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Director, Healthcare Analytics (CA Health Plan) - REMOTE
Molina HealthcareAZ, United States; Arizona; West Valley City, Utah; Nampa, Idaho; Ann Arbor, Michigan; Idaho Falls, Idaho; Spokane, Washington; Tucson, Arizona; Bellevue, Washington; Louisville, Kentucky; Columbus, Ohio; Utah; New Mexico; Grand Rapids, Michigan; Mesa, Arizona; Orem, Utah; Dayton, Ohio; Green Bay, Wisconsin; Yonkers, New York; Macon, Georgia; Boise, Idaho; Kentucky; Buffalo, New York; Bowling Green, Kentucky; Savannah, Georgia; Tacoma, Washington; Omaha, Nebraska; Davenport, Iowa; Racine, Wisconsin; Bellevue, Nebraska; Caldwell, Idaho; Idaho; Washington; Las Cruces, New Mexico; Salt Lake City, Utah; Chandler, Arizona; Covington, Kentucky; St. Petersburg, Florida; Detroit, Michigan; Scottsdale, Arizona; Albany, New York; Iowa; Michigan; Florida; Lexington-Fayette, Kentucky; Meridian, Idaho; Syracuse, New York; Madison, Wisconsin; Akron, Ohio; Lincoln, Nebraska; Miami, Florida; Milwaukee, Wisconsin; Roswell, New Mexico; Rio Rancho, New Mexico; Des Moines, Iowa; Ohio; Phoenix, Arizona; Dallas, Texas; Kenosha, Wisconsin; Santa Fe, New Mexico; Albuquerque, New Mexico; Jacksonville, Florida; Kearney, Nebraska; Grand Island, Nebraska; Provo, Utah; Houston, Texas; Austin, Texas; San Antonio, Texas; Tampa, Florida; Cleveland, Ohio; Layton, Utah; Cedar Rapids, Iowa; Vancouver, Washington; Fort Worth, Texas; Texas; New York; Nebraska; Sterling Heights, Michigan; Sioux City, Iowa; Augusta, Georgia; Rochester, New York; Atlanta, Georgia; Orlando, Florida; Everett, Washington; Owensboro, Kentucky; Columbus, Georgia; Wisconsin; Georgia; Warren, Michigan; Cincinnati, Ohio; Iowa City, Iowa Job ID 2035804
Job Summary
Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings.
Knowledge/Skills/Abilities
Directs Health Plan strategic analysis and planning coordinating across business units to meet data analysis and database development needs. Includes Utilization Management data needs, facilitating care coordination.
• Mentors, coaches, and provides guidance regarding finance and analysis.
• Identifies and sets departmental priorities in alignment with the operating plan, budget, and regulatory requirements.
• Implements strategies to ensure service level benchmarks for report turn-around are met. Reporting includes Healthcare Analysis, Quality Analysis, Risk Adjustment, Finance and other departments. Demonstrates best practices and collaboration on projects.
• Reviews high priority analyses, reports, SQL programming and other Finance projects for accuracy, completeness, return on investment, and compliance with regulatory requirements.
• Functions as subject matter expert on finance and healthcare analytics topics. Able to teach financial/technical information.
• Reviews regulatory contract requirements and reporting requirements applicable to the Finance Department. Implements strategies and infrastructure to ensure compliance with regulatory requirements..
Job Qualifications
Required Education
• Bachelor's Degree in Finance, Economics, Math, Computer Science, Information Systems or related field
Required Experience
• 5 years experience leading healthcare analytics function
• 12 years work experience preferable in claims processing environment and/or healthcare environment
• Strong knowledge of SQL 2005/2008 SSRS report development
• Familiar with relational database concepts, and SDLC concepts
Preferred Education
• Masters' Degree in Finance, Economics, Math, Computer Science, Information Systems or related field.
Preferred Experience
5 – 7 years supervisory 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.
Pay Range: $107,028 - $208,805 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Job Type Full Time Posting Date 02/05/2026Job Alerts
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