Job Description

Provides lead level analyst support for advanced provider data management (PDM) activities including analyzing business processes related to PDM, identifying areas for improvement, and developing and implementing solutions to optimize performance. Ensures accurate and timely maintenance of critical provider information for all provider databases, and application of business rules as it pertains to contracting, network management and credentialing.

Essential Job Duties

• Provides training and ongoing feedback to provider data management (PDM) team to support performance and development, and ensure accurate and timely data analysis and delivery.

• Establishes departmental best practices; documents and communicates best practices with leaders and analysts.

• Leads discussions with stakeholders - seeking to understand business objectives, gathering requirements, and translating business needs into comprehensive business and functional specifications.

• Analyzes complex health care data sets to identify trends and patterns; communicates insights and recommendations that drive informed decision-making and process improvements.

• Identifies inefficiencies in existing departmental processes; develops new solutions and drives key stakeholders to adopt and execute those solutions.

• Leads and supports cross-functional projects from initiation to completion, ensuring adherence to timelines and quality standards.

• Establishes and maintains strong relationships with key stakeholders, ensuring alignment and collaboration across departments.

• Develops and presents key metrics, performance indicators, and actionable insights to stakeholders at all levels of the organization.

Required Qualifications

• At least 6 years of business analytics experience in health care, preferably in a customer/provider services setting, or equivalent combination of relevant education and experience.
• Strong proficiency in data analysis tools and techniques.
• Presentation and interpersonal skills, and ability to interact effectively with stakeholders at all levels.
• Strong critical-thinking skills, and attention to detail
• Organizational and time-management skills; ability to manage simultaneous projects and tasks to meet internal deadlines.
• Strong verbal and written communication skills.
• Microsoft Office suite (including advanced Excel) and applicable software program(s) proficiency.
• strong proficiency in SQL, knowledge of Azure Databricks

Preferred Qualifications

Experience in QNXT Provider Data is highly preferred.

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V