Lead Analyst, Healthcare Analytics
Molina Healthcare Scottsdale, Arizona; St. Petersburg, Florida; Everett, Washington; Iowa City, Iowa; Cincinnati, Ohio; Cedar Rapids, Iowa; Bowling Green, Kentucky; Phoenix, Arizona; Grand Rapids, Michigan; Chandler, Arizona; Spokane, Washington; Austin, Texas; Dayton, Ohio; Akron, Ohio; Rio Rancho, New Mexico; Fort Worth, Texas; Boise, Idaho; Sioux City, Iowa; Nampa, Idaho; Layton, Utah; Washington; Grand Island, Nebraska; Warren, Michigan; Florida; Des Moines, Iowa; New Mexico; Georgia; Columbus, Georgia; Kearney, Nebraska; Iowa; Idaho; Texas; Augusta, Georgia; Madison, Wisconsin; Idaho Falls, Idaho; Vancouver, Washington; Houston, Texas; Nebraska; Green Bay, Wisconsin; Caldwell, Idaho; Omaha, Nebraska; West Valley City, Utah; Covington, Kentucky; Michigan; Utah; Yonkers, New York; Orem, Utah; Albuquerque, New Mexico; Las Cruces, New Mexico; Buffalo, New York; Tampa, Florida; Macon, Georgia; Orlando, Florida; Albany, New York; Lincoln, Nebraska; Tucson, Arizona; Miami, Florida; Detroit, Michigan; San Antonio, Texas; Syracuse, New York; Lexington-Fayette, Kentucky; Provo, Utah; Bellevue, Washington; Bellevue, Nebraska; Owensboro, Kentucky; Savannah, Georgia; New York; Columbus, Ohio; Dallas, Texas; Meridian, Idaho; Kenosha, Wisconsin; Ann Arbor, Michigan; Racine, Wisconsin; Tacoma, Washington; Kentucky; Santa Fe, New Mexico; Sterling Heights, Michigan; Milwaukee, Wisconsin; Davenport, Iowa; Mesa, Arizona; Louisville, Kentucky; Jacksonville, Florida; Wisconsin; Roswell, New Mexico; Ohio; Rochester, New York; Atlanta, Georgia; Cleveland, Ohio; Salt Lake City, Utah Job ID 2031613JOB DESCRIPTION
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
- Uses existing software and systems to support the department's goals.
- Develops and generates ad-hoc and standard reports using SQL programming, SQL Server Reporting Services (SSRS), Power BI Visualizations, Executive Dashboard, 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.
- May participate in and guide the design of large scale predictive and statistical models to predict future trends in cost, utilization, and performance. Guide team members on appropriate writing skills for executive summaries tailored to the audience.
- 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 Quantifying, Measuring and Analyzing Financial and Utilization Metrics of Healthcare.
JOB QUALIFICATIONS
Required Education
Bachelor's Degree in Finance, Economics, Computer Science or related field
Required Experience
- 6+ years of progressive responsibilities in Data, Finance or Systems Analysis  Â
- Expert knowledge on SQL, SSRS, SSIS, and Power BI or similar tools                                                                                                           Â
Preferred Experience
Preferred experience in Medical Economics and Strong Knowledge of Performance Indicators:
- Proactively identify and investigate complex suspect areas regarding medical cost issues
- 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, 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 (ProClarity, Med Insight, etc.,)Â Â Â Â Â Â Â Â
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: 04/29/2025ABOUT OUR LOCATION
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