Analyst, Healthcare Ops - Remote GA

Molina Healthcare; Cedar Rapids (IA); Remote; USD 60,000 - 80,000; Part time

Job summary

A leading healthcare provider seeks a data analyst to perform research and analysis of healthcare claims data, pharmacy data, and lab data. Responsibilities include generating reports and collaborating with executive teams for utilization management. Candidates should have an associate degree with 1-3 years of experience, preferably in healthcare analysis. This role offers a competitive hourly pay and is based in Cedar Rapids.

Benefits

Competitive benefits package

Qualifications

• Associate degree or equivalent combination of education and experience.
• 1-3 years of relevant experience.
• 3-5 years preferred experience in healthcare analysis.

Responsibilities

• Research and analyze healthcare claims, pharmacy, and lab data.
• Present findings on healthcare utilization and cost containment.
• Develop, organize, and maintain healthcare data.

Skills

Healthcare claims analysis

SQL

PowerBI

Collaboration with Executive teams

Data report generation

Education

Associate degree

Bachelor's Degree (preferred)

Job description

Overview

JOB DESCRIPTION

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.

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.