Job Description

Job Summary

*This position will be focused on the Medicare STARS program. Please highlight your experience on your application. **

Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments and with customers to define requirements and understand business problems. Uses advanced mathematical, statistical, querying, and reporting methods to develop solutions. Develops information tools, algorithms, dashboards, and queries to monitor and improve business performance. Creates solutions from initial concept to fully tested production and communicates results to a broad range of audiences. Effectively uses current and emerging technologies.

Job Functions

• Leverage analytics and quantitative methods to inform and influence decision making

• Responsible for data compilation, data management, data analysis, and reporting

• Influence and build relationships with people across all levels of the organization, internally and externally

• Extracts and compiles various sources of information and large data sets from various systems or applications

• Sets up process for monitoring, tracking and trending information and data using various systems or applications

• Prepares well-organized, easily understood reports, analysis, and summary of findings for use by management

• Researches and analyzes report results identifying opportunities and trends

• Works with internal, external and enterprise individuals as needed to research, develop and document new standard reports or processes

• Consolidates data from multiple sources, using industry-based tools or manually; able to process data effectively using Microsoft Excel

• Supports management and other team members as requested on all things data related

Job Qualifications

REQUIRED EDUCATION:

Associate degree or equivalent combination of education and experience

REQUIRED EXPERIENCE:

• 5+ Years of experience in working with data mapping, scrubbing, scrapping, and cleaning of data.

• 5+ Years of experience in Managed Care Organization executing similar techno functional role that involves writing complex SQL Queries, Functions, Procedures and Data design

• 5+ years of experience in working with Microsoft T-SQL, SSIS and SSRS.

• Familiarity with Data Science Techniques and languages like Python and R programming would be an added advantage.

• 3+ years of experience with Microsoft Azure, AWS, or Hadoop.

• 5+ Years of experience with predictive modeling in healthcare quality data.

• 5+ Years of experience in Analysis related to HEDIS rate tracking, Medical Record Review tracking, Interventions tracking for at least one line of business among Medicaid, Marketplace and Medicare/MMP.

• 5+ Years of experience in working with increasingly complex data problems in quantifying, measuring, and analyzing financial/performance management and utilization metrics.

• 5+ Years of experience in Statistical Analysis and forecasting of trends in HEDIS rates to provide analytic support for quality, finance, and health plan functions

PREFERRED EDUCATION:

Bachelor's Degree or equivalent combination of education and experience

PREFERRED EXPERIENCE:

7-9 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: $87,722 - $171,058 / ANNUAL

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