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Molina Healthcare Assoc Analyst, Data - Claims in Long Beach, California

JOB DESCRIPTION

Job Summary

Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments and with customers to define requirements and understand business problems. Uses advanced mathematical, statistical, querying, and reporting methods to develop solutions. Develops information tools, algorithms, dashboards, and queries to monitor and improve business performance. Creates solutions from initial concept to fully tested production and communicates results to a broad range of audiences. Effectively uses current and emerging technologies.

KNOWLEDGE/SKILLS/ABILITIES

  • Analyze, review, and load documents to support department operations.

  • Maintains reconciliation and production reports for department.

  • Prepares reports and analysis as needed.

  • Supports ad hoc reporting requests for department staff as needed.

  • Identifies any inadequacies within the existing process, strategizes and designs improvements where possible.

  • Performs other duties as assigned by department leadership.

  • Must have experience in data analysis, data mining, data validation and reporting using advanced Excel or SQL.

  • Must be able to conduct root cause analysis in Healthcare Porvider claims data..

  • Experienced in Healthcare domain specifically Medicare, Medicaid and Marketplace.

JOB QUALIFICATIONS

Required Education

HS Diploma or GED

Required Experience

0-1 year

Preferred Education

Associate degree or equivalent combination of education and experience

Preferred Experience

1-3 years

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $20.74 - $40.44 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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