Analyst, Healthcare Ops - Remote GA
Remote Staffing
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.
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.