Sr Analyst, Medical Economics (Medicaid) - REMOTE

Lensa; Detroit (MI); Remote; USD 77,000 - 130,000; Full time

Job summary

An established industry player is seeking a Senior Analyst in Medical Economics to drive innovation and improve financial performance through data analysis. This role involves analyzing healthcare data, identifying trends, and developing reports to support decision-making. You'll work closely with various teams to provide insights and recommendations that can enhance cost efficiency and overall healthcare delivery. If you possess a strong background in healthcare data analysis and are passionate about making a difference, this is an exciting opportunity to contribute to meaningful initiatives in the healthcare sector.

Qualifications

• 5+ years of healthcare-related experience required.
• Proficiency in data analysis using Excel and SQL.
• Understanding of Medicaid and Medicare programs.

Responsibilities

• Analyze claims data to identify trends in medical care costs.
• Support decision-making with data-driven analytics.
• Lead projects and provide actionable recommendations.

Skills

Healthcare Data Analysis

Excel

SQL

Power BI

Tableau

Financial Analysis

Healthcare Operations Knowledge

Education

Bachelor's Degree in Mathematics

Bachelor's Degree in Economics

Bachelor's Degree in Computer Science

Bachelor's Degree in Healthcare Management

Tools

Power BI

Tableau

Databricks

TOAD Data Point

Job description

Sr Analyst, Medical Economics (Medicaid) - REMOTE

2 days ago Be among the first 25 applicants

Lensa is the leading career site for job seekers at every stage of their career. Our client, Molina Healthcare, is seeking professionals. Apply via Lensa today!

Job Description

The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization, and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to senior leaders for affordability opportunities.

Responsible for conducting complex analyses of insured medical populations with the goal of identifying opportunities to improve financial performance. Extracts, analyzes, and synthesizes data from various sources to identify risks and opportunities.

Job Duties

• Extract and compile information from various systems to support executive decision-making.
• Mine and manage information from large data sources.
• Analyze claims and other data sources to identify early signs of trends or other issues related to medical care costs.
• Work with clinical, provider network, and other personnel to bring supplemental context/insight to data analyses, and design and perform studies related to the quantification of medical interventions.
• Work with business owners to track key performance indicators of medical interventions.
• Perform pro forma sensitivity analyses to estimate the expected financial value of proposed medical cost improvement initiatives.
• Proactively identify and investigate complex suspect areas regarding medical cost issues, initiate in-depth analysis, and suggest corrective actions.
• Draw actionable conclusions based on analyses, make recommendations using healthcare analytics and predictive modeling, and communicate those effectively to various audiences.
• Analyze financial performance of Molina Healthcare products, identify trends, develop recommendations, and communicate findings to management.
• Lead projects by contributing to ad-hoc data analyses, financial report development, and presentation.
• Serve as subject matter expert on financial models evaluating provider reimbursement changes.
• Provide data-driven analytics to departments to enable decision-making.
• Support medical cost reduction initiatives and ROI analyses for vendors.
• Stay informed about Medicaid and Medicare reforms and their impact on Molina Healthcare.

Job Qualifications

Required Education: Bachelor's Degree in Mathematics, Economics, Computer Science, Healthcare Management, or related field.

Required Experience, Knowledge, Skills, And Abilities:

• 5+ years of healthcare-related experience.
• Understanding of Medicaid and Medicare programs or other healthcare plans.
• Experience with healthcare data analysis, including proficiency in Excel and SQL.
• Experience with dashboards in Excel, Power BI, and/or Tableau.
• Knowledge of healthcare operations, financial terms, coding systems, and managed care concepts.
• Ability to analyze large data sources and quantify financial, operational, and utilization metrics.

Preferred Qualifications

• Proficiency with Power BI and/or Tableau dashboards.
• Experience with Databricks and TOAD Data Point.

To all current Molina employees: Please apply through the intranet job listing.

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

Pay Range: $77,969 - $130,000 / ANNUAL. Actual compensation may vary based on location, experience, education, and skills.

Seniority level

• Mid-Senior level

Employment type

• Full-time

Job function

• Health Care Provider

Industries

• IT Services and IT Consulting