This position involves analyzing insured medical populations to identify opportunities for improving financial performance, particularly focusing on trend mitigation strategies for ACA exchange products and behavioral health populations across Medicaid, Medicare, and ACA products. The role requires analyzing claims data, creating data visualizations, and supporting executive decision-making through data-driven insights.
JOB DESCRIPTION
Job Summary
Responsible for conducting analyses of insured medical populations with the goal of identifying opportunities to improve financial performance. Extract, analyze, and synthesize data from various sources to identify risks and opportunities. Ideate, size, and track savings initiatives based on these opportunities. Support the creation of reports and presentations for executive level audiences.
This position will primarily support trend mitigation strategies for all populations within ACA exchange products and populations with behavioral health conditions across Medicaid, Medicare, and ACA products. Additional cross-functional opportunities to support clinical savings initiatives.
KNOWLEDGE/SKILLS/ABILITIES
- Analyze claims and authorization data to identify trends or other issues related to medical care costs
- Work closely with Marketplace and Behavioral Health teams to address emerging trends
- Draw actionable conclusions based on analyses performed
- Create impactful exhibits and data visualizations to illustrate key trend drivers
- Work with business owners to track performance indicators of medical interventions
- 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, Economics, Data Science, Actuarial Science or similar field
Required Experience
Preferred Experience
- Proficiency with Excel and SQL for retrieving specified information from data lake and creating summary visuals
- Experience with PowerPivot for Excel and Power BI dashboards
- Healthcare trend analytics
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.
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Pay Range: $68,640 - $107,099 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
