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

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

Job summary

Join a forward-thinking company that values data-driven insights in healthcare. As a pivotal member of the team, you will analyze complex healthcare claims and develop reports that guide decision-making. Your expertise in SQL and healthcare analytics will help forecast trends and improve cost containment strategies. This role offers the chance to work on impactful projects while collaborating with a talented team. If you're passionate about using data to drive healthcare improvements, this is the opportunity for you!

Qualifications

• 6+ years in Data, Finance, or Systems Analysis with expert SQL knowledge.
• Experience in healthcare analytics and predictive modeling.

Responsibilities

• Perform analysis of complex healthcare claims and pharmacy data.
• Develop reports using SQL and oversee report generation by team members.

Skills

SQL Programming

Statistical Analysis

Data Analysis

Healthcare Analytics

Process Improvement

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

BI Tools (ProClarity)

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 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 report creation and reduce rework.
• Manages the creation of comprehensive workflows for report production and distribution, documenting 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 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, or Computer Science.

Required Experience

• 6+ years of responsibilities in Data, Finance, or Systems Analysis.
• Expert knowledge in 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 suggesting corrective actions.
• Using healthcare analytics and predictive modeling.
• Forecasting trends in medical costs for finance, pricing, and actuarial support.
• Working with multiple data systems and models.
• Proficiency with BI tools like ProClarity and MedInsight.

Preferred License, Certification, Association

QNXT or similar healthcare payer applications.

To all current Molina employees: If interested, apply through the intranet.

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.

Additional Details

• Seniority level: Mid-Senior level
• Employment type: Full-time
• Job function: Health Care Provider
• Industries: IT Services and IT Consulting