Lead Analyst, Healthcare Analytics (REMOTE)
Company: Molina Healthcare
Location: Cabot
Posted on: August 5, 2022
Job Description:
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
- Develops, implements, and uses software and systems to support
the department's goals.
- Develops and generates ad-hoc and standard reports using SQL
programming, SQL Server Reporting Services (SSRS), Medinsight,
RxNavigator, Crystal Reports, Executive Dashboard, and other
analytic / programming tools.
- Coordinates and oversees report generation by team members and
distribution schedule to ensure timely delivery to customers,
ensuring the highest quality on every project/request. Responsible
for error resolution, follow up and performance metrics
monitoring.
- Provides peer review of critical reports and guidance on
programming / logic improvements; provides guidance to team members
in their analysis of data sets and trends using statistical tools
and techniques to determine significance and relevance.
- Participate in and guide the design of large scale predictive
and statistical models to predict future trends in cost,
utilization, and performance. Guide team members on appropriate
writing skills for executive summaries tailored to the
audience.
- Applies process improvements for the team's methods of
collecting and documenting report / programming requirements from
requestors to ensure appropriate creation of reports and analyses
while reducing rework.
- Manage the creation of comprehensive workflows for the
production and distribution of assigned reports, document reporting
processes and procedures.
- Create new databases and reporting tools for monitoring,
tracking, and trending based on project specifications.
- Create comprehensive workflows for the production and
distribution of assigned reports, document reporting processes and
procedures.
- Assist with research, development and completion of special
projects as requested by various internal departments, or in
support of requests from regulatory agencies, contracting agencies,
or other external organizations.
- Maintains SharePoint Sites as needed, including training
materials and documentation archives.
- Demonstrate Healthcare experience in Quantifying, Measuring and
Analyzing Financial and Utilization Metrics of Healthcare. JOB
QUALIFICATIONS Required Education Bachelor's Degree in Finance,
Economics, Computer Science Required Experience
- Five or more years of progressive responsibilities in Data,
Finance or Systems Analysis
- Expert knowledge on SQL, SSRS and SSIS or similar tools
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
- Multiple data systems and models
- BI tools (ProClarity, MEd Insight, etc.,) Preferred License,
Certification, Association QNXT or similar healthcare payer
applications 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. #Li-Remote #PJAFby Jobble
Keywords: Molina Healthcare, Little Rock , Lead Analyst, Healthcare Analytics (REMOTE), Professions , Cabot, Arkansas
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