Molina Healthcare

Sr Analyst, Healthcare, Health Plan Operations (Supports Florida Government Contracts)

Molina Healthcare  •  Florida (Onsite)  •  23 days ago
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Job Description

Knowledge/Skills/Abilities



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. • 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 Education

Bachelor's Degree or equivalent combination of education and experience
Preferred Experience

5-7 years

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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.

Molina Healthcare

About Molina Healthcare

Molina Healthcare is a FORTUNE 500 company that is focused exclusively on government-sponsored health care programs for families and individuals who qualify for government sponsored health care.

Molina Healthcare contracts with state governments and serves as a health plan providing a wide range of quality health care services to families and individuals. Molina Healthcare offers health plans in Arizona, California, Florida, Idaho, Illinois, Kentucky, Massachusetts, Michigan, Mississippi, Nevada, New Mexico, New York, Ohio, South Carolina, Texas, Utah, Virginia, Washington and Wisconsin. Molina also offers a Medicare product and has been selected in several states to participate in duals demonstration projects to manage the care for those eligible for both Medicaid and Medicare.

Industry
Healthcare & Social Services
Company Size
10,000+ employees
Headquarters
Long Beach, California
Year Founded
Unknown
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