II is an individual contributor role that provides senior-level healthcare analysis for the state health plans, 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.
Duties and Responsibilities
Implement and use software and systems to support the department’s goals.
Create new databases and reporting tools for monitoring, tracking and trending based on project specifications.
Assist with research, development and completion of special projects as requested by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations.
Responsible for timely completion of projects, including timeline development and maintenance, and coordination of activities and data collection with requesting internal departments or external requestors.
Establish and maintain positive working relationships with internal customers and external vendors, including individuals who are supervised by others.
Provide leadership to other members of the team, including training of Healthcare Analyst I level personnel and internal customers.
Provide hosting services to external personnel visiting the health plan
Other duties as assigned
Knowledge, Skills and Abilities
Ability to manage various sources of information and large data sets including pharmacy, claims and encounter data
Proficiency in compiling data, creating reports and presenting information, including expertise with Crystal Reports (or similar reporting tool), SQL query, MS Access and MS Excel
Ability to combine clinical and financial data
Demonstrated ability to meet established deadlines
Ability to function independently and manage multiple projects
Ability to develop scenario analysis using different approaches
Ability to present ideas and information concisely to varied audiences
Proficiency with PC-based systems, and the ability to learn other systems through knowledge of MS Excel and Access
Excellent verbal and written communication skills
Ability to abide by Molina’s policies
Maintain regular attendance based on agreed-upon schedule, yet be flexible enough to work off-hours to meet deadlines
Ability to quickly assimilate knowledge of processes and systems to develop and deliver necessary training to departmental staff and internal customers
Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA)
Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers
Ability to work in a deadline driven department
Bachelor’s Degree; or combination of relevant education and experience
Bachelor’s Degree in Math, Finance, Business or IS
4 years increasingly complex database and data management responsibilities
Basic knowledge of SQL
Healthcare Payer industry experience
Healthcare Analyst I or Financial/Accounting Analyst I experience desired
Multiple data systems and models
To all current Molina employees if you are interested in applying for this position please fill out an Employee Transfer Request Form (ETR) and attach it to your profile when applying online. Be sure to let us know you are a current employee by selecting “Molina Employee (current) in the source section of the online application.
Molina Healthcare offers competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
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