Senior Analyst, Data & Analytics (Provider Network - FL)

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.

Molina Healthcare

Managed CarePrimary Care ClinicsMedicaidand Medicare

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M

careers.molinahealthcare.com

10,001+ employees

Hospitals and Health Care

Long Beach, California

Public Company

336k LinkedIn followers

Raised $2.4B

• activities.  Responsible for organizing data from multiple sources to produce
• reports, dashboards, and analyses related to utilization, cost-containment, and
• business performance.  Generates data-related insights that support strategic
• and operational decision-making and cost-containment.  Designs and delivers
• reporting, analytics, and data solutions across business and healthcare domains,
• including claims, utilization, finance, and other business areas.  Partners with
• stakeholders to define requirements, develop scalable reporting and data
• processes, and apply advanced analytical techniques to identify trends, forecast
• outcomes, and drive business performance.  Supports projects, regulatory
• requests, and initiatives that improve data quality, reporting workflows, and
• process efficiencies.

Required

• Analyzes complex datasets from multiple sources to identify trends, patterns,
• risks, and opportunities.
• Designs, develops, and maintains reports, dashboards, and data solutions using
• tools such as Structured Query Language (SQL), Microsoft Excel, and SQL Server
• Reporting Services (SSRS), that support utilization analysis, cost-containment,
• and operational performance.
• Translates business needs into reporting and analytical requirements; partners
• with stakeholders to deliver actionable insights.
• Facilitates healthcare data analysis, including data related to claims,
• pharmacy, lab, utilization, cost, and other areas.
• Develops and maintains data processes for extraction, transformation,
• validation, and integration.
• Ensures data accuracy, integrity, and consistency through quality assurance
• and validation processes.
• Creates forecasts, models, and recommendations based on statistical analysis
• and business context.
• Organizes, documents, and maintains datasets and reporting workflows across
• multiple business areas.
• Consolidates research and analysis into clear summaries and recommendations
• for business stakeholders.
• Supports regulatory, contractual, and enterprise reporting requirements,
• including state mandated submissions.
• Identifies and implements enhancements or fixes to existing reports and
• reporting processes.
• Collaborates with cross-functional teams to define reporting requirements and
• maintain project/report timelines.
• Documents methodologies, reporting processes, and business requirements.
• Identifies and drives process improvements, standardization, and automation
• opportunities.
• Leads or supports projects, including timeline management, requirements
• gathering, and deliverable execution.
• Presents findings and recommendations to leadership and cross-functional
• teams.
• Supports regulatory, audit, and ad hoc data requests as needed.
• Provides training and support to new and existing data analysis team members.
• At least 4 years of experience in data analysis, reporting, or healthcare
• analytics, or equivalent combination of relevant education and experience.
• Analytical problem-solving skills, including ability to interpret complex
• datasets, identify patterns, and translate findings into actionable insights.
• Technical proficiency with SQL, Excel, and reporting/analytics tools, and
• ability to learn new technologies quickly.
• Experience with healthcare analytics (e.g., claims, utilization, cost
• containment, medical economics).
• Experience working with complex datasets/provision of data analysis and
• insights.
• Experience with healthcare utilization metrics, medical cost analysis, and
• performance indicators.
• Attention to detail, accuracy in data validation, report development, and
• documentation.
• Ability to work cross-functionally across a highly matrixed organization.
• Effective verbal, written, and interpersonal communication skills, and ability
• to collaborate with cross-functional teams to clarify requirements and present
• data-related findings and solutions.
• Microsoft Office suite and applicable software programs proficiency.

Preferred

• Experience with SQL Server Reporting Services (SSRS), Crystal Reports,
• MedInsight, Power BI, relational databases or similar tools.
• Experience with customer relationship management (CRM) systems (e.g.,
• Salesforce).
• Experience with Extract, Transform, Load (ETL) tools such as SQL Server
• Integration Services (SSIS) and data warehousing concepts.
• Familiarity with cloud data platforms (e.g., Azure data lakes) and business
• intelligence (BI) tools.
• Experience supporting regulatory reporting and healthcare payer systems (e.g.,
• QNXT or similar platforms).
• Familiarity with predictive modeling concepts and trend forecasting.
• Project management experience.
• Microsoft certification or similar technical credentials.
• 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

• Competitive benefits package
• Compensation package