Reporting for AHCA- Remote in Florida

Molina Healthcare•Long Beach, CA

5d•Remote

About The Position

Provides analyst support for data analysis and reporting activities. Organizes data from multiple sources to produce reports, dashboards, and analyses related to utilization, cost-containment, and business performance. Generates data-related insights to support decision-making and cost-containment. Designs and delivers reporting, analytics, and data solutions across business and healthcare domains, including claims, utilization, finance, and other business areas. Partners with stakeholders to define requirements, develop scalable reporting and data processes, and apply analytical techniques to identify trends, forecast outcomes, and drive business performance. Supports projects, regulatory requests, and initiatives that improve data quality, reporting workflows, and process efficiencies. The position analyzes healthcare and business data, develops and maintains reports and dashboards, validates data quality, and communicates findings and recommendations to stakeholders and leadership. It also supports regulatory, contractual, audit, and ad hoc reporting needs, including state-mandated submissions, and contributes to project delivery and process improvement.

Requirements

At least 2 years of experience in data analysis, reporting, or healthcare analytics, or an equivalent combination of relevant education and experience.
Analytical problem-solving skills, including the ability to interpret datasets, identify patterns, and translate findings into actionable insights.
Technical proficiency with SQL, Excel, and reporting or analytics tools, and the ability to learn new technologies quickly.
Attention to detail and 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, including the ability to clarify requirements and present data-related findings and solutions.
Proficiency with the Microsoft Office suite and applicable software programs.

Nice To Haves

Experience with SSRS, Crystal Reports, MedInsight, Power BI, relational databases, or similar tools.
Experience with customer relationship management systems such as Salesforce.
Experience with ETL tools such as SQL Server Integration Services (SSIS) and data warehousing concepts.
Familiarity with cloud data platforms such as Azure data lakes and business intelligence 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.
Familiarity with predictive modeling concepts and trend forecasting.
Experience working with healthcare claims, pharmacy, or utilization data.
Project management experience.
Microsoft certification or similar technical credentials.

Responsibilities

Analyze datasets from multiple sources to identify trends, patterns, risks, and opportunities.
Design, develop, and maintain reports, dashboards, and data solutions using SQL, Microsoft Excel, and SSRS to support utilization analysis, cost-containment, and operational performance.
Translate business needs into reporting and analytical requirements and partner with stakeholders to deliver actionable insights.
Facilitate healthcare data analysis involving claims, pharmacy, lab, utilization, cost, and other areas.
Develop and maintain processes for data extraction, transformation, validation, and integration.
Ensure data accuracy, integrity, and consistency through quality assurance and validation processes.
Create forecasts, models, and recommendations based on statistical analysis and business context.
Organize, document, and maintain datasets and reporting workflows across multiple business areas.
Consolidate research and analysis into clear summaries and recommendations for business stakeholders.
Support regulatory, contractual, and enterprise reporting requirements, including state-mandated submissions.
Identify and implement enhancements or fixes to existing reports and reporting processes.
Collaborate with cross-functional teams to define reporting requirements and maintain project and report timelines.
Document methodologies, reporting processes, and business requirements.
Identify and drive process improvements, standardization, and automation opportunities.
Present findings and recommendations to leadership and cross-functional teams.
Support projects, including timeline management, requirements gathering, and deliverable execution.
Support regulatory, audit, and ad hoc data requests as needed.