Assoc Analyst, Healthcare Analytics

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
? Assists with development of ad-hoc reports using SQL programming, SQL Server Reporting Services (SSRS), Medinsight, RxNavigator, Crystal Reports, Executive Dashboard, and other analytic / programming tools as needed.
? With supervision, generate and distribute standard reports on schedule using SQL, Excel, and other reporting software.
? Analyze data sets and trends for anomalies, outliers, trend changes, and opportunities.
? Assist with special projects as requested by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations.
? Developing Healthcare experience in Quantifying, Measuring and Analyzing Financial and Utilization Metrics of Healthcare.

Job Qualifications

Required Education

Bachelor's Degree in Finance, Economics, Math, Computer Science; or equivalent experience

Required Experience
? 0-2 years of database and data management responsibilities
? Basic knowledge of SQL
? Basic experience in quantifying, measuring, and analyzing financial/performance management metrics

Preferred Education

Bachelor's Degree in Finance, Economics, Math, or Computer Science

Preferred Experience

Preferred experience in Medical Economics and Strong Knowledge of Performance Indicators:
? Proactively identify and investigate complex suspect areas regarding medical cost issues
? Initiate in-depth analysis of the suspect/problem areas and suggest a corrective action plan
? Apply investigative skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive modeling, etc.
? Analysis and forecasting of trends in medical costs to provide analytic support for finance, pricing and actuarial functions
? Excel, Visio, Access

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: $16.23 - $35.17 / HOURLY
? Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level

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