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Analyst, Healthcare Ops - Remote GA at Molina Talent Acquisition

, , Gabon -

Full Time

Start Date

Immediate

Expiry Date

19 Dec, 25

Salary

0.0

Posted On

20 Sep, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Healthcare Claims Data, Pharmacy Data, Lab Data, SQL, Databricks, PowerBI, Utilization Management, Data Analysis, Report Generation, Collaboration, Project Management, Cost Containment, Health Risk Assessment, Data Maintenance, Report Enhancements, Timelines

Industry

Hospitals and Health Care

Description

JOB DESCRIPTION ****Candidate must reside in Georgia***** 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. Must have experience in analyzing Utilization management, member health risk assessment data using SQL, Databricks and create reports using PowerBI Must be able to collaborate with Executive teams in Utilization management, Operations, Core EIM teams. 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 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. #PJHPO

Responsibilities

The Analyst performs research and analysis of complex healthcare claims, pharmacy, and lab data to evaluate network utilization and cost containment. They also write and present reports, making recommendations based on their findings.