research, develop and document new standard reports or processes
• Consolidates data from multiple sources, using industry based tools or manually; able to process data effectively using Microsoft Excel
• Supports management and other team members as requested on all things data related


Job Qualifications

Required Education
Associate's Degree or equivalent combination of education and experience

Required Experience
3+ years of experience with Python, Microsoft Power BI.

3+ years of experience with SQL Server, SSIS, SSAS, SSRS.

Big Data experience with: Hadoop, Scala, HIVE, Cloudera and or BI in Cloud.

Preferred Education
Bachelor's Degree or equivalent combination of education and experience

Preferred Experience

  • Proactively identify and investigate complex suspect areas regarding medical cost issues.
  • Apply investigative skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive modeling, etc.
  • Analysis and forecasting of trends in medical costs to provide analytic support for finance, pricing and actuarial functions.
  • Multiple data systems and models.
  • BI tools – SSIS, SSRS, ProClarity, MEd Insight, etc. Advanced Analytics, R Programming and Machine learning experience a plus.

  • 5+ years of experience with Python, Microsoft Power BI,
  • 5+ years of experience with SQL Server, SSIS, SSAS, SSRS.
  • Big Data experience with: Hadoop, Scala, HIVE, Cloudera and or BI in Cloud.
  • Experience with Data Lake.
  • Managed Care experience.
  • Healthcare analytics experience.

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.


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