Healthcare Analytics Analyst; Pacific Time Zone - REMOTE

Position: Healthcare Analytics Analyst (Pacific Time Zone Hours) - REMOTE
** JOB DESCRIPTION*
* ** Job Summary*
* Performs analysis of complex healthcare data-including claims, authorization, pharmacy, and laboratory datasets-to evaluate network utilization patterns and identify cost containment opportunities. Develops, interprets, and presents actionable insights through reports and dashboards that inform strategic decision-making. Collaborates with cross-functional teams to recommend data-driven solutions that enhance healthcare efficiency, quality, and financial performance.

** KNOWLEDGE/SKILLS/ABILITIES*
* + Develop ad-hoc reports using Azure Databricks SQL programming, Report Builder, Power

BI, 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

+ Basic knowledge of SQL

+ 2-4 years of increasingly complex experience in quantifying, measuring, and analyzing financial/performance management metrics

** 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

+ Python

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: $80,168 - $107,099 / ANNUAL

* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.