What are the responsibilities and job description for the Sr Analyst, Healthcare - Remote position at Molina Healthcare Group?
Job Description
Knowledge/Skills/Abilities
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.
Job Qualifications
Required Education
Associate's Degree or equivalent combination of education and experience
Required Experience
3-5 years
Preferred Education
Bachelor's Degree in Finance, Economics, Computer Science
Preferred 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
- Basic knowledge of SQL
- Preferred Education
- Bachelor's Degree in Finance, Economics, Math, or Computer Science
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
- Healthcare Analyst I or Financial/Accounting Analyst I experience desired
- Multiple data systems and models
- BI tools
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.
Job Info
Job Identification: 2028826
Job Category: Cross-Enterprise Roles
Posting Date: 2024-11-22T17:14:30 00:00
Job Schedule: Full time