Senior Analyst, Healthcare (RN)

Molina HealthcareLong Beach, TX

About The Position

Registered Nurse to perform research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. Oversees development, organization, and ongoing maintenance of data representing a wide range of healthcare information. Develops and directs a process to clean and integrate complex healthcare datasets in order to create the data foundation for further analytics and the development of key insights. Supervises completion of special projects as requested, by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations. Oversees, establishes, and maintains timelines for reports and projects. Ensures quality of output by submitting work product for quality checks and reviews and performing similar functions for other staff.

Requirements

  • Associate's Degree or equivalent combination of education and experience
  • 3-5 years of experience

Nice To Haves

  • Bachelor's Degree or equivalent combination of education and experience
  • 5-7 years of experience
  • RN license

Responsibilities

  • Perform research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information.
  • Evaluate, write, and present healthcare utilization and cost containment reports and make recommendations based on relevant findings.
  • Oversee development, organization, and ongoing maintenance of data representing a wide range of healthcare information.
  • Develop and direct a process to clean and integrate complex healthcare datasets to create the data foundation for further analytics and the development of key insights.
  • Supervise completion of special projects as requested by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations.
  • Oversee, establish, and maintain timelines for reports and projects.
  • Ensure quality of output by submitting work product for quality checks and reviews and performing similar functions for other staff.

Benefits

  • Competitive benefits and compensation package
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