Analyst, Healthcare Ops - Remote GA

Molina Healthcare; Des Moines (IA); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare provider is seeking a candidate to perform research and analysis of complex healthcare claims data, focusing on cost containment. This role requires evaluating data, generating reports, and collaborating with various teams. Candidates should have an associate degree and relevant experience, with a preference for those holding a bachelor's degree. The position offers a pay range of $21.16 - $46.42 per hour.

Benefits

Competitive benefits and compensation package

Qualifications

• 1-3 years of relevant experience required.
• Experience with healthcare claims data analysis.

Responsibilities

• Perform research and analysis of healthcare claims data.
• Develop and maintain healthcare information data.
• Collaborate with executive teams on projects.

Skills

Data analysis

Utilization management

SQL

Databricks

PowerBI

Project management

Collaboration

Education

Associate degree or equivalent

Bachelor's degree (preferred)

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.

#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.