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

Lensa; Detroit (MI); Remote; USD 77,000 - 172,000; Full time

Job summary

An innovative firm is seeking a skilled Data Analyst to join their team. This role involves analyzing complex healthcare data and generating insightful reports to drive cost containment strategies. You will leverage your expertise in SQL and various reporting tools to support the department's goals while collaborating with team members to enhance data-driven decision-making. This position offers a dynamic work environment where your contributions will significantly impact healthcare analytics and performance metrics. If you're passionate about data and eager to make a difference in healthcare, this opportunity 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 utilization data.
• Develop and generate reports using various analytic tools.

Skills

SQL

SSRS

Data Analysis

Statistical Modeling

Healthcare Analytics

Education

Bachelor's Degree in Finance

Bachelor's Degree in Economics

Bachelor's Degree in Computer Science

Tools

SQL Server Reporting Services (SSRS)

Medinsight

Crystal Reports

Executive Dashboard

QNXT

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 predict future trends in cost, utilization, and performance. Guides team members on appropriate 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 creation of reports and analyses while reducing rework.
• Manages the creation of comprehensive workflows for the production and distribution of assigned reports, 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 as requested by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations.
• Maintains SharePoint Sites as needed, 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 on SQL, SSRS and SSIS or similar tools

Preferred Education

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

Preferred Experience

Preferred experience in Medical Economics and strong knowledge of performance indicators such as:

• Proactively identify and investigate complex suspect areas regarding medical cost issues
• Initiate in-depth analysis of the suspect/problem areas and suggest a corrective action plan
• Apply investigative skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through healthcare analytics, predictive modeling, etc.
• Analysis and forecasting of trends in medical costs to support finance, pricing, and actuarial functions
• Multiple data systems and models
• BI tools (ProClarity, MedInsight, etc.)

Preferred License, Certification, Association

QNXT or similar healthcare payer applications

To all current Molina employees: If interested in applying, please do so 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.

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