200+ applicantsPosted by Agency

Company

Molina Healthcare · 7 hours ago

Analyst, Network Strategy, Pricing & Analytics - REMOTE

Arizona, United States

Full-time

Remote

Mid Level

$68K/yr - $129K/yr

3+ years exp

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Responsibilities

Develop key strategic reports and analysis using SQL programming, SQL Server Analytic Services (SSAS), Business Intelligence tools (Medinsight, PowerBI), and Executive Dashboard.

Generate hospital performance analytics tools on a quarterly basis; develop reports on a regular basis using SQL, Excel, and other reporting software.

Research, develop, analyze and recommend cost savings opportunities in alignment to support enterprise strategies

Track, monitor, and report cost savings initiatives (hospitals, physicians, ancillary) trend analyses, and its performance on a monthly basis.

Conduct financial modeling and analysis (including trend analysis) by utilizing NetworX Modeler and ETL systems to support negotiating strategies, modeling current and future contract rate proposals.

Research, analyze, and consult Medicaid and Medicare reimbursement methodologies, evaluate the impact of reimbursement changes, educate/consult the health plans on the financial impact.

Work independently to support and validate Provider Network contracting and unit cost management activities through financial and network pricing modeling, analysis, and reporting

Ability to translate contract rates and terms to evaluate the financial impact to effectively negotiate new or amended contracts (e.g. coding and chargemaster impact analysis).

Strong written and verbal communication skills required to present analytical results and findings to healthplans' senior management team and key stakeholder meetings (PowerPoint).

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.

SQL programmingFinancial analysisHealthcare pricingMicrosoft ExcelBusiness Intelligence toolsPowerBIData managementQuantifying metricsHealthcare economicsFinancial modelingETL systemsMedicaid reimbursementMedicare reimbursementPredictive modelingAPR-DRGMS-DRGEAPGAPC

Required

Bachelor's Degree in Business, Finance, Mathematics, Economics, Data Science or Actuarial Sciences or equivalent experience

3+ years of analytics experience in financial analysis, healthcare pricing, network management, healthcare economics or related discipline

3+ years increasingly complex database and data management responsibilities

Advanced level proficiency in Microsoft Excel

Intermediate to advanced level proficiency in SQL

3+ years of increasingly complex experience in quantifying, measuring, and analyzing financial/performance management metrics

Preferred

Master's Degree

Preferred experience in healthcare medical economics and/or strong financial analytics background

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.

Experience with industry standard normalization/reimbursement methodologies (APR-DRG, MS-DRG, EAPG, APC)

Benefits

Competitive benefits and compensation package

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)

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Trends of Total Sponsorships

2023 (33)

2022 (36)

2021 (33)

2020 (60)