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Senior Analyst, Medical Economics - Remote

Posted 2 days ago
Data Analysis
Full Time
USA

Overview

The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products.

In Short

  • Analyze key business issues related to healthcare costs and utilization.
  • Design and develop reports to monitor health plan performance.
  • Conduct complex analyses of insured medical populations.
  • Extract and compile information from various systems.
  • Mine and manage information from large data sources.
  • Work with clinical and provider network personnel for data insights.
  • Perform pro forma sensitivity analyses for cost improvement initiatives.
  • Identify and investigate complex medical cost issues.
  • Communicate actionable conclusions and recommendations effectively.
  • Support Financial Analysis projects related to medical cost reduction.

Requirements

  • Bachelor's Degree in Mathematics, Economics, or related field.
  • 5+ years of related experience in healthcare.
  • Understanding of Medicaid and Medicare programs.
  • Proficiency with Microsoft Excel and SQL.
  • Experience with building dashboards in Excel, Power BI, and/or Tableau.
  • Knowledge of healthcare operations and financial terms.
  • Ability to analyze financial, operational, and utilization metrics.
  • Experience in quantifying and measuring healthcare metrics.
  • Ability to mine and manage information from large data sources.

Benefits

  • Competitive benefits and compensation package.
  • Equal Opportunity Employer (EOE) M/F/D/V.

M.T.A

Molina Talent Acquisition

Molina Healthcare is a leading provider of managed healthcare services, dedicated to improving the health of its members through high-quality, cost-effective care. The company focuses on network strategy and development, ensuring compliance with federal, state, and local regulations while aligning with its core values and strategic goals. Molina Healthcare emphasizes the importance of building strong relationships with complex providers, including hospitals and physician groups, to enhance network adequacy and financial performance. With a commitment to value-based care, Molina Healthcare actively engages in contract negotiations and innovative reimbursement models to meet the diverse needs of its members.

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