Mgr, Healthcare Analytics- Healthcare

2 weeks ago


Long Beach, United States Molina Healthcare Full time

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 findings. Uses advanced mathematical, statistical, querying, and reporting methods to develop solutions. Develops information tools, algorithms, dashboards, and queries to monitor and improve business performance. Uses Azure Databricks, Power BI, SSAS, SSIS/Azure Data Factory and SQL Server. Manages operations, QA and Provider domain to support critical enterprise assets and grow Provider analytics capabilities. Healthcare background highly preferred.

Knowledge/Skills/Abilities
- Ensure timely creation of Executive and Health plan management reports
- Ensure data integrity
- Interact with various departments including, but not limited to, IT; Finance; Claims, Call Centers; and UM.
- Manages team of Analysts and contractors
- Acts as a liaison to all other internal and external customers on behalf of Molina and data management areas
- Provides day-to-day technical management and mentoring as required of the department staff.

Job Qualifications

**REQUIRED EDUCATION**:
Bachelor’s Degree in Math, Finance, Economics, Computer Science or equivalent combination of education and experience

**REQUIRED EXPERIENCE**:
8+ years related experience

2+ years in supervisory and/or management experience in Managed Care or Medicare related field

3+ years in SQL, programming skills, relational database and financial analysis skills

Strong communication and team/interpersonal skills

Strong leadership capabilities and ability to initiate and maintain cross-team relationships

Knowledge of applicable state, federal and third party regulations

Excellent organizational and verbal and written communication skills

Ability to establish and maintain positive and effective work relationships with coworkers, clients, and members

**PREFERRED EDUCATION**:
Graduate Degree or equivalent combination of education and experience

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

**Pay Range**: $79,607.91 - $172,483.8 / ANNUAL
- Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.



  • Long Beach, California, United States Molina Healthcare Full time

    Job 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...


  • Long Beach, United States Molina Healthcare Full time

    Job 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...


  • Long Beach, United States Molina Healthcare Full time

    Job 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...


  • Long Beach, California, United States Molina Healthcare Full time

    Job 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...


  • Long Beach, United States Molina Healthcare Full time

    Job 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...


  • Long Beach, California, United States Molina Healthcare Full time

    Job 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...


  • Long Beach, United States Molina Healthcare Full time

    Job 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....


  • Long Beach, United States Molina Healthcare Full time

    Job Description Job Summary Manager, Risk Adjustment - Predictive Analytics is responsible for leading, organizing and directing Molina's Risk Adjustment Predictive Analytics team. Provides oversight and support in the design and development of Suspect, Targeting, and Tracking System to support Molina’s Prospective and Retrospective...


  • Long Beach, United States Molina Healthcare Full time

    Job 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...


  • Long Beach, United States Molina Healthcare Full time

    **Employee for this role will work standard EST business hours** KNOWLEDGE/SKILLS/ABILITIES Extracts and compiles various sources of information and large data sets from various systems to identify and analyze outliers. Sets up process for monitoring, tracking, and trending department data. Prepares any state mandated reports and analysis. Works with...


  • Long Beach, United States Molina Healthcare Full time

    Job DescriptionJOB DESCRIPTION****Employee for this role will work standard EST business hours******Job Summary Designs and implements processes and solutions associated with a wide variety of healthcare data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and...


  • Long Beach, United States Molina Healthcare Full time

    Job DescriptionJOB DESCRIPTION****Employee for this role will work standard EST business hours****** Job Summary Designs and implements processes and solutions associated with a wide variety of healthcare data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and...

  • Engineer, Big Data

    2 weeks ago


    Long Beach, United States Molina Healthcare Full time

    Job DescriptionJob Description Job Summary Responsible for collecting, storing, processing, and analyzing large sets of data. The primary focus will be on choosing optimal solutions to use for these purposes, then maintaining, implementing, and monitoring them. He/she will also be responsible to follow architecture and best practices used across the...


  • Virginia Beach, United States Sentara Healthcare Full time

    City/StateVirginia Beach, VAOverviewWork ShiftFirst (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, LA, ME, MD,...


  • Virginia Beach, United States Sentara Healthcare Full time

    City/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,...


  • Long Beach, United States Molina Healthcare Full time

    Must be proficient in UMK2, QNXT and Pega platforms Must be able to manage multiple health plans and lines of business, and hold familiarity with all state regulatory requirements that Molina is present in Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and...


  • Virginia Beach, United States Sentara Healthcare Full time

    City/State Virginia Beach, VA Overview Work Shift First (Days) (United States of America) Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we...


  • Long Beach, United States Molina Healthcare Full time

    Job 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...


  • Virginia Beach, United States Sentara Healthcare Full time

    City/State Virginia Beach, VA Overview Work Shift First (Days) (United States of America) Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we...

  • Mgr, Finance

    3 weeks ago


    Long Beach, United States Molina Healthcare Full time

    Job DescriptionJOB DESCRIPTIONJob Summary Responsible for analysis of financial reports, trend, and opportunities. Includes evaluation of and recommendations relating to business opportunities, investments, financial regulations, and similar financial projects or programs. Duties include gathering, interpreting, and evaluating financial information;...