Jobs

    Analyst, Healthcare Analytics - Not specified, United States - Molina Healthcare

    Molina Healthcare
    Molina Healthcare Not specified, United States

    2 weeks ago

    Default job background
    Full time
    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
    • Develop ad-hoc reports using SQL programming, Power BI, Executive Dashboard, and other analytic / programming tools as needed.
    • Generate and distribute standard reports on schedule using SQL, Excel, and other reporting software.
    • Collects and documents report / programming requirements from requestors to ensure appropriate creation of reports and analyses. Uses peer-to-peer review process and end-user consultation to reduce report writing errors and rework.
    • Identify and complete report enhancements/fixes; modify reports in response to approved change requests; retain old and new report design for audit trail purposes.
    • Analyze data sets and trends for anomalies, outliers, trend changes, and opportunities.
    • Create comprehensive workflows for the production and distribution of assigned reports, document reporting processes and procedures.
    • Assist 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.
    • Demonstrate 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
    • 2-4 years increasingly complex database and data management responsibilities
    • Hands on working experience of SQL
    • Must have working experience on Advanced Excel.
    • 2-4 years of increasingly complex experience in quantifying, measuring, and analyzing financial/performance management metrics
    • Must have experience in Healthcare environment specifically Claims
    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: $49, $107,098.87 / ANNUAL
    *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

    About Us

    Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
    Job Type: Full Time
    Posting Date: 05/09/2024
  • Centene Corporation

    Manager, Healthcare Analytics

    2 weeks ago

    Centene Corporation Not specified, United States Full time

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flex ...

  • Centene Corporation

    Manager, Healthcare Analytics

    2 weeks ago

    Centene Corporation Not specified, United States Full time

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flex ...

  • Molina Healthcare

    Sr Analyst, Healthcare Analytics

    3 weeks ago

    Molina Healthcare Not specified, United States Full time

    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 ma ...

  • Molina Healthcare

    Sr Analyst, Healthcare Analytics

    2 days ago

    Molina Healthcare Not specified, United States Full time

    JOB DESCRIPTION · Job Summary · 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 ...

  • Centene Corporation

    Data Analyst I Healthcare Analytics

    3 weeks ago

    Centene Corporation Not specified, United States Full time

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flex ...

  • The University of Texas at Austin

    Managed Care Analyst, UT Health Austin, Dell Medical School

    1 week ago

    The University of Texas at Austin Not specified, United States Full time

    Job Posting Title: · Managed Care Analyst, UT Health Austin, Dell Medical School · ---- · Hiring Department: · Dell Medical School · ---- · Position Open To: · All Applicants · ---- · Weekly Scheduled Hours: · 40 · ---- · FLSA Status: · Exempt · ---- · Earliest Start Date: · Imme ...

  • Centene Corporation

    Data Analyst II

    1 week ago

    Centene Corporation Not specified, United States Full time

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flex ...

  • Centene Corporation

    Data Analyst I

    3 weeks ago

    Centene Corporation Not specified, United States Full time

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flex ...

  • BlueCross BlueShield of South Carolina

    Sr Director, Pharmacy Contracting and Sales

    2 days ago

    BlueCross BlueShield of South Carolina Not specified, United States Full time

    Summary · Negotiates pharmacy benefit management (PBM) agreements for retail/mail order/specialty pharmacy services for commercial lines of business. Directs pharmacy sales, renewal activities/request for proposal preparation/current, prospective group presentations/consulting wi ...

  • Humana Inc.

    Financial Analytics Professional

    1 week ago

    Humana Inc. Not specified, United States Full time

    Become a part of our caring community and help us put health first · The Financial Analytics Professional manages data to support and influence decisions on day-to-day operations, strategic planning and specific business performance issues. The Financial Analytics Professional wo ...

  • Humana Inc.

    Actuarial Analyst- Analytics/Forecasting

    1 week ago

    Humana Inc. Not specified, United States Full time

    Become a part of our caring community and help us put health first · The Actuarial Analyst 2, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. Establishes metrics, ...

  • Molina Healthcare

    Analyst, Network Strategy, Pricing

    1 week ago

    Molina Healthcare Not specified, United States Full time

    JOB DESCRIPTION · Job Summary · Analyst, Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and analysis to ensure access to quality healthcare services for people receiving government assistance. Strengthens access to q ...

  • Cigna

    Business Analytics Advisor

    3 weeks ago

    Cigna Not specified, United States Full time

    Overview · Digital and Analytics offers innovative solutions that provide actionable insights to internal and external business partners and customers that help reduce health costs, improve outcomes, provide financial security and measure/forecast business performance. Advanced S ...

  • Molina Healthcare

    Sr. Analyst, Risk Adjustment-Pre Analyst

    3 weeks ago

    Molina Healthcare Not specified, United States Full time

    Job Description · Job Summary · The Sr Analyst, Risk Adjustment - Predicitve Analytics role supports Molina's Risk Adjustment Predictive Analytics team. Designs and develops Suspect, Targeting, and Tracking System to suport Molina's Prospective and Retrospective Interventions. As ...

  • Cigna

    Business Analytics Advisor

    3 weeks ago

    Cigna Not specified, United States Full time

    Overview · Evernorth's Digital & Analytics unit offers innovative solutions that provide actionable insights to internal and external business partners and customers that help reduce health costs, improve outcomes, provide financial security and measure/forecast business performa ...

  • SCA Health

    Director Payer Analytics

    1 week ago

    SCA Health Not specified, United States Full time

    Overview · Today, SCA Health has grown to 14,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and hea ...

  • apree health

    Actuary

    1 week ago

    apree health Not specified, United States Full time

    · Actuary, Actuarial Services · About the Company · apree health - is seeking an experienced healthcare Actuary to join our Actuarial Services team. · About the Team · The Actuarial Services team is responsible for value-based contracting, financial forecasting, and ad hoc medic ...

  • Ascension Health

    Lead Health Equity Analyst

    1 week ago

    Ascension Health Not specified, United States Full time

    DetailsDepartment: Ascension Data Science Institute · Schedule: Full-time, 8 hour day shift, Monday - Friday · Location: Remote · Benefits · Paid time off (PTO) · Various health insurance options & wellness plans · Retirement benefits including employer match plans · Long-term ...

  • Prime Therapeutics LLC

    Sr Actuarial Analyst

    2 weeks ago

    Prime Therapeutics LLC Not specified, United States Full time

    Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make. · Job Posting Title · Sr Actuarial Analyst - Remote · Job Description Summary · Supports analytical need ...

  • Centene Corporation

    Data Analyst II

    3 weeks ago

    Centene Corporation Not specified, United States Full time

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flex ...