Molina Healthcare

Compensation

Full Description

JOB DESCRIPTION • ***Candidate must reside in Georgia***** 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. Molina Healthcare Core Competencies: Generally, the ability to understand, internalize, exhibit and promote behaviors that reflect Molina Healthcare's Core Values. KNOWLEDGE/SKILLS/ABILITIES Helps to oversee development, organization, and ongoing maintenance of data representing a wide range of healthcare information. Identifies and completes report enhancements/fixes. Assists with completion of special projects as requested, by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations. Establishes and maintains timelines for reports and projects. Generates and distributes weekly/monthly/quarterly/annually standard reports. Must have experience in analyzing Utilization management, member health risk assessment data using SQL, Databricks and create reports using PowerBI Must be able to collaborate with Executive teams in Utilization management, Operations, Core EIM teams. JOB QUALIFICATIONS Required Education Associate degree or equivalent combination of education and experience Required Experience 1-3 years Preferred Education Bachelor's Degree or equivalent combination of education and experience Preferred Experience 3-5 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. #PJHPO Pay Range: $21.16 - $46.42 / HOURLY • Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.