• Analyst, Healthcare Ops - Remote GA

    Molina Healthcare (Kenosha, WI)


    JOB DESCRIPTION

    ****Candidate must reside in Georgia*****

    Job Summary

    Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings.

     

    Molina Healthcare Core Competencies: Generally, the ability to understand, internalize, exhibit and promote behaviors that reflect Molina Healthcare's Core Values.

    KNOWLEDGE/SKILLS/ABILITIES

    + Helps to oversee development, organization, and ongoing maintenance of data representing a wide range of healthcare information.

    + Identifies and completes report enhancements/fixes.

    + Assists with completion of special projects as requested, by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations.

    + Establishes and maintains timelines for reports and projects.

    + Generates and distributes weekly/monthly/quarterly/annually standard reports.

    + Must have experience in analyzing Utilization management, member health risk assessment data using SQL, Databricks and create reports using PowerBI

    + Must be able to collaborate with Executive teams in Utilization management, Operations, Core EIM teams.

    JOB QUALIFICATIONS

    Required Education

    Associate degree or equivalent combination of education and experience

    Required Experience

    1-3 years

    Preferred Education

    Bachelor's Degree or equivalent combination of education and experience

    Preferred Experience

    3-5 years

     

    To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

     

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

    \#PJHPO

    Pay Range: $21.16 - $46.42 / HOURLY

     

    *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.