Healthcare Analytics Analyst (REMOTE - Connecticut Based Candidate Preferred)

Remote Full-time
• Ideal Candidate would work remotely but reside in Connecticut Job Summary 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. Knowledge/Skills/Abilities • Develop ad-hoc reports using SQL programming, SQL Server Reporting Services (SSRS), Medinsight, RxNavigator, Crystal Reports, Executive Dashboard, and other analytic / programming tools as needed. • Generate and distribute standard reports on schedule using SQL, Excel, and other reporting software. • Collects and documents report / programming requirements from requestors to ensure appropriate creation of reports and analyses. Uses peer-to-peer review process and end-user consultation to reduce report writing errors and rework. • Identify and complete report enhancements/fixes; modify reports in response to approved change requests; retain old and new report design for audit trail purposes. • Analyze data sets and trends for anomalies, outliers, trend changes, and opportunities. • Create comprehensive workflows for the production and distribution of assigned reports, document reporting processes and procedures. • Assist 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. • Demonstrate Healthcare experience in Quantifying, Measuring and Analyzing Financial and Utilization Metrics of Healthcare. Job Qualifications Required Education • Bachelor's Degree in Finance, Economics, Math, Computer Science; or equivalent experience Required Experience • 2-4 years increasingly complex database and data management responsibilities • Basic knowledge of SQL • 2-4 years of increasingly complex experience in quantifying, measuring, and analyzing financial/performance management metrics Preferred Education • Bachelor's Degree in Finance, Economics, Math, or Computer Science Preferred Experience • Preferred experience in Medical Economics and Strong Knowledge of Performance Indicators • Proactively identify and investigate complex suspect areas regarding medical cost issues • Initiate in-depth analysis of the suspect/problem areas and suggest a corrective action plan • Apply investigative skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive modeling, etc. • Analysis and forecasting of trends in medical costs to provide analytic support for finance, pricing and actuarial functions • Excel, Visio, Access 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: $80,168 - $128,519 / ANNUAL • Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Apply tot his job
Apply Now →

Similar Jobs

Information Security Analyst – HIPAA, NIST, CMS, IRS

Remote Full-time

EMR Systems Analyst - Remote (East Coast Preferred)

Remote Full-time

Business App Systems Analyst Epic-Senior, IS Patient Services, Fully Remote

Remote Full-time

[Remote] System Analyst III-Revenue Cycle-Remote

Remote Full-time

Sr. Epic Certified Systems Analyst - OpTime/Anesthesia

Remote Full-time

Healthcare Systems Analyst (CMS Interoperability, FHIR) Remote

Remote Full-time

Applications Systems Analyst Sr - ISD Ambulatory Services

Remote Full-time

Investment Operational Due Diligence Analyst

Remote Full-time

Consultant Due Diligence Investment Analyst for Hedge Fund/Family Office

Remote Full-time

Supervisor, Private Equity / Hedge Funds (REMOTE)

Remote Full-time

Preclinical Scientist (Study Monitor / Toxicology)

Remote Full-time

Quant Trader VP

Remote Full-time

Sr. Financial Analyst, Strategic Finance - Remote

Remote Full-time

Experienced Customer Service Representative - Work from Home Opportunity with Comprehensive Training and Competitive Benefits

Remote Full-time

Clinical Research Coordinator (Not a Remote)

Remote Full-time

Regulatory Affairs Lead, Oncology (Sr. Manager)

Remote Full-time

Social Media Work From Home

Remote Full-time

Experienced Customer Service Representative – Full Time Remote Opportunity for Compassionate and Detail-Oriented Individuals at arenaflex

Remote Full-time

**Experienced Eclinical Works Medical Billing Team Member - Data Entry/Scrubbing, Denials, Rejections**

Remote Full-time

Senior Culinary Sales Executive; Ghent, Belgium - Remote

Remote Full-time
← Back to Home