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Senior Analyst, Healthcare Analytics - Business Healthcare Analytics - Syracuse

Company: Molina Healthcare, Inc
Location: Syracuse
Posted on: June 14, 2019

Job Description:

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.

  • SQL knowledge and daily working with developing ad-hoc reports using SQL programming, SQL Server Reporting Services (SSRS), Power BI, Medinsight and other analytic / programming tools as needed.
  • Experience with increasingly complex experience in quantifying, measuring, and analyzing financial/performance management metrics
  • Experience in Medical Economics and Strong Knowledge of Performance Indicators:
  • Initiate in-depth analysis of the suspect/problem areas and suggest a corrective action plan
  • Analysis and forecasting of trends in medical costs to provide analytic support for finance, pricing and actuarial functions
  • Multiple data systems and models BI tools, on the spot analyses, PowerPivot, Excel Knowledge/Skills/Abilities
  • Develop ad-hoc reports using SQL programming, SQL Server Reporting Services (SSRS), Power BI, Medinsight, and other analytic / programming tools as needed.
  • Analyze data sets and trends for anomalies, outliers, trend changes, and opportunities to provide support for finance, pricing and actuarial functions
  • Assist 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.
  • Demonstrate experience in quantifying, measuring and analyzing financial and utilization metrics of healthcare
  • Proactively identify and investigate complex suspect areas regarding medical cost issues
  • Apply investigative skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive modeling, etc.
  • Summarize and present analytical findings to senior leadership
  • Independently completes large scale analytics projects Required Education Bachelor's Degree in Finance, Economics, Computer Science; or Public Health, Data Analytics, Health Information Management, or equivalent experience.
  • 5-7 years increasingly complex database and data management responsibilities, also basic knowledge of SQL
  • 5-7 years of increasingly complex experience in quantifying, measuring, and analyzing financial/performance management metrics
  • Demonstrate Healthcare experience in Quantifying, Measuring and Analyzing Financial and Utilization Metrics of Healthcare
  • Basic knowledge of SQL Preferred Education Bachelor's Degree in Finance, Economics, Math, or Computer Science Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Keywords: Molina Healthcare, Inc, Syracuse , Senior Analyst, Healthcare Analytics - Business Healthcare Analytics - Syracuse, Professions , Syracuse, New York

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