Utilization Management Senior Business Analyst, Healthcare - Molina Healthcare : Job Details

Knowledge/Skills/Abilities

• Perform research and analysis of complex healthcare utilization and performance date, claims data, pharmacy data, and lab data regarding utilization and cost containment information.

• Evaluate, write, and present healthcare utilization and cost containment reports and makes recommendations based on relevant findings.

• Oversee development, organization, and ongoing maintenance of data representing a wide range of healthcare information.

• Develop and direct a process to clean and integrate complex healthcare datasets in order to create the data dashboard for further analytics and the development of key operational insights.

• Develop performance dashboard demonstrating staff productivity and overall operational performance

• Supervise completion of special projects as requested, by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations.

• Oversee, establish, and maintain timelines for reports and projects.

• Ensures quality of output by submitting work product for quality checks and reviews and performing similar functions for other staff.

Job Qualifications

Required Education

Associate's Degree or equivalent combination of education and experience

Required Experience

3-5 years

Preferred Education

Bachelor's Degree or equivalent combination of education and experience

Preferred Experience

5-7 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.

Pay Range: $77,969 - $128,519 / ANNUAL

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