- Develop ad-hoc reports using SQL programming, SQL Server Reporting Services (SSRS), Medinsight, RxNavigator, Crystal Reports, Executive Dashboard, and other analytic / programming tools as needed.
- Generate and distribute standard reports on schedule using SQL, Excel, and other reporting software.
- Create new databases and reporting tools for monitoring, tracking and trending based on project specifications.
- 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.
- Responsible for timely completion of projects, including timeline development and maintenance; coordinates activities and data collection with requesting internal departments or external requestors.
- 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, using statistical tools and techniques to determine significance and relevance. Utilize extrapolation, interpolation, and other statistical methodologies to predict future trends in cost, utilization and performance. Provide executive summary of findings to requestors.
- 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.
- 5-7 years increasingly complex database and data management responsibilities
- 5-7 years of increasingly complex experience in quantifying, measuring, and analyzing financial/performance management metrics
- Demonstrate Healthcare experience in Quantifying, Measuring and Analyzing Financial and Utilization Metrics of Healthcare
- Basic knowledge of SQL
- Preferred Education
- Bachelor's Degree in Finance, Economics, Math, or Computer Science
- 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
- Healthcare Analyst I or Financial/Accounting Analyst I experience desired
- Multiple data systems and models
- BI tools
-
Manager, Healthcare Analytics
3 weeks ago
Centene Corporation Not specified, United States Full timeYou 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 ...
-
Analyst, Healthcare Analytics
4 days ago
Molina Healthcare Not specified, United States Full timeJOB 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 ...
-
Manager, Healthcare Analytics
3 weeks ago
Centene Corporation Not specified, United States Full timeYou 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 ...
-
Manager, Healthcare Analytics
5 days ago
Centene Corporation Not specified, United States Full timeYou 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 ...
-
Manager, Healthcare Analytics
2 weeks ago
Centene Corporation Not specified, United States Full timeYou 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 ...
-
Manager, Healthcare Analytics
5 days ago
Centene Corporation Not specified, United States Full timeYou 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 ...
-
Sr Analyst, Healthcare Analytics
3 weeks ago
Molina Healthcare Not specified, United States Full timeJOB 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 ...
-
Sr Analyst, Healthcare Analytics
1 week ago
Molina Healthcare Not specified, United States Full timeJOB 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 ...
-
Data Analyst I Healthcare Analytics
1 week ago
Centene Corporation Not specified, United States Full timeYou 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 ...
-
Client Engagement Business Analyst
2 weeks ago
Brown & Brown, Inc. Not specified, United States Full timeBuilt on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. · Remedy is already an industry leader in delivering prescription drug benefit savings and analytics. You will join a talented team of speci ...
-
Data Analyst I
1 week ago
Centene Corporation Not specified, United States Full timeYou 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 ...
-
Sr Director, Pharmacy Contracting and Sales
4 weeks ago
BlueCross BlueShield of South Carolina Not specified, United States Full timeSummary · 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 ...
-
Analyst, Network Strategy, Pricing
3 weeks ago
Molina Healthcare Not specified, United States Full timeJOB 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 ...
-
Business Analytics Advisor
1 week ago
Cigna Not specified, United States Full timeOverview · 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 ...
-
Sr. Analyst, Risk Adjustment-Pre Analyst
1 week ago
Molina Healthcare Not specified, United States Full timeJob 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 ...
-
Lead Analyst
3 weeks ago
Ascension Health Not specified, United States Full timeDetailsDepartment: 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 ...
-
Business Analytics Advisor
1 week ago
Cigna Not specified, United States Full timeOverview · 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 ...
-
Senior Value Based Healthcare Analyst
3 weeks ago
Teladoc Health Not specified, United States Full timeTeladoc Health is a global, whole person care company made up of a diverse community of people dedicated to transforming the healthcare experience. As an employee, you're empowered to show up every day as your most authentic self and be a part of something bigger - thriving both ...
-
Actuary
3 weeks 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 ...
-
Sr Actuarial Analyst
5 days ago
Prime Therapeutics LLC Not specified, United States Full timeOur 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 ...
Sr Analyst, Healthcare Analytics - Not specified, United States - Molina Healthcare
Description
JOB DESCRIPTIONJob 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
Required Education
Bachelor's Degree in Finance, Economics, Computer Science
Required Experience
Preferred experience in Medical Economics and Strong Knowledge of Performance Indicators:
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $59, $129,589.63 / 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: 03/07/2024