Senior Analyst, Data & Analytics (Pharmacy Analytics & Reporting) - REMOTE

Molina Healthcare, Inc.; United States; À distance; USD 90 000 - 130 000; Plein temps

Avantages offerts par ce poste

Competitive benefits package

Résumé du poste

Molina Healthcare, Inc. is seeking a Senior Data Analyst to provide advanced data analysis, reporting, and dashboard solutions across healthcare domains including claims, utilization, and finance.

You will collaborate with stakeholders to define requirements, design scalable data processes, and apply analytics to forecast outcomes and support cost containment. Responsibilities include developing data pipelines, maintaining data quality, and delivering insights that drive business performance.

Qualifications

• 4+ years in data analysis, reporting, or healthcare analytics.
• Analytical problem-solving and ability to translate findings into insights.
• Proficient with SQL, Excel, and reporting/analytics tools.
• Experience with healthcare analytics (claims, utilization, cost containment).
• Experience with complex datasets and data analysis.
• Experience with utilization metrics and cost analysis.
• Attention to detail and data validation.
• Ability to work cross-functionally in a matrixed org.
• Proficiency in Microsoft Office and related software.

Responsabilités

• Analyze complex datasets to identify trends, risks, and opportunities.
• Design and maintain reports and dashboards using SQL, Excel, and SSRS.
• Translate business needs into reporting requirements with stakeholders.
• Facilitate healthcare data analysis across claims, utilization, and finance.
• Develop and maintain data extraction, transformation, and integration processes.
• Ensure data accuracy and integrity through QA and validation.
• Create forecasts, models, and recommendations via statistical analysis.
• Document data workflows and datasets across business areas.
• Support regulatory, contractual, and enterprise reporting requirements.
• Identify enhancements and fixes to existing reports and processes.
• Collaborate with cross-functional teams on reporting timelines.
• Document methodologies and business requirements.
• Drive process improvements and automation opportunities.
• Lead or support projects with timelines and deliverables.
• Present findings to leadership and teams.
• Support ad hoc data requests and training for team members.

Connaissances

SQL

Excel

SSRS

Power BI

Healthcare analytics

Cross-functional collaboration

Attention to detail

Communication skills

Microsoft Office

Outils

SSRS

SQL Server

Power BI

Azure data lakes

Description du poste

JOB DESCRIPTION

Job Summary

Provides senior level analyst support for data analysis and reporting activities. Responsible for organizing data from multiple sources to produce reports, dashboards, and analyses related to utilization, cost-containment, and business performance.Generates data-related insights that support strategic and operational decision-making and cost-containment.Designs and delivers reporting, analytics, and data solutions across business and healthcare domains, including claims, utilization, finance, and other business areas. Partners with stakeholders to define requirements, develop scalable reporting and data processes, and apply advanced analytical techniques to identify trends, forecast outcomes, and drive business performance. Supports projects, regulatory requests, and initiatives that improve data quality, reporting workflows, and process efficiencies.

Essential Job Duties

• Analyzes complex datasets from multiple sources to identify trends, patterns, risks, and opportunities.
• Designs, develops, and maintains reports, dashboards, and data solutions using tools such as Structured Query Language (SQL), Microsoft Excel, and SQL Server Reporting Services (SSRS), that support utilization analysis, cost-containment, and operational performance.
• Translates business needs into reporting and analytical requirements; partners with stakeholders to deliver actionable insights.
• Facilitates healthcare data analysis, including data related to claims, pharmacy, lab, utilization, cost, and other areas.
• Develops and maintains data processes for extraction, transformation, validation, and integration.
• Ensures data accuracy, integrity, and consistency through quality assurance and validation processes.
• Creates forecasts, models, and recommendations based on statistical analysis and business context.
• Organizes, documents, and maintains datasets and reporting workflows across multiple business areas.
• Consolidates research and analysis into clear summaries and recommendations for business stakeholders.
• Supports regulatory, contractual, and enterprise reporting requirements, including state mandated submissions.
• Identifies and implements enhancements or fixes to existing reports and reporting processes.
• Collaborates with cross-functional teams to define reporting requirements and maintain project/report timelines.
• Documents methodologies, reporting processes, and business requirements.
• Identifies and drives process improvements, standardization, and automation opportunities.
• Leads or supports projects, including timeline management, requirements gathering, and deliverable execution.
• Presents findings and recommendations to leadership and cross-functional teams.
• Supports regulatory, audit, and ad hoc data requests as needed.
• Provides training and support to new and existing data analysis team members.

Required Qualifications

• At least 4 years of experience in data analysis, reporting, or healthcare analytics, or equivalent combination of relevant education and experience.
• Analytical problem-solving skills, including ability to interpret complex datasets, identify patterns, and translate findings into actionable insights.
• Technical proficiency with SQL, Excel, and reporting/analytics tools, and ability to learn new technologies quickly.
• Experience with healthcare analytics (e.g., claims, utilization, cost containment, medical economics).
• Experience working with complex datasets/provision of data analysis and insights.
• Experience with healthcare utilization metrics, medical cost analysis, and performance indicators.
• Attention to detail, accuracy in data validation, report development, and documentation.
• Ability to work cross-functionally across a highly matrixed organization.
• Effective verbal, written, and interpersonal communication skills, and ability to collaborate with cross-functional teams to clarify requirements and present data-related findings and solutions.
• Microsoft Office suite and applicable software programs proficiency.

Preferred Qualifications

• Pharmacy claims reporting experience and understanding highly preferred.
• Proven ability to explain complex data challenges, impacts, and solutions to non-technical business partners.
• Experience developing and delivering regulatory reporting and healthcare payer systems (e.g., PBM claim files and pharmacy formulary data).
• Experience with SQL Server Reporting Services (SSRS), MedInsight, Power BI, relational databases or similar tools.
• Familiarity with cloud data platforms (e.g., Azure data lakes) and business intelligence (BI) tools.
• Familiarity with predictive modeling concepts and trend forecasting.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V