Senior Analyst, Advanced Provider Data Management

Molina Healthcare; Northern (KY); Hybrid; USD 60,000 - 130,000; Full time

Job summary

Molina Healthcare is seeking a Senior Healthcare Data Analyst to provide advanced provider data management analytics. You will analyze data, lead cross-functional projects, and ensure data quality across contracting, network management, and credentialing.

You will work remotely in the United States, with a focus on delivering actionable insights, improving processes, and training end-users on new tools and procedures.

Qualifications

• 4+ years of healthcare analytics experience or equivalent combination of education and experience.
• Proficiency in data analysis tools and techniques.
• SQL for data analysis, extraction and safe database updates; ensure data integrity.
• Strong presentation and interpersonal skills with stakeholders at all levels.
• Excellent organizational and time-management abilities; manage multiple projects.
• Effective verbal and written communication skills.
• Proficiency in Microsoft Excel and the Microsoft Office suite.

Responsibilities

• Provide first-level triage and support for PDM analysts.
• Lead cross-functional projects from initiation to completion with timelines and quality.
• Gather requirements and translate them into comprehensive business and functional specifications.
• Analyze healthcare data sets to identify trends and insights for decisions.
• Evaluate workflows and systems to identify inefficiencies and optimize processes.
• Develop presentations to communicate metrics and insights to stakeholders.
• Provide training and guidance to end-users on new processes and tools.
• Perform regular bulk updates to provider records to keep data current.

Skills

SQL

Excel

Data analysis

Stakeholder communication

Time management

Tools

PowerPoint

Microsoft Office

Job description

***Remote and must live in the United States***

JOB DESCRIPTION

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.