Analyst, Healthcare Ops - Remote GA

Molina Healthcare; Cleveland (OH); Remote; USD 80,000 - 100,000; Full time

Job summary

A healthcare organization is seeking a professional to analyze healthcare claims data and present utilization reports. Candidates should have experience in SQL, Databricks, and PowerBI. An Associate degree is required; a Bachelor's is preferred. This role offers competitive pay and the chance to work collaboratively on various projects.

Qualifications

• Experience in analyzing healthcare claims data.
• Proficient in report generation and project management.
• Knowledge of network utilization and cost containment.

Responsibilities

• Perform research and analysis of complex healthcare data.
• Evaluate and present healthcare utilization reports.
• Oversee development and maintenance of healthcare data.

Skills

Analyzing Utilization management

SQL

Databricks

PowerBI

Collaboration with Executive teams

Education

Associate degree or equivalent

Bachelor's Degree or equivalent

Job description

Candidate must reside in Georgia

Overview

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.

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Pay Range: $21.16 - $46.42 / HOURLY

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