Senior Analyst, Healthcare Analytics

Healthcare Data Analyst

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, 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.

Job Qualifications : Required Education :

Bachelor's Degree in Finance, Economics, Computer Science

Required Experience :

Preferred Experience :

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.