Job Summary

　　Performs research and analysis of complex healthcare authorizations and claims data regarding utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. Oversees development, organization, and ongoing maintenance of data representing a wide range of healthcare information.

　　Knowledge/Skills/Abilities

　　• Oversees development, organization, and ongoing maintenance of data representing a wide range of healthcare information.

　　• Develops and directs a process to clean and integrate complex healthcare datasets in order to create the data foundation for further analytics and the development of key insights.

　　• Supervises completion of special projects as requested, by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations.

　　• Oversees, establishes, and maintains timelines for reports and projects.

　　• Ensures quality of output by submitting work product for quality checks and reviews and performing similar functions for other staff..

　　Job Qualifications

　　Required Education

　　Associate's Degree or equivalent combination of education and experience

　　Required Experience

　　3-5 years

　　Preferred Knowledge/Skills/Abilities

　　Familiarity with healthcare data/payment concepts (e.g., claims data structure/contents, claim types, payment concepts, CPT/HCPCS codes, ICD-10 codes)

　　Experience in preparing data and information for executive reports and presentations

　　Experience with databases having complex structures and relationships

　　Experience building and maintaining models and dashboards to support visualization of complex healthcare data

　　Experience trending data and conducting statistical analysis to produce actionable insights that guide healthcare policy

　　Academic coursework in statistics, econometric modeling, or other comparable coursework

　　Fluency in SQL and MS Office and experience with analytical software such as Excel, Power BI, etc.

　　Preferred Licenses and Certifications

　　Healthcare Data Analyst Certification (e.g., Certified Health Data Analyst [CHDA])

　　Healthcare licensure (e.g., Registered Nurse [RN], Licensed Vocational Nurse [LVN], Certified Professional Coder [CPC], etc.)

　　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: $49,430.25 - $107,098.87 / ANNUAL

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