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Senior Analyst, Healthcare Analytics - Risk Adjustment (REMOTE)
Molina Healthcare Texas; Idaho; Covington, Kentucky; Omaha, Nebraska; Ann Arbor, Michigan; Ohio; Iowa; Meridian, Idaho; Warren, Michigan; Tampa, Florida; Kearney, Nebraska; Atlanta, Georgia; Provo, Utah; Spokane, Washington; Albany, New York; Lincoln, Nebraska; Utah; Nampa, Idaho; Iowa City, Iowa; Kentucky; Salt Lake City, Utah; Roswell, New Mexico; Orlando, Florida; Macon, Georgia; Scottsdale, Arizona; Cleveland, Ohio; Nebraska; Tacoma, Washington; Davenport, Iowa; Georgia; Syracuse, New York; Kenosha, Wisconsin; Des Moines, Iowa; Idaho Falls, Idaho; Bellevue, Nebraska; Owensboro, Kentucky; Boise, Idaho; Bowling Green, Kentucky; San Antonio, Texas; New York; Sioux City, Iowa; Racine, Wisconsin; Las Cruces, New Mexico; Cincinnati, Ohio; Rio Rancho, New Mexico; Yonkers, New York; Vancouver, Washington; Caldwell, Idaho; Dayton, Ohio; Layton, Utah; Albuquerque, New Mexico; Wisconsin; Green Bay, Wisconsin; Madison, Wisconsin; Columbus, Ohio; Tucson, Arizona; Cedar Rapids, Iowa; Grand Island, Nebraska; West Valley City, Utah; Savannah, Georgia; Florida; Sterling Heights, Michigan; Houston, Texas; Akron, Ohio; Washington; New Mexico; Buffalo, New York; Lexington-Fayette, Kentucky; Fort Worth, Texas; Columbus, Georgia; Rochester, New York; Miami, Florida; Detroit, Michigan; Milwaukee, Wisconsin; Phoenix, Arizona; Orem, Utah; Santa Fe, New Mexico; Michigan; St. Petersburg, Florida; Grand Rapids, Michigan; Dallas, Texas; Chandler, Arizona; Mesa, Arizona; Louisville, Kentucky; Augusta, Georgia; Everett, Washington; Austin, Texas; Bellevue, Washington; Jacksonville, Florida Job ID 2033023JOB DESCRIPTION
Job Summary
This Sr. Analyst, Healthcare Analytics role will support Molina's Risk Adjustment Analytics team. The job responsibilities include developing risk score reporting with Databricks and Power BI, organizing and managing large and varied data sets, analyzing healthcare data for decision support, and communicating findings. Qualified candidates are the diligent problem solvers who have Databricks experience with advanced skills in data analysis. Performs research and deep-dive analysis of complex healthcare claims data, CMS return files, and financial cost, revenue, and vendor data. Collaborates with actuarial and operational staff to analyze, understand, modify, and communicate models and results. Makes recommendations to management based on relevant findings. Utilizes Power BI to display relevant reporting within a refresh cycle.
KNOWLEDGE/SKILLS/ABILITIES
- Compile and organize health care data using Databricks and Spark SQL programming, Notebooks, Workflows, Repositories, and other analytic / programming processes as needed.
- Collect programming specifications from requestors to develop Notebooks, Workflows, and Power BI reporting using multiple data sources, crosswalks, and built-in validation checks.
- Use peer-to-peer review process and end-user consultation to reduce errors and rework.
- Assist with root cause analysis to maintain high integrity data and processes to minimize discrepancies and gaps.
- Must have a strong attention to detail and knowledge of data structure and programming.
- Understanding data storage and data sharing methods.
- Converting data into usable information that is easy to understand.
- Research and develop reports and analysis for senior management and effectively communicate results.
JOB QUALIFICATIONS
Required Education
Bachelor's Degree in Finance, Economics, Computer Science
Required Experience
- 5-7 years increasingly complex database and data management responsibilities
- 5-7 years of increasingly complex experience in quantifying, measuring, and analyzing financial/performance management metrics
- Demonstrate Healthcare experience in Quantifying, Measuring and Analyzing Financial and Utilization Metrics of Healthcare
- Advanced knowledge of Databricks
- Bachelor's Degree in Finance, Economics, Math, or Computer Science
Preferred Experience
Preferred experience in Medical Economics and Strong Knowledge of Performance Indicators:
- Experience developing queries within project management tools like Azure DevOps.
- Risk Adjustment experience and some familiarity with Power BI level report building, leveraging PBI to develop business insights.
- 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 to provide analytic support for finance, pricing and actuarial functions.
- Healthcare Analyst I experience desired.
- PowerBI, Excel, Power Pivot, VBA, Macros, Copilot
- Python, PySpark, R, SAS, or other programming language(s)
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 - $155,508 / 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 08/12/2025Job Alerts
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