[Hiring] Senior Analyst, Provider and Claim Data & Analytics @Molina Healthcare

Role Description

Molina Healthcare of Nebraska is hiring for a Senior Analyst, Provider and Claim Data & Analytics. This role is remote for those within the United States.

• Provides senior level analyst support for data analysis and reporting activities.
• Responsible for organizing data from multiple sources to produce reports, dashboards, and analyses related to utilization, cost-containment, and business performance.
• Generates data-related insights that support strategic and operational 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 advanced 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.
• Analyzes complex datasets from multiple sources to identify trends, patterns, risks, and opportunities.
• Designs, develops, and maintains reports, dashboards, and data solutions using tools such as SQL, Microsoft Excel, and SQL Server Reporting Services (SSRS).
• Translates business needs into reporting and analytical requirements; partners with stakeholders to deliver actionable insights.
• Facilitates healthcare data analysis, including data related to claims, pharmacy, lab, utilization, cost, and other areas.
• Develops and maintains data processes for extraction, transformation, validation, and integration.
• Ensures data accuracy, integrity, and consistency through quality assurance and validation processes.
• Creates forecasts, models, and recommendations based on statistical analysis and business context.
• Organizes, documents, and maintains datasets and reporting workflows across multiple business areas.
• Consolidates research and analysis into clear summaries and recommendations for business stakeholders.
• Supports regulatory, contractual, and enterprise reporting requirements, including state mandated submissions.
• Identifies and implements enhancements or fixes to existing reports and reporting processes.
• Collaborates with cross-functional teams to define reporting requirements and maintain project/report timelines.
• Documents methodologies, reporting processes, and business requirements.
• Identifies and drives process improvements, standardization, and automation opportunities.
• Leads or supports projects, including timeline management, requirements gathering, and deliverable execution.
• Presents findings and recommendations to leadership and cross-functional teams.
• Supports regulatory, audit, and ad hoc data requests as needed.
• Provides training and support to new and existing data analysis team members.

Qualifications

• At least 4 years of experience in data analysis, reporting, or healthcare analytics, or equivalent combination of relevant education and experience.
• Analytical problem-solving skills, including ability to interpret complex datasets, identify patterns, and translate findings into actionable insights.
• Technical proficiency with SQL, Excel, and reporting/analytics tools, and ability to learn new technologies quickly.
• Experience with healthcare analytics (e.g., claims, utilization, cost containment, medical economics).
• Experience working with complex datasets/provision of data analysis and insights.
• Experience with healthcare utilization metrics, medical cost analysis, and performance indicators.
• Attention to detail, 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, and ability to collaborate with cross-functional teams to clarify requirements and present data-related findings and solutions.
• Microsoft Office suite and applicable software programs proficiency.

Requirements

• Experience with SQL Server Reporting Services (SSRS), Crystal Reports, MedInsight, Power BI, relational databases or similar tools.
• Experience with customer relationship management (CRM) systems (e.g., Salesforce).
• Experience with Extract, Transform, Load (ETL) tools such as SQL Server Integration Services (SSIS) and data warehousing concepts.
• Familiarity with cloud data platforms (e.g., Azure data lakes) and business intelligence (BI) tools.
• Experience supporting regulatory reporting and healthcare payer systems (e.g., QNXT or similar platforms).
• Familiarity with predictive modeling concepts and trend forecasting.
• Project management experience.
• Microsoft certification or similar technical credentials.

Benefits

• Molina Healthcare offers a competitive benefits and compensation package.