Lead Analyst, Healthcare (Remote)

Remote 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 Opportunities

Pathology - Medical Microbiology Physician - Now Hiring

Remote Full-time

Trust & Safety Agent

Remote Full-time

Product Support Specialist - Americas

Remote 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 Full-time

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

Remote Full-time

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

Remote Full-time

Account Manager (Europe, Africa or Middle East)

Remote Full-time

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

Remote Full-time

Remote Call Center Rep – Paid Weekly – No Experience Needed

Remote Full-time

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

Remote Full-time

Experienced Remote Data Entry and Customer Service Representative – Part-Time Work from Home Opportunity with Flexible Scheduling and Professional Growth

Remote Full-time

Remote Quality Engineering Director

Remote Full-time

[Remote] Evening Part-Time Psychotherapist (5-9pm)

Remote Full-time

Experienced B2B Customer Service Support Representative for Wireless Industry Leader - Remote Opportunity

Remote Full-time

Experienced Full Stack Software Engineer – Web & Cloud Application Development

Remote Full-time

Sr. Manager, Marketing Operations – B2B (Remote) in USA

Remote Full-time

Engineering Designer, Municipal

Remote Full-time

Experienced Remote Sales Agent - Earn a Lucrative Income from Anywhere with Workwarp

Remote Full-time

**Experienced Chat Support Representative – Delivering Exceptional Customer Experience in a Fast-Paced Environment**

Remote Full-time

Implementation Specialist - Remote- 6 Months

Remote Full-time
← Back to Home