Senior Analyst, Healthcare Analytics - Risk Adjustment (REMOTE)

Molina Healthcare; Lexington (KY); Remote; USD 77,000 - 156,000; Full time

Job summary

A leading healthcare company in Lexington, Kentucky is seeking a Sr. Analyst to support their Risk Adjustment Analytics team. The role involves developing risk score reports using Databricks and Power BI, analyzing healthcare data for decision support, and collaborating with actuarial staff. Candidates should have advanced knowledge of Databricks and 5-7 years of experience in data management and healthcare analytics.

Benefits

Competitive benefits and compensation package

Equal Opportunity Employer

Qualifications

• 5-7 years of experience in database and data management.
• Demonstrated healthcare experience in analyzing financial metrics.
• Advanced knowledge of Databricks required.

Responsibilities

• Develop risk score reporting with Databricks and Power BI.
• Analyze healthcare data for decision support.
• Collaborate with actuarial staff to communicate findings.

Skills

Databricks

Data Analysis

Power BI

SQL programming

Attention to detail

Healthcare Analytics

Education

Bachelor's Degree in Finance, Economics, Math, or Computer Science

Tools

Power BI

Excel

Python

R

Job description

Job Description

Job Summary

This Sr. Analyst, Healthcare Analytics role will support Molina's Risk Adjustment Analytics team. The job responsibilities include developing risk score reporting with Databricks and Power BI, organizing and managing large and varied data sets, analyzing healthcare data for decision support, and communicating findings. Qualified candidates are the diligent problem solvers who have Databricks experience with advanced skills in data analysis. Performs research and deep-dive analysis of complex healthcare claims data, CMS return files, and financial cost, revenue, and vendor data. Collaborates with actuarial and operational staff to analyze, understand, modify, and communicate models and results. Makes recommendations to management based on relevant findings. Utilizes Power BI to display relevant reporting within a refresh cycle.

Knowledge/Skills/Abilities

• Compile and organize health care data using Databricks and Spark SQL programming, Notebooks, Workflows, Repositories, and other analytic / programming processes as needed.

• Collect programming specifications from requestors to develop Notebooks, Workflows, and Power BI reporting using multiple data sources, crosswalks, and built-in validation checks.

• Use peer-to-peer review process and end-user consultation to reduce errors and rework.

• Assist with root cause analysis to maintain high integrity data and processes to minimize discrepancies and gaps.

• Must have a strong attention to detail and knowledge of data structure and programming.

• Understanding data storage and data sharing methods.

• Converting data into usable information that is easy to understand.

• Research and develop reports and analysis for senior management and effectively communicate results.

Job Qualifications

Required Education

Bachelor's Degree in Finance, Economics

Required Experience

• 5-7 years increasingly complex database and data management responsibilities

• 5-7 years of increasingly complex experience in quantifying, measuring, and analyzing financial/performance management metrics

• Demonstrate Healthcare experience in Quantifying, Measuring and Analyzing Financial and Utilization Metrics of Healthcare

• Advanced knowledge of Databricks

• Bachelor's Degree in Finance, Economics, Math, or Computer Science

Preferred Experience

Preferred experience in Medical Economics and Strong Knowledge of Performance Indicators:

• Experience developing queries within project management tools like Azure DevOps.

• Risk Adjustment experience and some familiarity with Power BI level report building, leveraging PBI to develop business insights.

• Apply investigative skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive modeling, etc.

• Analysis and forecasting of trends to provide analytic support for finance, pricing and actuarial functions.

• Healthcare Analyst I experience desired.

• PowerBI, Excel, Power Pivot, VBA, Macros, Copilot

• Python, PySpark, R, SAS, or other programming language(s)

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

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

#PJCorp

Pay Range: $77,969 - $155,508 / ANNUAL

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.