40 applicantsPosted by Agency

Company

Molina Healthcare · 5 hours ago

Sr Analyst, Healthcare Analytics - REMOTE

Full-time

Remote

Senior Level

$60K/yr - $130K/yr

5+ years exp

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Responsibilities

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.

Develop ad-hoc reports using SQL programming, SQL Server Reporting Services (SSRS), Medinsight, RxNavigator, Crystal Reports, Executive Dashboard, and other analytic / programming tools as needed.

Generate and distribute standard reports on schedule using SQL, Excel, and other reporting software.

Create new databases and reporting tools for monitoring, tracking and trending based on project specifications.

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.

Responsible for timely completion of projects, including timeline development and maintenance; coordinates activities and data collection with requesting internal departments or external requestors.

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, using statistical tools and techniques to determine significance and relevance.

Utilize extrapolation, interpolation, and other statistical methodologies to predict future trends in cost, utilization and performance.

Provide executive summary of findings to requestors.

Create comprehensive workflows for the production and distribution of assigned reports, document reporting processes and procedures.

Assist with research, development and completion of special projects as requested by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations.

Maintains SharePoint Sites as needed.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

SQLStatistical analysisFinancial metrics analysisSQL Server Reporting Services (SSRS)MedinsightRxNavigatorCrystal ReportsExecutive DashboardExcelDatabase creationHealthcare analyticsPredictive modelingPerformance management metricsMedical EconomicsBI toolsSharePoint maintenanceProject management

Required

Bachelor's Degree in Finance, Economics, Computer Science

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

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

Company

Molina Healthcare

Glassdoor

3.4

Molina Healthcare is a healthcare company that specializes in government-sponsored healthcare programs for families and individuals.

Founded in 1980

Long Beach, California, USA

10,001+ employees

https://careers.molinahealthcare.com

H1B Sponsorship

Molina Healthcare has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

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Trends of Total Sponsorships

2023 (33)

2022 (36)

2021 (33)

2020 (60)