What are the responsibilities and job description for the Systems Analyst, Healthcare Analytics- SQL/ PowerBI position at Molina Healthcare?
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
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
Advanced experience working with SQL for data analysis / analytics
Experience with at least one of PowerBI, Tableau, Qlik - with PowerBi / Fabric
Experience with Python and healthcare or Pharmacy data experience.
Experience with Azure Databricks is highly preferred.
Prior experience working as a Business Analyst is highly preferred.
2-4 years of increasingly complex experience in quantifying, measuring, and analyzing financial / performance management metrics
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.
Pay Range : $77,969 - $128,519 / ANNUAL
- Actual compensation may vary from posting based on geographic location, work experience, education and / or skill level.
Salary : $77,969 - $128,519
