Senior Data & Analytics Lead, OON Disputes

Molina Healthcare; United States; Remote; USD 60,000 - 130,000; Full time

Benefits offered by this job

Competitive benefits

Equal Opportunity Employer

Job summary

Molina Healthcare seeks a Senior Analyst, OON Dispute Analytics and Reporting, to build analytics, dashboards, and market intelligence for negotiation strategy and IDR performance. You will integrate data from multiple sources, deliver actionable insights, and support OON liability management.

Responsibilities include developing reports, dashboards, and data processes, and partnering with stakeholders to drive improved dispute outcomes. Strong SQL and visualization skills are essential.

Qualifications

• 4+ years of experience in data analysis, reporting, or analytics.
• Strong experience with SQL, relational databases, and Excel or similar tools.
• Experience with SSRS or similar reporting/visualization tools.
• Experience handling complex datasets including claims, provider, and financial data.
• Advanced data analysis and dashboard development with executive-facing insights.
• Data quality and governance practices and ability to ensure data integrity.
• Stakeholder communication and ability to translate data into business insights.

Responsibilities

• Analyze complex datasets to identify trends, risks, and opportunities across pre-IDR to post-award outcomes.
• Design, develop, and maintain reports and dashboards using SQL and SSRS; deliver ad hoc insights.
• Translate business needs into analytics requirements and partner with stakeholders.
• Combine data from internal and external sources for comprehensive views.
• Perform healthcare data analysis including claims, utilization, and cost data.
• Develop data extraction, transformation, and validation processes.
• Ensure data accuracy and quality through QA and validation.
• Collaborate with IT, Finance, Actuary, and Operations to improve data availability and automation.
• Produce KPIs and executive-ready reporting views by market, state, provider, and arbitrator.
• Present findings and recommendations to leadership and cross-functional teams.

Skills

Data analysis

SQL

Dashboard design

Stakeholder communication

Data governance

Analytical thinking

Financial data interpretation

Tools

SSRS

Tableau

Power BI

SQL Server

Alteryx

Python/R

Job description

Molina Healthcare seeks a Senior Analyst, OON Dispute Analytics and Reporting, to build analytics, dashboards, and market intelligence for negotiation strategy and IDR performance. You will integrate data from multiple sources, deliver actionable insights, and support OON liability management.

Responsibilities include developing reports, dashboards, and data processes, and partnering with stakeholders to drive improved dispute outcomes. Strong SQL and visualization skills are essential.