Senior Analyst, Advanced Provider Data Management

Molina Healthcare; United States; Remote; USD 90,000 - 120,000; Full time

Benefits offered by this job

Competitive benefits

Equal opportunity employer

Job summary

Molina Healthcare is seeking a senior analyst to provide advanced provider data management (PDM) support. You will analyze business processes, identify improvements, and implement solutions to optimize performance across provider databases, contracting, network management, and credentialing.

You will triage inquiries, lead cross-functional projects, gather requirements, analyze health care data to reveal insights, and present metrics to stakeholders.

Qualifications

• 4+ years of healthcare analytics experience in a customer/provider services setting or equivalent
• Proficiency in data analysis techniques and tools
• Strong presentation, interpersonal, and communication skills
• Excellent organizational and time-management abilities
• Experience with SQL for data extraction and updates
• Proficient in Microsoft Excel and Office suite

Responsibilities

• Provides senior level analyst support for advanced provider data management activities
• Leads cross-functional projects from initiation to completion, ensuring timelines and quality
• Collaborates with stakeholders to gather requirements and translate into specs
• Analyzes complex healthcare data sets to identify trends and insights
• Evaluates workflows and implements optimization solutions
• Develops presentations to communicate metrics and insights to stakeholders
• Provides training and guidance to end-users on new processes and tools
• Performs regular bulk updates to provider records

Skills

Healthcare analytics

SQL

Excel

Data visualization

Stakeholder communication

Project management

Data analysis

Office suite

Tools

SQL

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.
  

Preferred Qualifications

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To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V