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JOB DESCRIPTION

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.

KNOWLEDGE/SKILLS/ABILITIES

+ Provides healthcare analysis including quantification and analysis of health care costs, development and maintenance of databases and other sources of information for quality initiatives, accreditation efforts, and regulatory mandates, and claims data coordination.

+ Manages small to large scale projects initiated by both health plan and Corporate Parent.

+ Designs and develops solutions to support business needs using various technologies.

+ Analyzes all in bound requests and determines appropriate technology solution for an effective and efficient delivery.

+ Quality oversight mechanisms to include reconciliation guidelines, mentoring guidance and new employee training.

+ Provides Administrator level support for share point and reporting services.

+ Accomplishes the goals and objectives of the Finance, Research and Analytics team.

+ Responsible for prioritization and timely completion of all tasks and report requests as assigned thru the share point request system.

JOB QUALIFICATIONS

Required Education

Bachelor's Degree or equivalent combination of education and experience

Required Experience

5-7 Years

Preferred Experience

7-9 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.

Pay Range: $80,168 - $155,508 / ANNUAL

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