Strategic Medical Cost Analytics Lead

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

Job summary

Molina Healthcare is seeking a Senior Healthcare Analytics professional to provide senior-level analytical support for medical economics initiatives. The role focuses on extracting, analyzing, and synthesizing complex healthcare data to identify risks, opportunities, and drivers of medical cost and utilization trends.

You will develop actionable insights to enhance financial performance and support strategic decisions.

Qualifications

• 3+ years of health care analytics or equivalent education/experience.
• Experience with dashboards in Excel, Power BI, or Tableau.
• Understanding of Medicaid/Medicare programs.

Responsibilities

• Analyze claims, authorization, and data sources to identify trends in medical care costs.
• Analyze trends and investigate suspect areas, proposing corrective actions.
• Assess financial performance (PMPM, unit cost, utilization) and communicate trends to leadership.
• Translate analyses into actionable recommendations to improve costs and outcomes.
• Collaborate with clinical, network, and finance teams to size and track KPIs for medical interventions.
• Design reports to monitor health plan performance and identify root causes of medical cost trends.

Skills

Health care analytics

Excel

Power BI

Tableau

SQL

Data mining

Critical thinking

Communication

Education

Bachelor’s degree in statistics, mathematics, economics, CS or related field

Tools

SQL

Excel

Power BI

Tableau

Job description

Molina Healthcare is seeking a Senior Healthcare Analytics professional to provide senior-level analytical support for medical economics initiatives. The role focuses on extracting, analyzing, and synthesizing complex healthcare data to identify risks, opportunities, and drivers of medical cost and utilization trends.

You will develop actionable insights to enhance financial performance and support strategic decisions.