Senior Analyst, Advanced Provider Data Management

Posted 6 Days Ago
Hiring Remotely in United States
Remote
Senior level
Insurance
The Role
Supports advanced provider data management by analyzing healthcare data, improving workflows, maintaining accurate provider records, and applying contracting, network management, and credentialing rules. Leads cross-functional projects, gathers requirements, develops specifications, communicates metrics and insights, supports system adoption, trains users, and performs bulk database updates while ensuring data integrity.
Summary Generated by Built In

***Remote and must live in the United States***

JOB DESCRIPTION 

Job Summary

Provides senior level analyst support for advanced provider data management (PDM) activities including analyzing business processes related to PDM, identifying areas for improvement, and developing and implementing solutions to optimize performance.  Ensures accurate and timely maintenance of critical provider information for all provider databases, and application of business rules as it pertains to contracting, network management and credentialing.


Essential Job Duties

  • Provides first-level triage and support for provider data management (PDM) analysts and assists with fielding general questions.
  • Leads cross-functional projects from initiation to completion - ensuring adherence to timelines and quality standards.
  • Collaborates with stakeholders to understand business objectives and gather requirements and translate accordingly into comprehensive business and functional specifications.
  • Analyzes complex health care data sets to identify trends, patterns and insights that drive informed decision-making and process improvements.
  • Evaluates existing workflows, procedures, and systems to identify inefficiencies and opportunities for optimization - proposes and implements innovative solutions.
    Establishes and maintains strong relationships with key stakeholders, ensuring alignment and collaboration across departments.
  • Develop presentations to communicate key metrics, performance indicators and actionable insights to stakeholders at all levels of the organization.
  • Provides training, support, and guidance to end-users on new processes, systems and tools - ensuring smooth implementation and adoption.
  • Perform regular bulk updates to keep provider records current and correct.
     

Required Qualifications

  • At least 4 years of business analytics experience in health care, preferably in a customer/provider services setting, or equivalent combination of relevant education and experience.
  • Proficiency in data analysis tools and techniques.
    Presentation and interpersonal skills, and ability to interact effectively with stakeholders at all levels.
  • Critical-thinking skills, and attention to detail.
  • Organizational and time-management skills; ability to manage simultaneous projects and tasks to meet internal deadlines.
  • Effective verbal and written communication skills.
  • Microsoft Office suite (including Excel) and applicable software program(s) proficiency.
  • Utilize SQL for data analysis, extraction, manipulation, and safe database updates while ensuring data integrity.
     

Preferred Qualifications

#PJHPO

#LI-AC1

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 4 years of business analytics experience in healthcare, preferably in a customer or provider services setting, or equivalent education and experience.
  • Proficiency in data analysis tools and techniques.
  • Strong presentation and interpersonal skills with the ability to interact effectively with stakeholders at all organizational levels.
  • Critical-thinking skills and attention to detail.
  • Organizational and time-management skills, including the ability to manage simultaneous projects and tasks.
  • Effective verbal and written communication skills.
  • Proficiency with Microsoft Office Suite, including Excel, and applicable software programs.
  • Ability to use SQL for data analysis, extraction, manipulation, and safe database updates while ensuring data integrity.
  • Must live in the United States.

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..

  • 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.
  • 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.
  • 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

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The Company

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.

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