14 Healthcare Positions jobs in Lackawanna
Healthcare Specialist
14211 Buffalo, New York
WM
Posted 10 days ago
Job Viewed
Job Description
**Starting Salary $60,000-$67,000 (BOE), Great Benefits:**
**Stericycle is now part of WM!** To learn more about WM's acquisition of Stericycle, **CLICK HERE** to read the press release! Stericycle is a U.S. based business-to-business services company and leading provider of compliance-based solutions that protects people and brands, promotes health and well-being, and safeguards the environment. Since our founding over 30 years ago, we have grown from a small start-up in medical waste management into a leader across a range of increasingly complex and highly regulated arenas, serving healthcare organizations and commercial businesses of every size. Every day, we help our customers solve complex challenges by safely managing materials that could otherwise spread disease, contaminate the environment, or compromise one's identity. Join us on our mission to protect health and well-being in a safe, responsible, and sustainable way.
**Position Purpose:**
The Healthcare Specialist is responsible for providing strategic guidance towards the compliant, safe and efficient handling and processing of all Waste Streams contracted by the facility(s). Ensures the services provided to the facility(s) by Stericycle consistently meet service expectations, regulatory and safety compliance measures, and are provided in a productive and profitable manner.
**Key Job Activities:**
+ Monitors the performance of operational efficiencies and assist in ensuring that their performance and cost goals are being achieved by utilizing cost tracking tools and reviewing invoices for accuracy. Identifies and executes ways to reduce costs while still fulfilling contractual obligations
+ Provides strategic consultative resources to hospital staff to assist them in managing all contracted waste streams in a safe and compliant manner. Serve as the primary liaison in managing all contracted waste streams
+ Provides expert knowledge as needed on each of the regulations associated with the waste streams being managed (i.e., EPA, DOT, DEA, and any other state or local regulations)
+ Conduct Survey for customers identifying compliance gaps and waste segregation opportunities utilizing the Virtual Compliance Partner application
+ Project manage implementation of new compliance-based services including the tracking, coordinating, and communication of schedules and expectations to internal and external customers. Develop and deliver customized training for the implementation and maintenance of the contract
+ Regularly schedule and complete customer-facing activity with focus on service satisfaction, building relationships, and identifying ways to improve operational efficiencies and profitability
+ Perform other duties and responsibilities, as assigned
**Education:**
Preferred Education: in Bachelors
**Experience (North America):**
+ Bachelor's Degree preferred, with experience in healthcare discipline preferred, or the equivalent in related work experience, demonstrating detailed knowledge of OSHA and/or EPA-RCRA and/or U.S. DOT, and/or The Joint Commission Standards
+ 3+ years of experience in the healthcare industry, or the equivalent in related work experience, demonstrating excellent working knowledge of medical waste issues and the healthcare industry, and consultative skills to effectively deal with customers. Candidate is confident with public speaking duties
+ Demonstrates the ability to work well with others, and provide excellent customer service, both internally and externally
+ Demonstrates the ability to identify and understand customer needs; takes appropriate actions to ensure customer needs are met while also meeting Stericycle expectations
+ Demonstrates the ability to present ideas/information in a clear, concise, organized, and diplomatic manner; asks appropriate questions to obtain information; listen to others to respond effectively to ideas and questions. Presents prepared information to groups in a manner that is clear & concise, holds their interest, and addresses their needs or concerns.
+ Always demonstrates a professional work ethic and professional appearance
+ Independent, self-motivated who can meet goals and objectives that have been outlined by Senior Team. Demonstrates time management skills, working in an autonomous environment
**Benefits:**
Stericycle currently offers its employees the option to participate in a full range of benefits, including a health care program which includes medical, dental, vision and prescription coverage, healthcare and dependent care flexible spending accounts, life and accidental death and dismemberment insurance, an employee assistance program, tuition reimbursement, paid vacation and sick time, a 401(k) plan, and an employee stock purchase plan. Participation in some programs requires that employees be regularly scheduled to work a minimum number of hours and/or to have fulfilled a waiting period after they begin employment with Stericycle.
**Our Promise:**
Stericycle is committed to attracting and retaining a diverse workforce, and to valuing unique perspectives and identities. We foster a culture of belonging that encourages, supports, and celebrates the diverse voices of our team members. It fuels our innovation and strengthens our connection to our customers and the communities we serve. We are proud to be an equal opportunity employer. All employment is decided on the basis of qualifications, merit, and business need.
**_Disclaimer:_**
_The above description is meant to provide a summary of the nature and level of work being performed; it should not be construed as an exhaustive list of all responsibilities, duties and requirements of the job. This document does not create an employment contract, implied or otherwise, and it does not constitute any right or guarantee of employment condition. This position is open to people with disabilities. Stericycle will consider requests for workplace accommodations for protected physical or mental limitations in accordance with its human resources and risks prevention policies and local laws. To the extent permissible under local law, and consistent with business necessity, Stericycle reserves the right to modify the content formally or informally, either verbally or in writing, at any time with or without advance notice._
**Stericycle is now part of WM!** To learn more about WM's acquisition of Stericycle, **CLICK HERE** to read the press release! Stericycle is a U.S. based business-to-business services company and leading provider of compliance-based solutions that protects people and brands, promotes health and well-being, and safeguards the environment. Since our founding over 30 years ago, we have grown from a small start-up in medical waste management into a leader across a range of increasingly complex and highly regulated arenas, serving healthcare organizations and commercial businesses of every size. Every day, we help our customers solve complex challenges by safely managing materials that could otherwise spread disease, contaminate the environment, or compromise one's identity. Join us on our mission to protect health and well-being in a safe, responsible, and sustainable way.
**Position Purpose:**
The Healthcare Specialist is responsible for providing strategic guidance towards the compliant, safe and efficient handling and processing of all Waste Streams contracted by the facility(s). Ensures the services provided to the facility(s) by Stericycle consistently meet service expectations, regulatory and safety compliance measures, and are provided in a productive and profitable manner.
**Key Job Activities:**
+ Monitors the performance of operational efficiencies and assist in ensuring that their performance and cost goals are being achieved by utilizing cost tracking tools and reviewing invoices for accuracy. Identifies and executes ways to reduce costs while still fulfilling contractual obligations
+ Provides strategic consultative resources to hospital staff to assist them in managing all contracted waste streams in a safe and compliant manner. Serve as the primary liaison in managing all contracted waste streams
+ Provides expert knowledge as needed on each of the regulations associated with the waste streams being managed (i.e., EPA, DOT, DEA, and any other state or local regulations)
+ Conduct Survey for customers identifying compliance gaps and waste segregation opportunities utilizing the Virtual Compliance Partner application
+ Project manage implementation of new compliance-based services including the tracking, coordinating, and communication of schedules and expectations to internal and external customers. Develop and deliver customized training for the implementation and maintenance of the contract
+ Regularly schedule and complete customer-facing activity with focus on service satisfaction, building relationships, and identifying ways to improve operational efficiencies and profitability
+ Perform other duties and responsibilities, as assigned
**Education:**
Preferred Education: in Bachelors
**Experience (North America):**
+ Bachelor's Degree preferred, with experience in healthcare discipline preferred, or the equivalent in related work experience, demonstrating detailed knowledge of OSHA and/or EPA-RCRA and/or U.S. DOT, and/or The Joint Commission Standards
+ 3+ years of experience in the healthcare industry, or the equivalent in related work experience, demonstrating excellent working knowledge of medical waste issues and the healthcare industry, and consultative skills to effectively deal with customers. Candidate is confident with public speaking duties
+ Demonstrates the ability to work well with others, and provide excellent customer service, both internally and externally
+ Demonstrates the ability to identify and understand customer needs; takes appropriate actions to ensure customer needs are met while also meeting Stericycle expectations
+ Demonstrates the ability to present ideas/information in a clear, concise, organized, and diplomatic manner; asks appropriate questions to obtain information; listen to others to respond effectively to ideas and questions. Presents prepared information to groups in a manner that is clear & concise, holds their interest, and addresses their needs or concerns.
+ Always demonstrates a professional work ethic and professional appearance
+ Independent, self-motivated who can meet goals and objectives that have been outlined by Senior Team. Demonstrates time management skills, working in an autonomous environment
**Benefits:**
Stericycle currently offers its employees the option to participate in a full range of benefits, including a health care program which includes medical, dental, vision and prescription coverage, healthcare and dependent care flexible spending accounts, life and accidental death and dismemberment insurance, an employee assistance program, tuition reimbursement, paid vacation and sick time, a 401(k) plan, and an employee stock purchase plan. Participation in some programs requires that employees be regularly scheduled to work a minimum number of hours and/or to have fulfilled a waiting period after they begin employment with Stericycle.
**Our Promise:**
Stericycle is committed to attracting and retaining a diverse workforce, and to valuing unique perspectives and identities. We foster a culture of belonging that encourages, supports, and celebrates the diverse voices of our team members. It fuels our innovation and strengthens our connection to our customers and the communities we serve. We are proud to be an equal opportunity employer. All employment is decided on the basis of qualifications, merit, and business need.
**_Disclaimer:_**
_The above description is meant to provide a summary of the nature and level of work being performed; it should not be construed as an exhaustive list of all responsibilities, duties and requirements of the job. This document does not create an employment contract, implied or otherwise, and it does not constitute any right or guarantee of employment condition. This position is open to people with disabilities. Stericycle will consider requests for workplace accommodations for protected physical or mental limitations in accordance with its human resources and risks prevention policies and local laws. To the extent permissible under local law, and consistent with business necessity, Stericycle reserves the right to modify the content formally or informally, either verbally or in writing, at any time with or without advance notice._
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0
Data Analyst (Healthcare Preferred) - Remote
14211 Buffalo, New York
Molina Healthcare
Posted 19 days ago
Job Viewed
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. Identifies and interprets trends and patterns in datasets to locate influences and provides recommendations and strategic/tactical plans based on findings. Collaborates within Care Connections and across departments 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 specifications for reports and analysis based on business needs and required or available data elements and works with Clinical Informatics to design. Creates solutions from initial concept to fully tested production products and communicates results to a broad range of audiences.
Effectively uses current and emerging technologies.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Extracts and compiles various sources of information and large data sets from various systems to identify and analyze data.
+ Sets up process for monitoring, tracking, and trending department data, including quality measures, effectiveness of communications, and process improvements.
+ Works with internal, external and enterprise stakeholders, as needed, to research, develop, and document new standard reports and/or processes.
+ Implements and uses the analytics software and systems to support department goals.
**JOB QUALIFICATIONS**
**Required Education**
Associate's Degree or equivalent combination of education and experience
**Required Experience**
1-3 years
**Preferred Education**
Bachelor's Degree or equivalent combination of education and experience
**Preferred Experience**
3-5 year
Quality and/or Medicare Stars knowledge highly preferred
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: $77,969 - $116,835 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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. Identifies and interprets trends and patterns in datasets to locate influences and provides recommendations and strategic/tactical plans based on findings. Collaborates within Care Connections and across departments 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 specifications for reports and analysis based on business needs and required or available data elements and works with Clinical Informatics to design. Creates solutions from initial concept to fully tested production products and communicates results to a broad range of audiences.
Effectively uses current and emerging technologies.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Extracts and compiles various sources of information and large data sets from various systems to identify and analyze data.
+ Sets up process for monitoring, tracking, and trending department data, including quality measures, effectiveness of communications, and process improvements.
+ Works with internal, external and enterprise stakeholders, as needed, to research, develop, and document new standard reports and/or processes.
+ Implements and uses the analytics software and systems to support department goals.
**JOB QUALIFICATIONS**
**Required Education**
Associate's Degree or equivalent combination of education and experience
**Required Experience**
1-3 years
**Preferred Education**
Bachelor's Degree or equivalent combination of education and experience
**Preferred Experience**
3-5 year
Quality and/or Medicare Stars knowledge highly preferred
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: $77,969 - $116,835 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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1
Healthcare Services Operations Support Auditor
14211 Buffalo, New York
Molina Healthcare
Posted 21 days ago
Job Viewed
Job Description
JOB DESCRIPTION
Job Summary
Provides support for non-clinical healthcare services auditing activities. Responsible for performing audits for non-clinical functional areas in alignment with regulatory requirements - ensuring quality compliance and desired member outcomes. Contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
- Performs audits of non-clinical staff in utilization management, care management, member assessment, and/or other teams - monitoring for compliance with National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), and state and federal guidelines and requirements.
- Reports outcomes, identifies areas of re-training for staff, and communicates findings to leadership.
- Ensures auditing approaches follow a Molina standard in approach and tool use.
- Maintains member/provider confidentiality in compliance with the Health Insurance Portability and Accountability Act (HIPAA).
- Demonstrates professionalism in all communications.
- Adheres to departmental standards, policies, protocols.
- Maintains detailed records of auditing results.
- Assists healthcare services with developing training materials or job aids as needed to address findings in audit results.
- Meets minimum production standards related to non-clinical auditing.
- May conduct staff trainings as needed.
- Communicates with quality, and/or healthcare services leadership regarding issues identified, and works collaboratively to subsequently resolve/correct.
Required Qualifications
- At least 2 years health care experience, preferably in utilization management, care management, and/or managed care, or equivalent combination of relevant education and experience.
- Strong analytical and problem-solving skills.
- Ability to work in a cross-functional, professional environment.
- Ability to work on a team and independently.
- Excellent verbal and written communication skills.
- Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
- Utilization management, care management, behavioral health and/or long-term services and supports (LTSS) non-clinical review/auditing experience.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $24 - $56.17 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Job Summary
Provides support for non-clinical healthcare services auditing activities. Responsible for performing audits for non-clinical functional areas in alignment with regulatory requirements - ensuring quality compliance and desired member outcomes. Contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
- Performs audits of non-clinical staff in utilization management, care management, member assessment, and/or other teams - monitoring for compliance with National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), and state and federal guidelines and requirements.
- Reports outcomes, identifies areas of re-training for staff, and communicates findings to leadership.
- Ensures auditing approaches follow a Molina standard in approach and tool use.
- Maintains member/provider confidentiality in compliance with the Health Insurance Portability and Accountability Act (HIPAA).
- Demonstrates professionalism in all communications.
- Adheres to departmental standards, policies, protocols.
- Maintains detailed records of auditing results.
- Assists healthcare services with developing training materials or job aids as needed to address findings in audit results.
- Meets minimum production standards related to non-clinical auditing.
- May conduct staff trainings as needed.
- Communicates with quality, and/or healthcare services leadership regarding issues identified, and works collaboratively to subsequently resolve/correct.
Required Qualifications
- At least 2 years health care experience, preferably in utilization management, care management, and/or managed care, or equivalent combination of relevant education and experience.
- Strong analytical and problem-solving skills.
- Ability to work in a cross-functional, professional environment.
- Ability to work on a team and independently.
- Excellent verbal and written communication skills.
- Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
- Utilization management, care management, behavioral health and/or long-term services and supports (LTSS) non-clinical review/auditing experience.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $24 - $56.17 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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2
Analyst, Healthcare Ops - Remote GA
14211 Buffalo, New York
Molina Healthcare
Posted 27 days ago
Job Viewed
Job Description
**JOB DESCRIPTION**
***Candidate must reside in Georgia***
**Job Summary**
Performs 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.
Molina Healthcare Core Competencies: Generally, the ability to understand, internalize, exhibit and promote behaviors that reflect Molina Healthcare's Core Values.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Helps to oversee development, organization, and ongoing maintenance of data representing a wide range of healthcare information.
+ Identifies and completes report enhancements/fixes.
+ Assists with completion of special projects as requested, by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations.
+ Establishes and maintains timelines for reports and projects.
+ Generates and distributes weekly/monthly/quarterly/annually standard reports.
+ Must have experience in analyzing Utilization management, member health risk assessment data using SQL, Databricks and create reports using PowerBI
+ Must be able to collaborate with Executive teams in Utilization management, Operations, Core EIM teams.
**JOB QUALIFICATIONS**
**Required Education**
Associate degree or equivalent combination of education and experience
**Required Experience**
1-3 years
**Preferred Education**
Bachelor's Degree or equivalent combination of education and experience
**Preferred Experience**
3-5 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.
#PJHPO
Pay Range: $21.16 - $46.42 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
***Candidate must reside in Georgia***
**Job Summary**
Performs 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.
Molina Healthcare Core Competencies: Generally, the ability to understand, internalize, exhibit and promote behaviors that reflect Molina Healthcare's Core Values.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Helps to oversee development, organization, and ongoing maintenance of data representing a wide range of healthcare information.
+ Identifies and completes report enhancements/fixes.
+ Assists with completion of special projects as requested, by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations.
+ Establishes and maintains timelines for reports and projects.
+ Generates and distributes weekly/monthly/quarterly/annually standard reports.
+ Must have experience in analyzing Utilization management, member health risk assessment data using SQL, Databricks and create reports using PowerBI
+ Must be able to collaborate with Executive teams in Utilization management, Operations, Core EIM teams.
**JOB QUALIFICATIONS**
**Required Education**
Associate degree or equivalent combination of education and experience
**Required Experience**
1-3 years
**Preferred Education**
Bachelor's Degree or equivalent combination of education and experience
**Preferred Experience**
3-5 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.
#PJHPO
Pay Range: $21.16 - $46.42 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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3
Healthcare Operations Intern (Reporting & Analytics) - REMOTE
14211 Buffalo, New York
Molina Healthcare
Posted 3 days ago
Job Viewed
Job Description
**JOB DESCRIPTION**
**Job Summary**
The Molina Healthcare Internship Program shares an objective to create a steppingstone for students who aim to be professionals and future leaders in the healthcare business profession. Interns are assigned special projects and various other duties that are intended to provide them with valuable professional work experience and industry insight. The purpose of an internship is to develop talent by providing students with experiential learning, formal training and opportunities to interact with healthcare professionals and community leaders. Interns will perform meaningful work alongside talented professionals, gaining insight to Molina's culture, Mission and Values.
**KNOWLEDGE, SKILLS & ABILITIES**
**Implementation Support:** Works to support management and teams through following job duties for implementation support:
+ Provides support with analytical, problem solving, including definition and documentation, business workflow analysis, specifications, requirements definition and documentation.
+ Supports documentation and changes to existing business processes. Helps to identify new opportunities for process developments and improvements.
+ Supports team on work plans and other deliverables for assigned areas utilizing approved templates and practices to ensure consistent content and format is maintained across department.
**Data Analytics:** Reviews data extracts from multiple sources of information and large data sets from a variety of systems to identify and analyze outliers.
+ Supports the work related to monitoring, tracking, and trending department data.
+ Supports preparation of state mandated reports and analysis.
**Preferred Experience**
+ Must possess clear and professional written, verbal and interpersonal communication skills.
+ Strong work ethic, self-motivated and ability to develop relationships.
+ Good time management, organizational and interpersonal skills required
+ Computer and data analysis experience including MS Word, Excel, Outlook and PowerPoint and experience with internet research.
+ Excellent critical thinking/problem solving skills
+ Ability to handle confidential information
+ Ability to maintain confidentiality and to comply with Health Insurance Portability and Accountability Act (HIPAA)
**REQUIRED EDUCATION:**
+ Must be currently enrolled in an undergraduate or graduate program
+ Should be a freshman sophomore or junior
+ Minimum GPA of 3.0 or higher
+ Pursuing a degree in - Data Analytics, Healthcare or related field
+ Must have unrestricted authorization to work in the United States
+ Able to commit to the full-time, 10-week internship program from June 1st - August 7, 2026.
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: $21.16 - $21.66 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
**Job Summary**
The Molina Healthcare Internship Program shares an objective to create a steppingstone for students who aim to be professionals and future leaders in the healthcare business profession. Interns are assigned special projects and various other duties that are intended to provide them with valuable professional work experience and industry insight. The purpose of an internship is to develop talent by providing students with experiential learning, formal training and opportunities to interact with healthcare professionals and community leaders. Interns will perform meaningful work alongside talented professionals, gaining insight to Molina's culture, Mission and Values.
**KNOWLEDGE, SKILLS & ABILITIES**
**Implementation Support:** Works to support management and teams through following job duties for implementation support:
+ Provides support with analytical, problem solving, including definition and documentation, business workflow analysis, specifications, requirements definition and documentation.
+ Supports documentation and changes to existing business processes. Helps to identify new opportunities for process developments and improvements.
+ Supports team on work plans and other deliverables for assigned areas utilizing approved templates and practices to ensure consistent content and format is maintained across department.
**Data Analytics:** Reviews data extracts from multiple sources of information and large data sets from a variety of systems to identify and analyze outliers.
+ Supports the work related to monitoring, tracking, and trending department data.
+ Supports preparation of state mandated reports and analysis.
**Preferred Experience**
+ Must possess clear and professional written, verbal and interpersonal communication skills.
+ Strong work ethic, self-motivated and ability to develop relationships.
+ Good time management, organizational and interpersonal skills required
+ Computer and data analysis experience including MS Word, Excel, Outlook and PowerPoint and experience with internet research.
+ Excellent critical thinking/problem solving skills
+ Ability to handle confidential information
+ Ability to maintain confidentiality and to comply with Health Insurance Portability and Accountability Act (HIPAA)
**REQUIRED EDUCATION:**
+ Must be currently enrolled in an undergraduate or graduate program
+ Should be a freshman sophomore or junior
+ Minimum GPA of 3.0 or higher
+ Pursuing a degree in - Data Analytics, Healthcare or related field
+ Must have unrestricted authorization to work in the United States
+ Able to commit to the full-time, 10-week internship program from June 1st - August 7, 2026.
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: $21.16 - $21.66 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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4
Healthcare Business Admin Intern (Operations) - REMOTE
14211 Buffalo, New York
Molina Healthcare
Posted 3 days ago
Job Viewed
Job Description
**JOB DESCRIPTION**
**Job Summary**
The Molina Healthcare Internship Program shares an objective to create a steppingstone for students and alumni who aim to be professionals and future leaders in the healthcare business profession. We aim to develop talent by providing students and alumni with experiential learning, formal training, and opportunities to interact with healthcare business professionals who will act as intern managers along the way.
**KNOWLEDGE/SKILLS/ABILITIES**
· Assist in gathering and organizing operational data from various sources, including internal systems and reports.
· Conduct quantitative and qualitative analysis to identify trends, inefficiencies, and opportunities for improvement.
· Support the creation of dashboards, visualizations, and regular performance reports for leadership and operational teams.
· Collaborate with leadership and cross-functional teams to understand business processes and contribute to process optimization projects.
· Participate in meetings and present findings to team members and stakeholders.
· Help document processes, methodologies, and recommendations for future reference.
**Qualifications**
· Strong analytical and problem-solving skills, with attention to detail.
· Proficiency in Microsoft Excel; familiarity with data visualization tools (e.g., Power BI) is a plus.
· Excellent written and verbal communication skills.
· Ability to work independently and as part of a team in a fast-paced environment.
· Interest in business operations, process improvement, and data-driven decision making.
** REQUIRED EDUCATION:**
Must be currently enrolled in an undergraduate or graduate program
Should be a freshman sophomore or junior
Minimum GPA of 3.0 or higher
Pursuing a degree in Business/Information Systems, Actuarial Sciences, Industrial Engineering or a related field
Must have unrestricted authorization to work in the United States
Able to commit to the full-time, 10-week internship program from June 1 - August 7, 2026
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: $21.16 - $21.66 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
**Job Summary**
The Molina Healthcare Internship Program shares an objective to create a steppingstone for students and alumni who aim to be professionals and future leaders in the healthcare business profession. We aim to develop talent by providing students and alumni with experiential learning, formal training, and opportunities to interact with healthcare business professionals who will act as intern managers along the way.
**KNOWLEDGE/SKILLS/ABILITIES**
· Assist in gathering and organizing operational data from various sources, including internal systems and reports.
· Conduct quantitative and qualitative analysis to identify trends, inefficiencies, and opportunities for improvement.
· Support the creation of dashboards, visualizations, and regular performance reports for leadership and operational teams.
· Collaborate with leadership and cross-functional teams to understand business processes and contribute to process optimization projects.
· Participate in meetings and present findings to team members and stakeholders.
· Help document processes, methodologies, and recommendations for future reference.
**Qualifications**
· Strong analytical and problem-solving skills, with attention to detail.
· Proficiency in Microsoft Excel; familiarity with data visualization tools (e.g., Power BI) is a plus.
· Excellent written and verbal communication skills.
· Ability to work independently and as part of a team in a fast-paced environment.
· Interest in business operations, process improvement, and data-driven decision making.
** REQUIRED EDUCATION:**
Must be currently enrolled in an undergraduate or graduate program
Should be a freshman sophomore or junior
Minimum GPA of 3.0 or higher
Pursuing a degree in Business/Information Systems, Actuarial Sciences, Industrial Engineering or a related field
Must have unrestricted authorization to work in the United States
Able to commit to the full-time, 10-week internship program from June 1 - August 7, 2026
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: $21.16 - $21.66 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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5
Program Manager, Healthcare Services - Clinical Systems
14211 Buffalo, New York
Molina Healthcare
Posted 9 days ago
Job Viewed
Job Description
**Job Summary**
Provides subject matter expertise and leadership to healthcare services function - providing support for project/program/process design, execution, evaluation and support, and ensuring compliance with regulatory and internal standards, practices, policies and contractual commitments. Contributes to overarching strategy to provide quality and cost-effective member care.
**Essential Job Duties**
+ Collaboratively plans and executes internal healthcare services projects and programs involving department or cross-functional teams of subject matter experts - delivering products from the design process to completion.
+ Provides ongoing communication related to program goals, evaluation and support to ensure compliance with standardized protocols and processes.
+ May engage and oversee the work of external vendors.
+ Focuses on process improvement, organizational change management, program management and other processes relative to business needs.
+ Serves as a subject matter expert and leads healthcare services programs to meet critical needs.
+ Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements.
+ Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality initiatives within the department as appropriate.
+ Creates business requirements documents (BRDs), test plans, requirements traceability matrix (RTMs), user training materials and other related business documents.
**Required Qualifications**
+ At least 5 years of health care experience, including experience in clinical operations, and at least 3 or more years in one or more of the following areas: utilization management, care management, care transitions, behavioral health, or equivalent combination of relevant education and experience.
+ Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC) or Licensed Marriage and Family Therapist (LMFT). Clinical licensure and/or certification required ONLY if required by state contract, regulation or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
+ Strong analytical and problem-solving skills.
+ Strong organizational and time-management skills.
+ Ability to work in a cross-functional, professional environment.
+ Experience working within applicable state, federal, and third-party regulations.
+ Strong verbal and written communication skills.
+ Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases.
**Preferred Qualifications**
+ Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), or other health care or management certification.
+ Leadership experience.
+ Medicaid/Medicare population experience.
+ Six sigma certification
+ Experience with Agile Methodology
+ Experience with Epic
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $77,969 - $171,058 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Provides subject matter expertise and leadership to healthcare services function - providing support for project/program/process design, execution, evaluation and support, and ensuring compliance with regulatory and internal standards, practices, policies and contractual commitments. Contributes to overarching strategy to provide quality and cost-effective member care.
**Essential Job Duties**
+ Collaboratively plans and executes internal healthcare services projects and programs involving department or cross-functional teams of subject matter experts - delivering products from the design process to completion.
+ Provides ongoing communication related to program goals, evaluation and support to ensure compliance with standardized protocols and processes.
+ May engage and oversee the work of external vendors.
+ Focuses on process improvement, organizational change management, program management and other processes relative to business needs.
+ Serves as a subject matter expert and leads healthcare services programs to meet critical needs.
+ Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements.
+ Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality initiatives within the department as appropriate.
+ Creates business requirements documents (BRDs), test plans, requirements traceability matrix (RTMs), user training materials and other related business documents.
**Required Qualifications**
+ At least 5 years of health care experience, including experience in clinical operations, and at least 3 or more years in one or more of the following areas: utilization management, care management, care transitions, behavioral health, or equivalent combination of relevant education and experience.
+ Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC) or Licensed Marriage and Family Therapist (LMFT). Clinical licensure and/or certification required ONLY if required by state contract, regulation or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
+ Strong analytical and problem-solving skills.
+ Strong organizational and time-management skills.
+ Ability to work in a cross-functional, professional environment.
+ Experience working within applicable state, federal, and third-party regulations.
+ Strong verbal and written communication skills.
+ Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases.
**Preferred Qualifications**
+ Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), or other health care or management certification.
+ Leadership experience.
+ Medicaid/Medicare population experience.
+ Six sigma certification
+ Experience with Agile Methodology
+ Experience with Epic
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $77,969 - $171,058 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
View Now
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6
Program Manager-Healthcare Enrollment Data (Remote)
14211 Buffalo, New York
Molina Healthcare
Posted 20 days ago
Job Viewed
Job Description
**JOB DESCRIPTION**
**Job Summary**
Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/program management.
**Job Duties**
+ Active collaborator with people who are responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion.
+ Plans and directs schedules as well as project budgets.
+ Monitors the project from inception through delivery.
+ May engage and oversee the work of external vendors.
+ Focuses on process improvement, organizational change management, program management and other processes relative to the business.
+ Leads and manages team in planning and executing business programs.
+ Serves as the subject matter expert in the functional area and leads programs to meet critical needs.
+ Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements. Delivers the appropriate artifacts as needed.
+ Works with operational leaders within the business to provide recommendations on opportunities for process improvements.
+ Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations.
+ Generate and distribute standard reports on schedule
+ SQL Experience
+ Root Cause Analysis
**JOB QUALIFICATIONS**
**REQUIRED EDUCATION** :
Bachelor's Degree or equivalent combination of education and experience.
**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** :
+ 3-5 years of Program and/or Project management experience.
+ Operational Process Improvement experience.
+ Healthcare experience.
+ Experience with Microsoft Project and Visio.
+ Excellent presentation and communication skills.
+ Experience partnering with different levels of leadership across the organization.
**PREFERRED EDUCATION** :
Graduate Degree or equivalent combination of education and experience.
**PREFERRED EXPERIENCE** :
- 5-7 years of Program and/or Project management experience.
- Managed Care experience.
- Experience working in a cross functional highly matrixed organization.
**PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** :
- PMP, Six Sigma Green Belt, Six Sigma Black Belt Certification and/or comparable coursework desired.
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: $77,969 - $155,508 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
**Job Summary**
Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/program management.
**Job Duties**
+ Active collaborator with people who are responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion.
+ Plans and directs schedules as well as project budgets.
+ Monitors the project from inception through delivery.
+ May engage and oversee the work of external vendors.
+ Focuses on process improvement, organizational change management, program management and other processes relative to the business.
+ Leads and manages team in planning and executing business programs.
+ Serves as the subject matter expert in the functional area and leads programs to meet critical needs.
+ Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements. Delivers the appropriate artifacts as needed.
+ Works with operational leaders within the business to provide recommendations on opportunities for process improvements.
+ Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations.
+ Generate and distribute standard reports on schedule
+ SQL Experience
+ Root Cause Analysis
**JOB QUALIFICATIONS**
**REQUIRED EDUCATION** :
Bachelor's Degree or equivalent combination of education and experience.
**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** :
+ 3-5 years of Program and/or Project management experience.
+ Operational Process Improvement experience.
+ Healthcare experience.
+ Experience with Microsoft Project and Visio.
+ Excellent presentation and communication skills.
+ Experience partnering with different levels of leadership across the organization.
**PREFERRED EDUCATION** :
Graduate Degree or equivalent combination of education and experience.
**PREFERRED EXPERIENCE** :
- 5-7 years of Program and/or Project management experience.
- Managed Care experience.
- Experience working in a cross functional highly matrixed organization.
**PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** :
- PMP, Six Sigma Green Belt, Six Sigma Black Belt Certification and/or comparable coursework desired.
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: $77,969 - $155,508 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
View Now
7
Senior Analyst, Healthcare Analytics - Risk Adjustment (REMOTE)
14211 Buffalo, New York
Molina Healthcare
Posted 10 days ago
Job Viewed
Job Description
**JOB DESCRIPTION**
**Job Summary**
This Sr. Analyst, Healthcare Analytics role will support Molina's Risk Adjustment Analytics team. The job responsibilities include developing risk score reporting with Databricks and Power BI, organizing and managing large and varied data sets, analyzing healthcare data for decision support, and communicating findings. Qualified candidates are the diligent problem solvers who have Databricks experience with advanced skills in data analysis. Performs research and deep-dive analysis of complex healthcare claims data, CMS return files, and financial cost, revenue, and vendor data. Collaborates with actuarial and operational staff to analyze, understand, modify, and communicate models and results. Makes recommendations to management based on relevant findings. Utilizes Power BI to display relevant reporting within a refresh cycle.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Compile and organize health care data using Databricks and Spark SQL programming, Notebooks, Workflows, Repositories, and other analytic / programming processes as needed.
+ Collect programming specifications from requestors to develop Notebooks, Workflows, and Power BI reporting using multiple data sources, crosswalks, and built-in validation checks.
+ Use peer-to-peer review process and end-user consultation to reduce errors and rework.
+ Assist with root cause analysis to maintain high integrity data and processes to minimize discrepancies and gaps.
+ Must have a strong attention to detail and knowledge of data structure and programming.
+ Understanding data storage and data sharing methods.
+ Converting data into usable information that is easy to understand.
+ Research and develop reports and analysis for senior management and effectively communicate results.
**JOB QUALIFICATIONS**
**Required Education**
Bachelor's Degree in Finance, Economics, Computer Science
**Required Experience**
+ 5-7 years increasingly complex database and data management responsibilities
+ 5-7 years of increasingly complex experience in quantifying, measuring, and analyzing financial/performance management metrics
+ Demonstrate Healthcare experience in Quantifying, Measuring and Analyzing Financial and Utilization Metrics of Healthcare
+ Advanced knowledge of Databricks
+ Bachelor's Degree in Finance, Economics, Math, or Computer Science
**Preferred Experience**
Preferred experience in Medical Economics and Strong Knowledge of Performance Indicators:
+ Experience developing queries within project management tools like Azure DevOps.
+ Risk Adjustment experience and some familiarity with Power BI level report building, leveraging PBI to develop business insights.
+ Apply investigative skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive modeling, etc.
+ Analysis and forecasting of trends to provide analytic support for finance, pricing and actuarial functions.
+ Healthcare Analyst I experience desired.
+ PowerBI, Excel, Power Pivot, VBA, Macros, Copilot
+ Python, PySpark, R, SAS, or other programming language(s)
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.
#PJCorp
Pay Range: $77,969 - $155,508 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
**Job Summary**
This Sr. Analyst, Healthcare Analytics role will support Molina's Risk Adjustment Analytics team. The job responsibilities include developing risk score reporting with Databricks and Power BI, organizing and managing large and varied data sets, analyzing healthcare data for decision support, and communicating findings. Qualified candidates are the diligent problem solvers who have Databricks experience with advanced skills in data analysis. Performs research and deep-dive analysis of complex healthcare claims data, CMS return files, and financial cost, revenue, and vendor data. Collaborates with actuarial and operational staff to analyze, understand, modify, and communicate models and results. Makes recommendations to management based on relevant findings. Utilizes Power BI to display relevant reporting within a refresh cycle.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Compile and organize health care data using Databricks and Spark SQL programming, Notebooks, Workflows, Repositories, and other analytic / programming processes as needed.
+ Collect programming specifications from requestors to develop Notebooks, Workflows, and Power BI reporting using multiple data sources, crosswalks, and built-in validation checks.
+ Use peer-to-peer review process and end-user consultation to reduce errors and rework.
+ Assist with root cause analysis to maintain high integrity data and processes to minimize discrepancies and gaps.
+ Must have a strong attention to detail and knowledge of data structure and programming.
+ Understanding data storage and data sharing methods.
+ Converting data into usable information that is easy to understand.
+ Research and develop reports and analysis for senior management and effectively communicate results.
**JOB QUALIFICATIONS**
**Required Education**
Bachelor's Degree in Finance, Economics, Computer Science
**Required Experience**
+ 5-7 years increasingly complex database and data management responsibilities
+ 5-7 years of increasingly complex experience in quantifying, measuring, and analyzing financial/performance management metrics
+ Demonstrate Healthcare experience in Quantifying, Measuring and Analyzing Financial and Utilization Metrics of Healthcare
+ Advanced knowledge of Databricks
+ Bachelor's Degree in Finance, Economics, Math, or Computer Science
**Preferred Experience**
Preferred experience in Medical Economics and Strong Knowledge of Performance Indicators:
+ Experience developing queries within project management tools like Azure DevOps.
+ Risk Adjustment experience and some familiarity with Power BI level report building, leveraging PBI to develop business insights.
+ Apply investigative skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive modeling, etc.
+ Analysis and forecasting of trends to provide analytic support for finance, pricing and actuarial functions.
+ Healthcare Analyst I experience desired.
+ PowerBI, Excel, Power Pivot, VBA, Macros, Copilot
+ Python, PySpark, R, SAS, or other programming language(s)
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.
#PJCorp
Pay Range: $77,969 - $155,508 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
View Now
8
Manager, Healthcare Analytics - Health Plan Integration - Remote
14211 Buffalo, New York
Molina Healthcare
Posted 17 days ago
Job Viewed
Job Description
**JOB DESCRIPTION**
**Job Summary**
Collects, validates, analyzes, and organizes data into meaningful reports for management decision making as well as designing, developing, testing, and deploying reports to provider networks and other end users for operational and strategic analysis.
**KNOWLEDGE/SKILLS/ABILITIES**
Manages and provides direct oversight of Healthcare Analytics Team activities and personnel. Provides technical expertise, manages relationships with operational leaders and staff. Directs staff assigned to their projects, maintains internal work plans as well as project work plans to meet reporting needs of the Health Plan. Resource to HCS staff for mentoring, coaching, and analysis questions. Responsible for staff time keeping, performance coaching, development, and career paths.
+ Daily management of Healthcare Analytics team.
+ Allocate new report/project requests (workload distribution).
+ Coordinates with Health Plan departments to meet data analysis and database development needs.
+ Reviews, evaluates, and improved Company business logic and data sources.
+ Resource to Health Plan staff for mentoring, coaching, and analysis questions.
+ Reviews Health Plan analyst work products to ensure accuracy and clarity.
+ Reviews regulatory reporting requirements and Health Plan project documentation.
+ Maintains reporting service level benchmarks for Healthcare Analytics team.
+ Represents Healthcare Analytics department in cross-departmental and operational meetings.
+ Serves as liaison between Corporate IT and Health Plan regarding reporting needs.
+ Creates reporting for strategic analysis, profitability, financial analysis, utilization patterns and medical management.
+ Interfaces and maintains positive interactions with Health Plan and Corporate personnel.
+ Management Health Plan Encounter workflow process.
**JOB QUALIFICATIONS**
**Required Education**
Bachelor's Degree in Finance, Economics, Math, Computer Science, Information Systems, or related field
**Required Experience**
+ 3 years management or team leadership experience
+ 10 years' work experience preferable in claims processing environment and/or healthcare environment
+ Strong knowledge of SQL 2005/2008 SSRS report development
+ Familiar with relational database concepts, and SDLC concepts
**Preferred Education**
Masters' Degree in Finance, Economics, Math, Computer Science, Information Systems, or related field.
**Preferred Experience**
3 - 5 years supervisory experience
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: $88,453 - $206,981 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
**Job Summary**
Collects, validates, analyzes, and organizes data into meaningful reports for management decision making as well as designing, developing, testing, and deploying reports to provider networks and other end users for operational and strategic analysis.
**KNOWLEDGE/SKILLS/ABILITIES**
Manages and provides direct oversight of Healthcare Analytics Team activities and personnel. Provides technical expertise, manages relationships with operational leaders and staff. Directs staff assigned to their projects, maintains internal work plans as well as project work plans to meet reporting needs of the Health Plan. Resource to HCS staff for mentoring, coaching, and analysis questions. Responsible for staff time keeping, performance coaching, development, and career paths.
+ Daily management of Healthcare Analytics team.
+ Allocate new report/project requests (workload distribution).
+ Coordinates with Health Plan departments to meet data analysis and database development needs.
+ Reviews, evaluates, and improved Company business logic and data sources.
+ Resource to Health Plan staff for mentoring, coaching, and analysis questions.
+ Reviews Health Plan analyst work products to ensure accuracy and clarity.
+ Reviews regulatory reporting requirements and Health Plan project documentation.
+ Maintains reporting service level benchmarks for Healthcare Analytics team.
+ Represents Healthcare Analytics department in cross-departmental and operational meetings.
+ Serves as liaison between Corporate IT and Health Plan regarding reporting needs.
+ Creates reporting for strategic analysis, profitability, financial analysis, utilization patterns and medical management.
+ Interfaces and maintains positive interactions with Health Plan and Corporate personnel.
+ Management Health Plan Encounter workflow process.
**JOB QUALIFICATIONS**
**Required Education**
Bachelor's Degree in Finance, Economics, Math, Computer Science, Information Systems, or related field
**Required Experience**
+ 3 years management or team leadership experience
+ 10 years' work experience preferable in claims processing environment and/or healthcare environment
+ Strong knowledge of SQL 2005/2008 SSRS report development
+ Familiar with relational database concepts, and SDLC concepts
**Preferred Education**
Masters' Degree in Finance, Economics, Math, Computer Science, Information Systems, or related field.
**Preferred Experience**
3 - 5 years supervisory experience
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: $88,453 - $206,981 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
View Now
9