Molina Healthcare · 6 hours ago
Sr Analyst, Healthcare - Remote
Arizona, United States
Full-time
Remote
Mid, Senior Level
$68K/yr - $129K/yr
3+ 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.
Oversees development, organization, and ongoing maintenance of data representing a wide range of healthcare information.
Develops and directs a process to clean and integrate complex healthcare datasets in order to create the data foundation for further analytics and the development of key insights.
Supervises completion of special projects as requested, by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations.
Oversees, establishes, and maintains timelines for reports and projects.
Ensures quality of output by submitting work product for quality checks and reviews and performing similar functions for other staff.
Qualification
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Required
Associate's Degree or equivalent combination of education and experience
3-5 years
Preferred
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
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
Molina Healthcare is a healthcare company that specializes in government-sponsored healthcare programs for families and individuals.
10,001+ employees
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
Represents job field similar to this job
Trends of Total Sponsorships
2023 (33)
2022 (36)
2021 (33)
2020 (60)
Funding
Current Stage
Public CompanyTotal Funding
$753.11M2021-11-16Post Ipo Debt· $750M
2014-09-09Post Ipo Equity· $3.11M
2003-07-02IPO· undefined
Leadership Team
Dave Reynolds
Executive Vice President, Regional Health Plans
Debbie Simkins
Vice President, Office of the CIO
Recent News
2024-11-13
Fierce Healthcare
2024-11-07
Company data provided by crunchbase
