Analyst, Healthcare Ops - Remote GA

Molina Healthcare; Atlanta (GA); Remote; USD 80,000 - 100,000; Full time

Job summary

A leading healthcare provider is seeking a skilled individual to perform research and analysis on healthcare claims data. The role requires expertise in SQL, PowerBI, and experience in analyzing member health risk assessment data. Candidates should ideally have 1-3 years of relevant experience and an associate degree. The position offers competitive compensation based on experience and geographic location.

Benefits

Competitive benefits and compensation package

Qualifications

• 1-3 years of experience in healthcare data analysis.
• Experience in Utilization management and member health risk assessment data.

Responsibilities

• Perform research and analysis of healthcare claims, pharmacy, and lab data.
• Generate and distribute standard reports on a set schedule.
• Collaborate with executive teams in utilization management.

Skills

Healthcare claims analysis

SQL

Databricks

PowerBI

Collaboration

Education

Associate degree

Bachelor's degree

Job description

Overview

Candidate must reside in Georgia.

Job Summary: 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.

Molina Healthcare Core Competencies: Generally, the ability to understand, internalize, exhibit and promote behaviors that reflect Molina Healthcare's Core Values.

Knowledge / Skills / Abilities

• Helps to oversee development, organization, and ongoing maintenance of data representing a wide range of healthcare information.
• Identifies and completes report enhancements/fixes.
• Assists 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.
• Establishes and maintains timelines for reports and projects.
• Generates and distributes weekly/monthly/quarterly/annually standard reports.
• Must have experience in analyzing Utilization management, member health risk assessment data using SQL, Databricks and create reports using PowerBI.
• Must be able to collaborate with Executive teams in Utilization management, Operations, Core EIM teams.

Job Qualifications

Required Education

Associate degree or equivalent combination of education and experience

Required Experience

1-3 years

Preferred Education

Bachelor's Degree or equivalent combination of education and experience

Preferred Experience

3-5 years

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

#PJHPO

Pay Range: $21.16 - $46.42 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.