Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Senior Analyst, Advanced Provider Data Management - SQL/Claims
Location
United States
Posted
14 days ago
Salary
Not specified
No structured requirement data.
Job Description
Role Description
Provides senior level analyst support for advanced provider data management (PDM) activities including analyzing business processes related to PDM, identifying areas for improvement, and developing and implementing solutions to optimize performance. Ensures accurate and timely maintenance of critical provider information for all provider databases, and application of business rules as it pertains to contracting, network management and credentialing.
- Provides first-level triage and support for provider data management (PDM) analysts, and assists with fielding general questions.
- Leads cross-functional projects from initiation to completion - ensuring adherence to timelines and quality standards.
- Collaborates with stakeholders to understand business objectives and gather requirements, and translate accordingly into comprehensive business and functional specifications.
- Analyzes complex health care data sets to identify trends, patterns and insights that drive informed decision-making and process improvements.
- Evaluates existing workflows, procedures, and systems to identify inefficiencies and opportunities for optimization - proposes and implements innovative solutions.
- Establishes and maintains strong relationships with key stakeholders, ensuring alignment and collaboration across departments.
- Develops presentations to communicate key metrics, performance indicators and actionable insights to stakeholders at all levels of the organization.
- Provides training, support, and guidance to end-users on new processes, systems and tools - ensuring smooth implementation and adoption.
Qualifications
- At least 4 years of business analytics experience in health care, preferably in a customer/provider services setting, or equivalent combination of relevant education and experience.
- Proficiency in data analysis tools and techniques.
- Presentation and interpersonal skills, and ability to interact effectively with stakeholders at all levels.
- Critical-thinking skills, and attention to detail.
- Organizational and time-management skills; ability to manage simultaneous projects and tasks to meet internal deadlines.
- Effective verbal and written communication skills.
- Microsoft Office suite (including Excel) and applicable software program(s) proficiency.
Company Description
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Job Requirements
- At least 4 years of business analytics experience in health care, preferably in a customer/provider services setting, or equivalent combination of relevant education and experience.
- Proficiency in data analysis tools and techniques.
- Presentation and interpersonal skills, and ability to interact effectively with stakeholders at all levels.
- Critical-thinking skills, and attention to detail.
- Organizational and time-management skills; ability to manage simultaneous projects and tasks to meet internal deadlines.
- Effective verbal and written communication skills.
- Microsoft Office suite (including Excel) and applicable software program(s) proficiency.
Related Guides
Related Categories
Related Job Pages
More Data Analyst Jobs
Senior Data Analyst
Vantage Point LogisticsVantagepoint logistics strives to provide timely essential services.Our Services are custom to the needs of the customer
Senior Data Analyst analyzing healthcare logistics data with SQL and Power BI
Every day, Global Payments makes it possible for millions of people to move money between buyers and sellers using our payments solutions for credit, debit, prepaid and merchant services. Our worldwide team helps over 3 million companies, more than 1,300 financial institutions an...
Barracuda is looking for a senior, hands-on analytics specialist to help shape the future of enterprise analytics. This is a Principal-level individual contributor role focused on building trusted, scalable analytics and evolving our capabilities toward automated, AI-assisted ins...
We are seeking a Fraud Analyst to join our growing Risk team. You will be responsible for monitoring and investigating potential or confirmed fraud cases, identifying fraud patterns, and sharing findings with other risk team members and partners to safeguard our portfolio and pro...