Urgent! Analyst, Healthcare Reporting & Analytics - Utilization Mgmt. Job Opening In Louisville – Now Hiring Molina Healthcare
**JOB DESCRIPTION**
**Job Summary**
**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.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Provides healthcare analysis including quantification and analysis of health care costs, development and maintenance of databases and other sources of information for quality initiatives, accreditation efforts, and regulatory mandates, and claims data coordination.
+ Manages small to large scale projects initiated by both health plan and Corporate Parent.
+ Designs and develops solutions to support business needs using various technologies.
+ Analyzes all in bound requests and determines appropriate technology solution for an effective and efficient delivery.
+ Quality oversight mechanisms to include reconciliation guidelines, mentoring guidance and new employee training.
+ Provides Administrator level support for share point and reporting services.
+ Accomplishes the goals and objectives of the Finance, Research and Analytics team.
+ Responsible for prioritization and timely completion of all tasks and report requests as assigned thru the share point request system.
+ Ideal candidate will have experience working with the clinical departments including utilization management/authorizations
+ Experience working with Managed Care/Payer or Hospital/other medical systems data is required.
+ Understanding of ICD-10 codes, CPT/HCPCS codes, and membership files preferred
+ Must have experience managing recurring and ad-hoc reports including independently developing build/code for ad-hoc reports.
+ Utilizes excellent process documentation skills and understands version control.
+ Possesses a firm understanding of claims and membership data, and is familiar with querying data from claims and membership tables, along with other data sources.
+ Experience in data analysis, data validation and reporting using SQL(advanced level) , MS Excel (advanced level), PowerBI is required.
+ Soft skills include but not limited to: Excellent communication, stakeholder management, documentation, self-starter, Presentation skills.
**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.
Pay Range: $18.85 - $38.69 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Unlock Your Analyst Healthcare Potential: Insight & Career Growth Guide
Real-time Analyst Healthcare Jobs Trends in Louisville, United States (Graphical Representation)
Explore profound insights with Expertini's real-time, in-depth analysis, showcased through the graph below. This graph displays the job market trends for Analyst Healthcare in Louisville, United States using a bar chart to represent the number of jobs available and a trend line to illustrate the trend over time. Specifically, the graph shows 69689 jobs in United States and 224 jobs in Louisville. This comprehensive analysis highlights market share and opportunities for professionals in Analyst Healthcare roles. These dynamic trends provide a better understanding of the job market landscape in these regions.
Great news! Molina Healthcare is currently hiring and seeking a Analyst, Healthcare Reporting & Analytics Utilization Mgmt. to join their team. Feel free to download the job details.
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An organization's rules and standards set how people should be treated in the office and how different situations should be handled. The work culture at Molina Healthcare adheres to the cultural norms as outlined by Expertini.
The fundamental ethical values are:The average salary range for a Analyst, Healthcare Reporting & Analytics Utilization Mgmt. Jobs United States varies, but the pay scale is rated "Standard" in Louisville. Salary levels may vary depending on your industry, experience, and skills. It's essential to research and negotiate effectively. We advise reading the full job specification before proceeding with the application to understand the salary package.
Key qualifications for Analyst, Healthcare Reporting & Analytics Utilization Mgmt. typically include Other General and a list of qualifications and expertise as mentioned in the job specification. Be sure to check the specific job listing for detailed requirements and qualifications.
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Before the Interview:To prepare for your Analyst, Healthcare Reporting & Analytics Utilization Mgmt. interview at Molina Healthcare, research the company, understand the job requirements, and practice common interview questions.
Highlight your leadership skills, achievements, and strategic thinking abilities. Be prepared to discuss your experience with HR, including your approach to meeting targets as a team player. Additionally, review the Molina Healthcare's products or services and be prepared to discuss how you can contribute to their success.
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