Sr Analyst, Medical Economics (Medicaid) - REMOTE

Lensa; Warren (MI); Remote; USD 70,000 - 110,000; 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 exciting remote role involves extracting and synthesizing data from various sources, analyzing trends in healthcare costs, and providing actionable insights to senior leaders. With a focus on Medicaid and Medicare programs, you will collaborate with diverse teams to enhance decision-making and support medical cost reduction initiatives. If you are passionate about healthcare analytics and want to make a significant impact, this is the perfect opportunity for you.

Qualifications

• 5+ years of healthcare-related experience with a focus on analytics.
• Proficiency in Microsoft Excel and SQL for data analysis.
• Understanding of Medicaid and Medicare programs.

Responsibilities

• Analyze healthcare data to identify trends and opportunities for improvement.
• Collaborate with teams to track performance indicators.
• Provide data-driven recommendations to senior management.

Skills

Healthcare Analytics

Data Analysis

SQL

Microsoft Excel

Financial Modeling

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 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. Drives innovation by creating tools to monitor trend drivers and provides recommendations to senior leaders for affordability opportunities.

Responsible for conducting complex analyses of insured medical populations to identify opportunities for financial performance improvement. 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 issues related to medical care costs.
• Collaborate with clinical, provider network, and other personnel to add context/insight to data analyses and design studies related to medical interventions.
• Work with business owners to track key performance indicators of medical interventions.
• Perform pro forma sensitivity analyses to estimate the financial impact of proposed medical cost reduction initiatives.
• Identify and investigate complex suspect areas regarding medical cost issues, initiate in-depth analyses, and suggest corrective actions.
• Draw actionable conclusions based on analyses, make recommendations using healthcare analytics and predictive modeling, and communicate findings effectively across the enterprise.
• Analyze financial performance of Molina Healthcare products, identify trends, develop recommendations, and communicate with management.
• Lead projects by contributing to ad-hoc analyses, financial report development, and presentation.
• Serve as SME on financial models evaluating provider reimbursement changes.
• Provide data-driven analytics to various departments for decision-making.
• Support medical cost reduction initiatives and ROI analyses for vendors.
• Stay updated 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 of healthcare-related experience.
• Understanding of Medicaid and Medicare programs or similar healthcare plans.
• Experience in healthcare analytics within hospitals, networks, vendors, or insurance companies.
• Proficiency in Microsoft Excel (formulas, PIVOT, PowerQuery) and SQL.
• Experience with dashboards in Excel, Power BI, and/or Tableau.
• Knowledge of healthcare operations and financial terms, coding systems, and managed care concepts.
• Ability to analyze large data sources and quantify healthcare metrics.

Preferred Qualifications

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

For current Molina employees: apply through the intranet. Molina offers competitive benefits. Equal Opportunity Employer.