Molina Healthcare · 12 hours ago
Senior Analyst, Healthcare Analytics
Arizona, United States
Full-time
Onsite
Senior Level
$78K/yr - $156K/yr
5+ years expMolina Healthcare is a company focused on healthcare solutions, and they are seeking a Senior Analyst in Healthcare Analytics. The role involves performing research and analysis of complex healthcare claims data to evaluate network utilization and cost containment, as well as generating reports and making recommendations based on findings.
Health CareHospitalMedical
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
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
Benefits
Competitive benefits and compensation package
Company
Molina Healthcare
Molina Healthcare is a healthcare company that specializes in government-sponsored healthcare programs for families and individuals.
10001+ 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
2025 (47)
2024 (45)
2023 (43)
2022 (31)
2021 (35)
2020 (55)
Funding
Current Stage
Public CompanyTotal Funding
$2.35B2025-11-17Post Ipo Debt· $850M
2024-11-13Post Ipo Debt· $750M
2021-11-16Post Ipo Debt· $750M
Leadership Team
Dave Reynolds
Executive Vice President, Health Plans & Medicaid Chief Operating Officer
Debbie Simkins
Vice President, Office of the CIO
Recent News
GlobeNewswire
2025-12-11
2025-12-03
Company data provided by crunchbase