Lead Analyst, Healthcare (Remote)

Remote, USA Full-time
JOB DESCRIPTION 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 • Provides healthcare analysis including quantification and analysis of health care costs, development and maintenance of databases and other sources of information for quality initiatives, accreditation efforts, and regulatory mandates, and claims data coordination. • Manages small to large scale projects initiated by both health plan and Corporate Parent. • Designs and develops solutions to support business needs using various technologies. • Analyzes all in bound requests and determines appropriate technology solution for an effective and efficient delivery. • Quality oversight mechanisms to include reconciliation guidelines, mentoring guidance and new employee training. • Provides Administrator level support for share point and reporting services. • Accomplishes the goals and objectives of the Finance, Research and Analytics team. • Responsible for prioritization and timely completion of all tasks and report requests as assigned thru the share point request system. JOB QUALIFICATIONS Required Education Bachelor's Degree or equivalent combination of education and experience Required Experience 5-7 Years Preferred Experience 7-9 Years 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. Apply tot his job
Apply Now

Similar Jobs

Pathology - Medical Microbiology Physician - Now Hiring

Remote, USA Full-time

Trust & Safety Agent

Remote, USA Full-time

Product Support Specialist - Americas

Remote, USA Full-time

Customer Care Chat Representative | No Prior Experience Required | Offer empathetic and prompt chat-based customer care support in no-prior-experience-required online position.

Remote, USA Full-time

Positions Near Me Online No Prior Experience | $25–$35/Hour Remote Work Support Role – Begin Today, No Background Required

Remote, USA Full-time

Customer Operations Specialist (Part-Time, Remote, Asia Time Zone)

Remote, USA Full-time

Account Manager (Europe, Africa or Middle East)

Remote, USA Full-time

Hotel Reservations Agent (Work from Home) - No Experience Needed

Remote, USA Full-time

Remote Call Center Rep – Paid Weekly – No Experience Needed

Remote, USA Full-time

Engineering Technologist - Level I, II job at Duke Energy in Kokomo, IN

Remote, USA Full-time

Remote Administrative Support Specialist

Remote, USA Full-time

Experienced Full Time Online Customer Support Representative – Remote Work Opportunity with blithequark

Remote, USA Full-time

Pharmacist Centralized Services Work From Home; Reside in GA

Remote, USA Full-time

211 Information & Referral Specialist - Join Our Dynamic Team as a 100% Remote Customer Service Representative

Remote, USA Full-time

REMOTE – Call Center – Outbound El Paso TX

Remote, USA Full-time

Senior Associate, Pharmacovigilance - US - Remote

Remote, USA Full-time

Insurance Agent - (Farmington, CT)

Remote, USA Full-time

Graphic Designer I for Marketing

Remote, USA Full-time

Experienced Customer Chat Support Specialist for Remote Work Opportunities - No Prior Experience Required, Competitive Hourly Rate of $25-$35, and Comprehensive Training Provided

Remote, USA Full-time

Accounting Manager - remote

Remote, USA Full-time
Back to Home