Job Description
Job Summary
Provides support in conducting research, analysis, and reporting across healthcare and operational data to support decision‑making, cost‑containment strategies, and business performance improvement. Works with complex datasets including claims, pharmacy, lab, and operational data to design, develop, validate, and maintain reports, dashboards, and analytical tools. Partners with internal teams to gather requirements, enhance reporting processes, and ensure data accuracy, consistency, and usability.
Job Duties
• Analyzes healthcare and operational datasets to identify trends, anomalies, and opportunities for improvement.
• Develops, validates, and maintains recurring and ad hoc reports using Structured Query Language (SQL), Excel, Business Intelligence (BI) tools, and other analytics platforms.
• Organizes, documents, and maintains datasets and reporting workflows across multiple business areas.
• Creates dashboards, queries, and reporting solutions that support utilization analysis, cost containment, and operational performance.
• Consolidates research and analysis into clear summaries and recommendations for business stakeholders.
• Supports regulatory, contractual, and enterprise reporting requirements, including state mandated submissions.
• Identifies and implements enhancements or fixes to existing reports and reporting processes.
• Collaborates with cross functional teams to define reporting requirements and maintain project/report timelines.
• Assists with special projects and data requests from internal departments and external agencies.
Job Qualifications
REQUIRED QUALIFICATIONS:
• At least 2 years of experience in data analysis, reporting, or healthcare analytics, or equivalent combination of relevant education and experience.
• Analytical Problem Solving: Ability to interpret complex datasets, identify patterns, and translate findings into actionable insights.
• Technical Proficiency: Comfortable working with SQL, Excel, and reporting/analytics tools; able to learn new technologies quickly.
• Attention to Detail: Ensures accuracy in data validation, report development, and documentation.
• Collaboration & Communication: Works effectively with cross functional teams to clarify requirements and present findings.
PREFERRED QUALIFICATIONS:
- Managed Care Credentialing
- Experience with SQL Server Reporting Services (SSRS), Crystal Reports, MedInsight, Salesforce or similar tools.
- Knowledge of healthcare utilization metrics, medical cost analysis, and performance indicators.
- Familiarity with predictive modeling concepts and trend forecasting.
- Microsoft certification or similar technical credentials.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Skills Required
- At least 2 years of experience in data analysis, reporting, or healthcare analytics (or equivalent education/experience).
- Ability to interpret complex datasets, identify patterns, and translate findings into actionable insights (Analytical problem solving).
- Proficiency with SQL, Excel, and reporting/analytics tools; ability to learn new technologies quickly (Technical proficiency).
- Ensures accuracy in data validation, report development, and documentation (Attention to detail).
- Works effectively with cross functional teams to clarify requirements and present findings (Collaboration & communication).
- Managed Care Credentialing
- Experience with SQL Server Reporting Services (SSRS), Crystal Reports, MedInsight, Salesforce or similar tools.
- Knowledge of healthcare utilization metrics, medical cost analysis, and performance indicators.
- Familiarity with predictive modeling concepts and trend forecasting.
- Microsoft certification or similar technical credentials.
What We Do
Molina Healthcare Inc. is dedicated to delivering effective, reliable, and affordable health care to those who need it most. The company focuses on improving the health and well-being of its members and positively impacting the communities it serves. Recognized as a leader in the health insurance category, it provides essential healthcare services to ensure accessible and quality care for its members.
