Senior Healthcare Economics & Analytics Lead

Molina Healthcare

Northern (KY)

Hybrid

USD 60,000 - 130,000

Full time

14 days+

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Job summary

Molina Healthcare seeks a senior analyst to provide analytical support for Medical Economics initiatives by extracting, analyzing, and synthesizing complex health care data to identify risks, opportunities, and drivers of medical cost and utilization trends.

You will translate findings into business-focused recommendations, develop affordability initiatives, and collaborate with cross-functional teams to monitor KPIs and drive cost containment and sustainable financial results.

Qualifications

Bachelor’s degree in statistics, mathematics, economics, computer science, health care management or related field.
Experience in health care analytics and/or medical economics preferred.
Experience building dashboards in Excel, Power BI, and/or Tableau and data management.

Responsibilities

Leads medical cost, utilization, and revenue trend analyses across Molina products, identifying opportunities and risks and communicating recommendations to leadership.
Identifies, investigates, and explains root causes of medical cost and utilization trends through integration of claims, provider, membership, authorization, and financial data.
Develops, sizes, tracks, and prioritizes Scorable Action Items (SAIs) and affordability initiatives to reduce medical costs and improve efficiency.
Monitors key cost drivers and healthcare trends, creating analytic frameworks and reporting tools to identify opportunities before they impact performance.
Designs and develops reports, dashboards, and analytical tools to measure plan performance and evaluate cost containment initiatives.
Performs financial and ROI analyses to estimate impact of proposed cost savings initiatives and vendor partnerships.
Draws actionable conclusions through advanced healthcare analytics, predictive modeling, and statistical analysis for strategic recommendations.
Extracts, compiles, and synthesizes data from multiple sources to support executive decision-making.
Mines, manages, and interprets large healthcare datasets to uncover patterns and insights.
Collaborates with clinical, provider network, finance, payment integrity, and operations teams to validate findings and develop intervention strategies.
Partners with business owners to establish and monitor KPIs for affordability initiatives and medical management interventions.
Leads analytical projects from concept to implementation, including executive presentations and communication of findings.