![Molina Healthcare](https://media.trabajo.org/img/noimg.jpg)
Analyst, Healthcare Analytics
3 weeks ago
JOB 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
- Develop ad-hoc reports using SQL programming, Power BI, Executive Dashboard, and other analytic / programming tools as needed.
- Generate and distribute standard reports on schedule using SQL, Excel, and other reporting software.
- Collects and documents report / programming requirements from requestors to ensure appropriate creation of reports and analyses. Uses peer-to-peer review process and end-user consultation to reduce report writing errors and rework.
- Identify and complete report enhancements/fixes; modify reports in response to approved change requests; retain old and new report design for audit trail purposes.
- Analyze data sets and trends for anomalies, outliers, trend changes, and opportunities.
- Create comprehensive workflows for the production and distribution of assigned reports, document reporting processes and procedures.
- Assist with completion of special projects as requested by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations.
- Demonstrate Healthcare experience in Quantifying, Measuring and Analyzing Financial and Utilization Metrics of Healthcare.
JOB QUALIFICATIONS
Required Education
Bachelor's Degree in Finance, Economics, Math, Computer Science; or equivalent experience Required Experience
- 2-4 years increasingly complex database and data management responsibilities
- Hands on working experience of SQL
- Must have working experience on Advanced Excel.
- 2-4 years of increasingly complex experience in quantifying, measuring, and analyzing financial/performance management metrics
- Must have experience in Healthcare environment specifically Claims
Preferred Education
Bachelor's Degree in Finance, Economics, Math, or Computer Science
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
- Excel, Visio, Access
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.
-
Sr Analyst, Healthcare Analytics
2 months ago
Long Beach, California, United States Molina Healthcare Full timeJob DescriptionJOB DESCRIPTIONJob SummaryPerforms 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...
-
Sr Analyst, Healthcare Analytics
3 weeks ago
Long Beach, California, United States Molina Healthcare Full timeJob DescriptionJOB DESCRIPTIONJob SummaryJob SummaryPerforms 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...
-
Sr Analyst, Healthcare Analytics
4 weeks ago
Long Beach, United States Molina Healthcare Full timeJob DescriptionJOB DESCRIPTIONJob SummaryJob SummaryPerforms 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...
-
Sr Analyst, Healthcare Analytics
4 weeks ago
Long Beach, California, United States Molina Healthcare Full timeJob DescriptionJOB DESCRIPTIONJob SummaryJob SummaryPerforms 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...
-
Sr Analyst, Healthcare Analytics
5 days ago
Long Beach, United States Molina Healthcare Full timeJob DescriptionJOB DESCRIPTIONJob 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....
-
Sr Analyst, Healthcare Analytics
6 days ago
Long Beach, United States Molina Healthcare Full timeJob DescriptionJOB DESCRIPTIONJob SummaryPerforms 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...
-
Analyst, Healthcare Analytics
3 weeks ago
Long Beach, California, United States Molina Healthcare Full timeJob DescriptionJOB DESCRIPTIONJob SummaryPerforms 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...
-
Analyst, Healthcare Analytics
1 month ago
Long Beach, California, United States Molina Healthcare Full timeJob DescriptionJOB DESCRIPTIONJob SummaryPerforms 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...
-
Analyst, Healthcare Analytics
5 days ago
Long Beach, United States Molina Healthcare Full timeJob Summary 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. This team supports regulatory,...
-
Analyst, Healthcare Analytics
2 weeks ago
Long Beach, United States Molina Healthcare Full timeJob 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 Develop ad-hoc reports...
-
Mgr, Healthcare Analytics- Healthcare
1 week ago
Long Beach, United States Molina Healthcare Full timeJob Summary Manages the activities of the Data Analytics and Operations team. 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 reports and makes recommendations based on relevant findings. Uses advanced mathematical,...
-
Mgr, Healthcare Analytics
2 days ago
Long Beach, United States Molina Healthcare Full timeJob Summary Collects, validates, analyzes, and organizes data into meaningful reports for management decision making as well as designing, developing, testing, and deploying reports to provider networks and other end users for operational and strategic analysis. KNOWLEDGE/SKILLS/ABILITIES Manages and provides direct oversight of Healthcare Analytics Team...
-
Sr Analyst, Healthcare Analytics
2 months ago
Long Beach, United States Molina Healthcare Full timeJob DescriptionJOB DESCRIPTIONJob SummaryPerforms 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...
-
Analyst, Network Strategy, Pricing
2 months ago
Long Beach, United States Molina Healthcare Full timeJob Summary Analyst, Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and analysis to ensure access to quality healthcare services for people receiving government assistance. Strengthens access to quality care with improved outcomes through better coordination and preventive care and develop...
-
Long Beach, United States Molina Healthcare Full timeJob Description JOB DESCRIPTION Job Summary Manages the activities of the Data Analytics and Operations team. 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 reports and makes recommendations based on relevant...
-
Dir, Healthcare Analytics
2 months ago
Long Beach, United States Molina Healthcare Full timeJob DescriptionJob 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....
-
Dir, Healthcare Analytics
3 weeks ago
Long Beach, United States Molina Healthcare Full timeJob DescriptionJob 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....
-
Analyst, Network Strategy, Pricing
2 months ago
Long Beach, United States Molina Healthcare Full timeJob DescriptionJOB DESCRIPTIONJob SummaryAnalyst, Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and analysis to ensure access to quality healthcare services for people receiving government assistance. Strengthens access to quality care with improved outcomes through better coordination and...
-
Cap Analyst
1 week ago
Long Beach, United States Molina Healthcare Full time**JOB SUMMARY (Purpose of the Job & high-level summary)**: Molina Healthcare's Compliance team supports compliance operations for all Molina product lines enterprise-wide. It is a centralized corporate function supporting compliance activities at individual state health plans. Reporting to the Compliance Manager of CAP Oversight, the CAP Analyst is...
-
Healthcare Data Analyst
1 month ago
Virginia Beach, United States Sentara Healthcare Full timeCity/State Virginia Beach, VA Overview Work Shift First (Days) (United States of America) Sentara Health is seeking a passionate Data professional to join our team as Healthcare Data Analyst! This position is 100% remote but candidates must have a current residence in one of the follow states or being willing to relocate: AL ,DE, FL, GA, ID, IN, KS,...