SENIOR ANALYST, ADVANCED PROVIDER DATA MANAGEMENT

Molina Healthcare; Chicago (IL); Remote; USD 60,000 - 130,000; Full time

Benefits offered by this job

Remote work (US-based)

Job summary

Molina Healthcare is seeking a senior analyst to support provider data management activities, analyze workflows, and implement solutions to optimize performance. This role ensures accurate maintenance of provider data across databases and applies contracting, network management, and credentialing business rules.

You'll lead cross-functional projects, translate business requirements into technical specs, analyze healthcare data to uncover trends, and communicate insights through presentations.

Qualifications

• At least 4 years of business analytics experience in health care, preferably in a customer/provider services setting, or equivalent combination of relevant education and experience.
• Proficiency in data analysis tools and techniques.
• Presentation and interpersonal skills, and ability to interact effectively with stakeholders at all levels.
• Critical-thinking skills, and attention to detail.
• Organizational and time-management skills; ability to manage simultaneous projects and tasks to meet internal deadlines.
• Effective verbal and written communication skills.
• Microsoft Office suite (including Excel) and applicable software program(s) proficiency.
• Utilize SQL for data analysis, extraction, manipulation, and safe database updates while ensuring data integrity.

Responsibilities

• Provides first-level triage and support for provider data management (PDM) analysts and assists with fielding general questions.
• Leads cross-functional projects from initiation to completion - ensuring adherence to timelines and quality standards.
• Collaborates with stakeholders to understand business objectives and gather requirements and translate accordingly into comprehensive business and functional specifications.
• Analyzes complex health care data sets to identify trends, patterns and insights that drive informed decision-making and process improvements.
• Evaluates existing workflows, procedures, and systems to identify inefficiencies and opportunities for optimization - proposes and implements innovative solutions.
• Establishes and maintains strong relationships with key stakeholders, ensuring alignment and collaboration across departments.
• Develop presentations to communicate key metrics, performance indicators and actionable insights to stakeholders at all levels of the organization.
• Provides training, support, and guidance to end-users on new processes, systems and tools - ensuring smooth implementation and adoption.
• Perform regular bulk updates to keep provider records current and correct.

Skills

Data analysis

Presentation skills

Communication

Attention to detail

Time management

Tools

SQL

Excel

Microsoft Office

Job description

Remote and must live in the United States

Job Summary

Provides senior level analyst support for advanced provider data management (PDM) activities including analyzing business processes related to PDM, identifying areas for improvement, and developing and implementing solutions to optimize performance. Ensures accurate and timely maintenance of critical provider information for all provider databases, and application of business rules as it pertains to contracting, network management and credentialing.

Essential Job Duties

• Provides first-level triage and support for provider data management (PDM) analysts and assists with fielding general questions.
• Leads cross-functional projects from initiation to completion - ensuring adherence to timelines and quality standards.
• Collaborates with stakeholders to understand business objectives and gather requirements and translate accordingly into comprehensive business and functional specifications.
• Analyzes complex health care data sets to identify trends, patterns and insights that drive informed decision-making and process improvements.
• Evaluates existing workflows, procedures, and systems to identify inefficiencies and opportunities for optimization - proposes and implements innovative solutions.
• Establishes and maintains strong relationships with key stakeholders, ensuring alignment and collaboration across departments.
• Develop presentations to communicate key metrics, performance indicators and actionable insights to stakeholders at all levels of the organization.
• Provides training, support, and guidance to end-users on new processes, systems and tools - ensuring smooth implementation and adoption.
• Perform regular bulk updates to keep provider records current and correct.

Required Qualifications

• At least 4 years of business analytics experience in health care, preferably in a customer/provider services setting, or equivalent combination of relevant education and experience.
• Proficiency in data analysis tools and techniques.
• Presentation and interpersonal skills, and ability to interact effectively with stakeholders at all levels.
• Critical-thinking skills, and attention to detail.
• Organizational and time-management skills; ability to manage simultaneous projects and tasks to meet internal deadlines.
• Effective verbal and written communication skills.
• Microsoft Office suite (including Excel) and applicable software program(s) proficiency.
• Utilize SQL for data analysis, extraction, manipulation, and safe database updates while ensuring data integrity.

Molina Healthcare offers a competitive benefits and compensation package.

Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $59,810.6 - $129,589.63 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

About Us

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Remote positions are U.S.-based only. Candidates must reside and be authorized to work in the United States. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Job Type Full Time

Posting Date 09/14/2026