ATTENTION JOB SEEKERS AND MOLINA APPLICANTS: FRAUD ALERT
Be aware that third parties posing as Molina Healthcare may be soliciting money from job seekers and extending offers to candidates who have not interviewed. Molina does not engage in these type of practices. If you have received an offer and have not been engaging with Molina Healthcare in an interview process, reach out to erc@molinahealthcare.com to validate the legitimacy of your offer. Please note that Molina has reported this activity to the appropriate law enforcement agencies for further investigation. If you feel you’ve been victimized, please report it to local law enforcement.

Lead Analyst, Healthcare Analytics- Managed care analytics & financial contracts- CA
Molina Healthcare Racine, Wisconsin; Layton, Utah; Bowling Green, Kentucky; Columbus, Ohio; Austin, Texas; Bellevue, Washington; Nampa, Idaho; Augusta, Georgia; Yonkers, New York; Michigan; Houston, Texas; Las Cruces, New Mexico; Grand Rapids, Michigan; Tacoma, Washington; Iowa City, Iowa; Santa Fe, New Mexico; Fort Worth, Texas; Albany, New York; Atlanta, Georgia; Detroit, Michigan; Grand Island, Nebraska; Idaho Falls, Idaho; Nebraska; Green Bay, Wisconsin; Dallas, Texas; Akron, Ohio; Dayton, Ohio; Mesa, Arizona; Tampa, Florida; Lincoln, Nebraska; Iowa; Tucson, Arizona; Idaho; Kentucky; Madison, Wisconsin; Ann Arbor, Michigan; Buffalo, New York; Meridian, Idaho; Warren, Michigan; Cincinnati, Ohio; Phoenix, Arizona; Des Moines, Iowa; Orlando, Florida; Milwaukee, Wisconsin; Salt Lake City, Utah; Jacksonville, Florida; Louisville, Kentucky; Owensboro, Kentucky; West Valley City, Utah; Washington; Kearney, Nebraska; Scottsdale, Arizona; Spokane, Washington; New Mexico; Sterling Heights, Michigan; San Antonio, Texas; Orem, Utah; Columbus, Georgia; Caldwell, Idaho; Boise, Idaho; Sioux City, Iowa; Covington, Kentucky; Miami, Florida; Macon, Georgia; Wisconsin; Vancouver, Washington; Georgia; Omaha, Nebraska; Davenport, Iowa; Kenosha, Wisconsin; Rio Rancho, New Mexico; Cleveland, Ohio; Albuquerque, New Mexico; Syracuse, New York; Savannah, Georgia; Everett, Washington; Rochester, New York; Provo, Utah; Utah; Texas; St. Petersburg, Florida; Chandler, Arizona; Bellevue, Nebraska; Florida; Roswell, New Mexico; Cedar Rapids, Iowa; Ohio; New York; Lexington-Fayette, Kentucky Job ID 2032793JOB DESCRIPTION
****Candidates must be located in California and work PST hours.****
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
- Develops, implements, and uses software and systems to support the department's goals.
- Develops and generates ad-hoc and standard reports using SQL programming, excel , Databricks and other analytic / programming tools.
- Coordinates and oversees report generation by team members and distribution schedule to ensure timely delivery to customers, ensuring the highest quality on every project/request. Responsible for error resolution, follow up and performance metrics monitoring.
- Provides peer review of critical reports and guidance on programming / logic improvements; provides guidance to team members in their analysis of data sets and trends using statistical tools and techniques to determine significance and relevance.
- Applies process improvements for the team's methods of collecting and documenting report / programming requirements from requestors to ensure appropriate creation of reports and analyses while reducing rework.
- Manage the creation of comprehensive workflows for the production and distribution of assigned reports, document reporting processes and procedures.
- Create new databases and reporting tools for monitoring, tracking, and trending based on project specifications.
- Create comprehensive workflows for the production and distribution of assigned reports, document reporting processes and procedures.
- 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.
- Maintains SharePoint Sites as needed, including training materials and documentation archives.
- Demonstrate Healthcare experience in contract modeling, analyzing relevant Financial and Utilization Metrics of Healthcare.
- Must be able to act as a liaison between Finance and Network Contracting as well as other external teams.
- Must have experience in Financial modeling, identifying Utilization mgmt. trends and monitor pair mix.
- Experience with Medicaid contract analytics is highly preferred.
- Experience working on Managed care analytics and healthcare reimbursement models is required.
- Must be able to work in a cross functional team.
JOB QUALIFICATIONS
Required Education
Bachelor's Degree in Finance, Economics, Computer Science
Required Experience
- 6+ years of progressive responsibilities in Data, Finance or Systems Analysis
- Expert knowledge on SQL, PowerBI, Excel, Databricks or similar tools
Preferred Education
Bachelor's Degree in Finance, Economics, Math, Accounting or related fields
Preferred experience in Medical Economics and Strong Knowledge of Performance Indicators:
- Proactively identify and investigate complex suspect areas regarding contract rate and related medical costs
- Initiate in-depth analysis of the suspect/problem areas and suggest a corrective action plan
- Apply investigative skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, etc.
- Analysis of trends in medical costs to provide analytic support for finance, pricing, and actuarial functions
- Multiple data systems and models
- BI tools (Power BI)
Preferred License, Certification, Association
QNXT or similar healthcare payer applications
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: $77,969 - $171,058 / 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 09/09/2025Job Alerts
Sign up to receive automatic notices when jobs that match your interests are posted.
OPEN FORM