Sr Analyst, Medical Economics (Medicaid) - REMOTE

Lensa; Houston (TX); Remote; USD 77,000 - 130,000; Full time

Job summary

An established industry player is seeking a Senior Analyst in Medical Economics to provide critical support and consultation to the Health Plan and Finance team. This role involves analyzing key business issues related to cost, utilization, and revenue, as well as designing reports to monitor health plan performance. You will conduct complex analyses of insured medical populations, identify opportunities for financial improvement, and collaborate with various departments to drive data-driven decision-making. If you have a strong background in healthcare data analysis and are looking to make a significant impact, this role is for you.

Qualifications

• 5+ years of healthcare-related experience required.
• Proficiency in Microsoft Excel and SQL is essential.
• Understanding of Medicaid and Medicare programs preferred.

Responsibilities

• Analyze claims data to identify trends in medical care costs.
• Collaborate with teams to support decision-making with data.
• Lead projects and develop financial reports for healthcare products.

Skills

Healthcare data analysis

Microsoft Excel

SQL

Power BI

Tableau

Understanding of Medicaid and Medicare

Ability to analyze large data sources

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

Job Summary

The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team by analyzing key business issues related to cost, utilization, and revenue for multiple Molina Healthcare products. This role involves designing and developing reports to monitor health plan performance, identifying root causes of medical cost trends, and creating tools to monitor trend drivers. The analyst makes recommendations to senior leaders for affordability opportunities.

The position requires conducting complex analyses of insured medical populations to identify opportunities for financial improvement, extracting, analyzing, and synthesizing 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 to identify early signs of trends or issues related to medical care costs
• Collaborate with clinical, provider network, and other personnel to add context to data analyses and design studies related to medical interventions
• Track key performance indicators of medical interventions with business owners
• Perform sensitivity analyses to estimate financial impacts of cost improvement initiatives
• Investigate complex medical cost issues and suggest corrective actions
• Draw actionable conclusions and communicate findings effectively to various audiences
• Analyze financial performance of Molina Healthcare products, identify trends, and develop improvement recommendations
• Lead projects, contribute to ad-hoc analyses, and develop financial reports
• Serve as SME for financial models assessing provider reimbursement changes
• Provide data-driven analytics to support decision-making across departments
• Support medical cost reduction initiatives and ROI analyses for vendors
• Stay informed on 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 healthcare-related experience
• Understanding of Medicaid, Medicare, or similar programs
• Experience with healthcare data analysis (hospitals, vendors, insurance, etc.)
• Proficiency in Microsoft Excel (formulas, pivot tables, PowerQuery)
• Experience with SQL, dashboards in Excel, Power BI, or Tableau
• Knowledge of healthcare operations and financial terms
• Understanding of managed care concepts and provider reimbursement models
• Ability to analyze large data sources

Preferred Qualifications

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

To all current Molina employees: Apply through the intranet.

Molina Healthcare offers competitive benefits. EOE M/F/D/V.

Additional Details

Pay Range: $77,969 - $130,000 annually. Compensation varies 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