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Analyst, Healthcare at Molina Healthcare

Long Beach, California, United States -

Full Time

Start Date

Immediate

Expiry Date

26 Aug, 26

Salary

0.0

Posted On

28 May, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Healthcare Data Analysis, Claims Data Analysis, Pharmacy Data Analysis, Lab Data Analysis, Cost Containment, Network Utilization, Report Generation, Project Management, Managed Care, Pediatric Healthcare, Florida Medicaid

Industry

Hospitals and Health Care

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. 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. JOB QUALIFICATIONS Required Education Associate degree or equivalent combination of education and experience Required Experience 1-3 years Preferred Education Bachelor's Degree or equivalent combination of education and experience Preferred Experience * 3-5 years of Healthcare Analyst experience * 1-2 years of Pediatric experience * 1-2 years of managed care experience * Familiarity with Florida Medicaid #PJHS #LI-AC1 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.

Responsibilities

Performs research and analysis on complex healthcare claims, pharmacy, and lab data to monitor network utilization and cost containment. Develops, writes, and presents reports with recommendations based on findings to internal and external stakeholders.