Molina Healthcare · 1 day ago
Healthcare Analytics Analyst (REMOTE - Connecticut Based Candidate Preferred)
United States
Full-time
Remote
Entry, Mid Level
2+ years expMolina Healthcare is a company focused on healthcare services, and they are seeking a Healthcare Analytics Analyst to perform research and analysis of complex healthcare claims data. The role involves generating reports, analyzing data trends, and supporting various internal departments with healthcare analytics.
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
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
Qualification
Required
Bachelor's Degree in Finance, Economics, Math, Computer Science; or equivalent experience
2-4 years increasingly complex database and data management responsibilities
Basic knowledge of SQL
2-4 years of increasingly complex experience in quantifying, measuring, and analyzing financial/performance management metrics
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
Excel, Visio, Access
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 (56)
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
2026-01-03
Company data provided by crunchbase