Lead Analyst, Healthcare Analytics - REMOTE at Molina Healthcare

Long Beach, California, United States -

Full Time

Start Date

Immediate

Expiry Date

22 Jul, 26

Salary

0.0

Posted On

23 Apr, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Healthcare analytics, Medical economics, Data stewardship, SQL, Data modeling, Requirements gathering, Data validation, Data quality, Claims data, Eligibility data, Business stakeholder management, Python, R, Tableau, Power BI, Service categorization

Industry

Hospitals and Health Care

Description

JOB DESCRIPTION Job Summary The Lead Analyst serves as a data steward with deep subject matter expertise, responsible for designing and prototyping Medical Economics data assets that are clearly defined and fit for use. This role bridges business and data by translating complex concepts into structured logic. KNOWLEDGE/SKILLS/ABILITIES * Performs research and analysis of complex healthcare data (eligibility, claims, auths etc.) * Acts as the designated data steward for assigned domains. * Maintain and evolve business definitions, data logic and rules. * Apply deep subject matter expertise to ensure data reflects real-world business processes. * Translates business needs into clear, structured data requirements and logic. * Identify and resolve ambiguities, inconsistencies, and gaps in definitions * Partner with stakeholders to align on intended meaning vs actual implementation * Contributes to data model design and evolution * Builds design prototypes * Provides detailed requirements to engineering for implementation * Defines and execute data validation and quality checks * Investigates anomalies and discrepancies across systems * Drives resolution with appropriate teams (engineering, source system owners, etc.) * Maintain clear, structured documentation to ensure traceability between business intent and data implementation. * Support downstream users (reporting, actuarial, finance) in understanding and using data correctly. * Has experience working with large-scale healthcare datasets. * Understands healthcare economics and operations. * Pays strong attention to details with ability to see the big picture. * Communicates clearly and concisely. * Escalates cross-domain conflicts, prioritization trade-offs, and strategic decisions to Manager/Director. * Operates effectively within defined ownership structures. * Proactively identifies and resolves issues, not wait for direction. JOB QUALIFICATIONS Required Education * Bachelor's Degree in Finance, Economics, Computer Science Required Experience * 6+ years of progressive responsibilities in Data, Finance or Systems Analysis * Expert knowledge with SQL Preferred Education * Bachelor's Degree in Finance, Economics, Math, or Computer Science Preferred Experience * Experience in Medical Economics * Business stakeholder management * Familiarity with Python, R or BI tools (e.g., Tableau, Power BI) * Experience with service categorization * Deep auth data knowledge 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

The Lead Analyst acts as a data steward responsible for designing and prototyping Medical Economics data assets. They bridge business needs and technical implementation by translating complex healthcare concepts into structured data requirements and logic.