Lead Analyst, Healthcare Analytics - Databricks/SQL/Power BI - Remote

Lensa; Austin (TX); Remote; USD 77,000 - 172,000; Full time

Job summary

An established industry player is seeking a skilled Data Analyst to join their team. This role involves performing in-depth research and analysis of healthcare claims data to drive cost containment and utilization strategies. The successful candidate will leverage their expertise in SQL and reporting tools to generate insightful reports and guide decision-making within the organization. This is a fantastic opportunity to contribute to meaningful projects in the healthcare sector, providing valuable insights that influence strategic planning and operational efficiency. If you're passionate about data and healthcare, this role is perfect for you.

Qualifications

• 6+ years of experience in Data, Finance, or Systems Analysis.
• Expert knowledge of SQL, SSRS, and SSIS or similar tools.

Responsibilities

• Research and analyze complex healthcare claims and cost containment data.
• Develop and generate reports using SQL and various analytic tools.

Skills

SQL Programming

Data Analysis

Statistical Modeling

Healthcare Analytics

Report Generation

Education

Bachelor's Degree in Finance

Bachelor's Degree in Economics

Bachelor's Degree in Computer Science

Tools

SQL Server Reporting Services (SSRS)

Medinsight

RxNavigator

Crystal Reports

Executive Dashboard

Job description

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Lensa is the leading career site for job seekers at every stage of their career. Our client, Molina Healthcare, is seeking professionals. Apply via Lensa today!

Job Description

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

• Develops, implements, and uses software and systems to support the department's goals.
• Develops and generates ad-hoc and standard reports using SQL programming, SQL Server Reporting Services (SSRS), Medinsight, RxNavigator, Crystal Reports, Executive Dashboard, and other analytic / programming tools.
• Coordinates and oversees report generation by team members and distribution schedule to ensure timely delivery to customers, ensuring the highest quality on every project/request. Responsible for error resolution, follow up and performance metrics monitoring.
• Provides peer review of critical reports and guidance on programming / logic improvements; provides guidance to team members in their analysis of data sets and trends using statistical tools and techniques to determine significance and relevance.
• Participates in and guides the design of large-scale predictive and statistical models to forecast future trends in cost, utilization, and performance. Guides team members on writing skills for executive summaries tailored to the audience.
• Applies process improvements for the team's methods of collecting and documenting report / programming requirements from requestors to ensure appropriate report creation and reduce rework.
• Manages the creation of comprehensive workflows for report production and distribution, and documents reporting processes and procedures.
• Creates new databases and reporting tools for monitoring, tracking, and trending based on project specifications.
• Assists with research, development, and completion of special projects for internal departments or external agencies.
• Maintains SharePoint Sites, including training materials and documentation archives.
• Demonstrates healthcare experience in quantifying, measuring, and analyzing financial and utilization metrics of healthcare.

Job Qualifications

Required Education

Bachelor's Degree in Finance, Economics, Computer Science

Required Experience

• 6+ years of progressive responsibilities in Data, Finance, or Systems Analysis
• Expert knowledge of SQL, SSRS, and SSIS or similar tools

Preferred Education

Bachelor's Degree in Finance, Economics, Math, or Computer Science

Preferred Experience

Experience in Medical Economics and strong knowledge of performance indicators, including:

• Investigating complex medical cost issues
• Analyzing suspect/problem areas and recommending corrective actions
• Using healthcare analytics and predictive modeling
• Forecasting trends in medical costs for finance and actuarial support
• Experience with multiple data systems and BI tools (ProClarity, MedInsight, etc.)

Preferred License, Certification, Association

QNXT or similar healthcare payer applications

To apply, current Molina employees should use the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. We are an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $77,969 - $171,058 / ANNUAL

• Actual compensation may vary based on location, experience, education, and skills.

Seniority level

• Mid-Senior level

Employment type

• Full-time

Job function

• Health Care Provider

Industries

• IT Services and IT Consulting