JOB DESCRIPTION
Job Summary
Responsible for organizing data from multiple sources to produce reports, dashboards, and analyses related to utilization, cost-containment, and business performance. Supports projects, regulatory requests, and initiatives that improve data quality, reporting workflows, and process efficiencies. Performs research and analysis of complex healthcare data, such claims, and encounters, provider rosters, provider enrollment etc. Evaluates, writes, and presents healthcare data reports, provides actionable insights to support data improvements, and regulatory compliance fillings. Collaborates with various internal department units and makes recommendations based on relevant findings.
Essential Job Duties
- Prepares recurring and ad hoc reports, basic dashboards and analytical summaries for stakeholders.
- Maintains reconciliation, production, and monthly status reports.
- Assists in organizing, developing, and maintaining datasets related to healthcare claims, utilization, and other areas.
- Establishes and tracks timelines for reporting deliverables and project milestones.
- Identifies process gaps and recommends improvements to enhance data accuracy and reporting efficiency.
- Supports projects, regulatory inquiries, and cross-departmental data needs.
- Strong analytical and problem-solving skills.
- Ability to work independently and in a team.
- Strong attention to detail and organizational skills.
- Ability to translate complex data into actionable insights.
Required Qualifications
- At least 1 year of experience in data analysis, reporting, or healthcare analytics, or equivalent combination of relevant education and experience.
- Analytical problem-solving skills, including ability to interpret datasets, identify patterns, and share meaningful insights.
- Technical proficiency with Excel, and reporting/analytics tools, and ability to learn new technologies.
- Attention to detail, accuracy in data validation, report development, and documentation.
- Ability to work cross-functionally across a highly matrixed organization.
- Effective verbal, written, and interpersonal communication skills, and ability to collaborate with cross-functional teams to clarify requirements and present data-related findings and solutions.
- Microsoft Office suite and applicable software programs proficiency.
Preferred Qualifications
- Experience with Structured Query Language (SQL), SQL Server Reporting Services (SSRS), Crystal Reports, MedInsight, Power BI, relational databases or similar tools.
- Experience with customer relationship management (CRM) systems (e.g., Salesforce).
- Experience with Extract, Transform, Load (ETL) tools such as SQL Server Integration Services (SSIS) and data warehousing concepts.
- Familiarity with cloud data platforms (e.g., Azure data lakes) and business intelligence (BI) tools.
- Experience supporting regulatory reporting and healthcare payer systems (e.g., QNXT or similar platforms).
- Knowledge of healthcare utilization metrics, medical cost analysis, and performance indicators.
- Experience working with healthcare claims, pharmacy, or utilization data.
- Project management experience.
- 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 1 year of experience in data analysis, reporting, or healthcare analytics, or an equivalent combination of relevant education and experience.
- Analytical problem-solving skills, including interpreting datasets, identifying patterns, and communicating meaningful insights.
- Technical proficiency with Excel and reporting or analytics tools, with the ability to learn new technologies.
- Attention to detail and accuracy in data validation, report development, and documentation.
- Ability to work cross-functionally within a highly matrixed organization.
- Effective verbal, written, and interpersonal communication skills.
- Microsoft Office Suite and applicable software program proficiency.
- Experience with SQL, SSRS, Crystal Reports, MedInsight, Power BI, relational databases, or similar tools.
- Experience with CRM systems such as Salesforce.
- Experience with ETL tools such as SSIS and data warehousing concepts.
- Familiarity with cloud data platforms such as Azure data lakes and BI tools.
- Experience supporting regulatory reporting and healthcare payer systems such as QNXT or similar platforms.
- Knowledge of healthcare utilization metrics, medical cost analysis, and performance indicators.
- Experience working with healthcare claims, pharmacy, or utilization data.
- Project management experience.
- Microsoft certification or similar technical credentials.
Molina Healthcare Inc. Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Molina Healthcare Inc. and has not been reviewed or approved by Molina Healthcare Inc..
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Healthcare Strength — Health coverage is described as solid, including medical, dental, and vision insurance alongside options like HSA/FSA and disability coverage. Benefits are often seen as a meaningful part of the overall package.
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Retirement Support — A 401(k) with employer matching and an ESPP are offered, and the retirement plan is commonly regarded as a plus. These features help round out compensation even when base pay is seen as only acceptable.
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Leave & Time Off Breadth — PTO, paid holidays, and paid parental leave are part of the offering, with time‑off benefits generally viewed favorably. Backup family care and an employee assistance program add practical support.
Molina Healthcare Inc. Insights
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.
