Utilization Management Senior Business Analyst, Healthcare

54306 Green Bay, Wisconsin Molina Healthcare

Posted 10 days ago

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Job Description

**Knowledge/Skills/Abilities**
+ Perform research and analysis of complex healthcare utilization and performance date, claims data, pharmacy data, and lab data regarding utilization and cost containment information.
+ Evaluate, write, and present healthcare utilization and cost containment reports and makes 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 in order to create the data dashboard for further analytics and the development of key operational insights.
+ Develop performance dashboard demonstrating staff productivity and overall operational performance
+ 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.
+ Ensures quality of output by submitting work product for quality checks and reviews and performing similar functions for other staff.
**Job Qualifications**
**Required Education**
Associate's Degree or equivalent combination of education and experience
**Required Experience**
3-5 years
**Preferred Education**
Bachelor's Degree or equivalent combination of education and experience
**Preferred Experience**
5-7 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: $77,969 - $128,519 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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