Analyst, Healthcare Ops - Remote GA

Molina Healthcare; Grand Rapids (MI); Remote; USD 60,000 - 80,000; Full time

Job summary

A healthcare provider is seeking a candidate to perform healthcare data research and analysis in Grand Rapids, Michigan. The role requires expertise in analyzing claims data using SQL and Databricks, as well as generating reports with PowerBI. Ideal applicants have 1-3 years of experience and possess at least an Associate degree. Molina Healthcare offers a competitive compensation package including hourly pay ranging from $21.16 to $46.42.

Benefits

Competitive benefits package

Qualifications

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

Responsibilities

• Perform research and analysis on healthcare claims, pharmacy, and lab data.
• Generate and distribute routine reports on utilization and cost containment.
• Collaborate with various internal departments on special projects.

Skills

Data analysis

SQL

PowerBI

Collaboration with Executive teams

Education

Associate degree or equivalent

Bachelor's Degree or equivalent

Tools

Databricks

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.