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Medical Economics Analyst - REMOTE

Molina Healthcare • Remote • Posted 21 days ago

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Remote • Full-time • $49,430-$107,099/yr • Mid Level

Job Highlights

Using AI ⚡ to summarize the original job post

Responsible for conducting analyses of insured medical populations to identify opportunities to improve financial performance. The role involves extracting, analyzing, and synthesizing data from various sources to identify risks and opportunities, and working closely with clinical, provider network, and other personnel to design and perform studies related to medical cost improvements.

Responsibilities

  • Analyze claims and other data sources to identify early signs of trends or other issues related to medical care costs
  • Draw actionable conclusions based on analyses performed
  • Work closely with clinical, provider network and other personnel to design and perform studies related to the quantification of medical interventions
  • Work with business owners to track key performance indicators of medical interventions
  • Perform pro forma sensitivity analyses in order to estimate the expected financial value of proposed medical cost improvement initiatives
  • Extract and compile information from various systems to support executive decision-making
  • Ability to mine and manage information from large data sources

Qualifications

Required

  • Bachelor's Degree in Mathematics, Statistics, Finance or Economics
  • 2-5 years of experience

Preferred

  • 2-5 years of analyst experience within healthcare or health insurance experience
  • Analytical experience to include experience presenting and communicating findings
  • Microsoft PowerBI
  • Proficiency with Excel and SQL for retrieving specified information from datalake
  • Proficiency with Microsoft PowerBI

About Molina Healthcare

Molina Healthcare is a Fortune 500 managed care company operating in the United States. They offer Medicaid, Medicare, and Marketplace health plans, focusing on providing affordable, quality healthcare to underserved populations. The company has expanded through acquisitions, such as acquiring Magellan Complete Care to enter the Florida market and enhance their services.

Full Job Description

**JOB DESCRIPTION**

**Job Summary**

Responsible for conducting analyses of insured medical populations with the goal of identifying opportunities to improve financial performance. Extracts, analyzes, and synthesizes data from various sources to identify risks and opportunities.

**KNOWLEDGE/SKILLS/ABILITIES**

+ Analyze claims and other data sources to identify early signs of trends or other issues related to medical care costs

+ Draw actionable conclusions based on analyses performed

+ Work closely with clinical, provider network and other personnel to design and perform studies related to the quantification of medical interventions

+ Work with business owners to track key performance indicators of medical interventions

+ Perform pro forma sensitivity analyses in order to estimate the expected financial value of proposed medical cost improvement initiatives

+ Extract and compile information from various systems to support executive decision-making

+ Ability to mine and manage information from large data sources.

**JOB QUALIFICATIONS**

**Required Education**

+ Bachelor's Degree in Mathematics, Statistics, Finance or Economics

**Required Experience**

+ 2-5 years of experience

**Preferred Experience**

+ 2-5 years of analyst experience within healthcare or health insurance experience

+ Analytical experience to include experience presenting and communicating findings

+ Microsoft PowerBI

+ Proficiency with Excel and SQL for retrieving specified information from datalake.

+ Proficiency with Microsoft PowerBI

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.

\#PJCorp

\#LI-AC1

Pay Range: $49,430.25 - $107,098.87 / ANNUAL

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.