Analyst, Healthcare Ops - Remote GA

Molina Healthcare; Spokane (WA); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare company is seeking a Data Analyst to perform research and analysis on complex healthcare claims and pharmacy data. The ideal candidate will collaborate with executive teams in Utilization management and Operations, while generating reports using SQL and PowerBI. Candidates must have an Associate degree and 1-3 years of experience in a related field. This role offers a competitive hourly pay range of $21.16 - $46.42.

Qualifications

• 1-3 years of relevant experience in healthcare data analysis.
• Understanding of utilization management and health risk assessment data.
• Experience in generating and maintaining reports.

Responsibilities

• Perform research and analysis of complex healthcare claims data.
• Generate and distribute various reports on a regular basis.
• Collaborate with internal departments and external organizations on projects.

Skills

Healthcare data analysis

SQL

PowerBI

Collaboration

Education

Associate degree

Bachelor's Degree

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.