Lead Analyst, Data & Analytics (Provider Network - FL)

Molina Healthcare•Long Beach, FL

About The Position

Provides lead-level analyst support for data analysis and reporting. Organizes data from multiple sources to produce reports, dashboards, and analyses related to utilization, cost containment, and business performance. Generates insights to support strategic and operational decision-making and designs and delivers reporting, analytics, and data solutions across healthcare and business domains, including claims, utilization, and finance. Partners with stakeholders to define requirements, develop scalable reporting and data processes, and use advanced analytical techniques to identify trends, forecast outcomes, and improve business performance. Supports projects, regulatory requests, and initiatives that improve data quality, reporting workflows, and process efficiency.

Requirements

At least 6 years of experience in data analysis, reporting, or healthcare analytics, or an equivalent combination of relevant education and experience.
Bachelor’s degree in finance, economics, mathematics, business administration, information systems, or a related field.
Analytical problem-solving skills, including the ability to interpret complex datasets, identify patterns, and translate findings into actionable insights.
Advanced proficiency with SQL, relational databases, Power BI, Excel, SSRS, and reporting and analytics tools; ability to learn new technologies quickly.
Experience with healthcare analytics, such as claims, utilization, cost containment, or medical economics.
Advanced experience working with complex datasets and providing data analysis and insights.
Experience with healthcare utilization metrics, medical cost analysis, and performance indicators.
Experience with predictive modeling concepts and trend forecasting.
Process improvement and automation experience.
Project management experience and experience providing functional guidance.
Ability to manage multiple priorities and deliver results in a fast-paced environment.
Strong 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 collaborate on requirements and business needs and present data-related findings and solutions.
Proficiency with Microsoft Office and applicable software programs.

Nice To Haves

Experience with ETL tools such as SSIS and data warehousing concepts.
Familiarity with cloud data platforms such as Azure data lakes and with BI tools.
Experience supporting regulatory reporting and healthcare payer systems such as QNXT or similar platforms.
Experience with CRM systems such as Salesforce.
Managed care and/or Medicaid experience.
Experience supporting regulatory or encounter reporting.
Microsoft certification or similar technical credentials.

Responsibilities

Leads the design, development, and maintenance of reports, dashboards, and data solutions using SQL, Microsoft Excel, and SSRS.
Analyzes complex data from multiple sources to identify trends, patterns, risks, and opportunities.
Translates business needs into reporting and analytical requirements and partners with stakeholders to deliver actionable insights.
Oversees data extraction, transformation, integration, validation, and quality assurance processes.
Facilitates complex healthcare data analysis involving claims, pharmacy, lab, utilization, cost, and other areas.
Develops and maintains database objects, including queries, views, functions, and stored procedures.
Establishes and documents reporting standards, processes, and best practices.
Ensures data accuracy, integrity, and consistency through quality assurance and validation.
Creates forecasts, models, and recommendations based on statistical analysis and business context.
Organizes, documents, and maintains datasets and reporting workflows across business areas.
Consolidates research, analysis, and insights into clear summaries and recommendations for business leaders and stakeholders.
Drives process improvement, automation, and standardization across reporting and analytics functions.
Supports regulatory, contractual, enterprise, audit, and ad hoc reporting requests, including state-mandated submissions.
Identifies and implements enhancements or fixes to reports and reporting processes.
Collaborates with cross-functional teams to define reporting requirements and maintain project and report timelines.
Leads projects, including timeline management, requirements gathering, and execution of high-quality deliverables.
Builds and maintains cross-functional relationships to influence data-driven decision-making.
Facilitates peer reviews to ensure alignment with quality standards.
Provides training, mentoring, and support to new and existing data analysis team members.