Analyst, Healthcare

Job Title

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.

Job Summary

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.

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 of Healthcare Analyst experience
• 1-2 years of Pediatric experience
• 1-2 years of managed care experience
• Familiarity with Florida Medicaid