Senior Consultant, Healthcare Economics

2 weeks ago


Long Beach, California, United States Molina Healthcare Full time
Exciting Role as Senior Consultant in Healthcare Economics

About Molina Healthcare:
Molina Healthcare is on the lookout for a talented Senior Consultant in Healthcare Economics to enhance their dynamic team.

Position Overview:
- Offer expertise and guidance on significant business challenges concerning expenses, usage, and income across various Molina Healthcare offerings.
- Develop and implement analytical reports to assess health plan effectiveness and pinpoint underlying factors of medical expenditure patterns.
- Foster innovation by designing instruments to track trend influencers and propose strategies for cost-effectiveness.
- Execute intricate analyses to uncover prospects for enhancing financial outcomes.

Key Responsibilities:
  • Gather and synthesize data from multiple platforms to aid in strategic decision-making.
  • Examine claims and data repositories to identify patterns and concerns related to healthcare expenses.
  • Work in conjunction with clinical and network teams to provide analytical insights.
  • Monitor essential performance metrics of medical interventions.
  • Lead initiatives and deliver data-informed analyses to support pivotal decision-making.
  • Remain updated on the implications of Medicaid and Medicare reforms.
Qualifications:
Essential Education:
Bachelor's Degree in Mathematics, Economics, Computer Science, Healthcare Management, or a related discipline.
Essential Experience, Knowledge, Skills, and Abilities:
  • 5+ years of experience in the healthcare sector.
  • Expertise in Excel, SQL, and dashboard creation.
  • Comprehension of Medicaid, Medicare, and managed care principles.
  • Familiarity with healthcare operations and financial terminology.
  • Experience in financial and operational analysis within the healthcare field.
Preferred Qualifications:
  • Proficiency in Power BI and/or Tableau for data visualization.
  • Experience with Databricks and TOAD Data Point.


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