Job Description

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

• Performs research and analyses on a variety of topics related to the overall support of business operations.
• Creates and maintains reports to manage claim inventory, adjustment processes, audits, compliance, recoveries, coordination with other departments.
• Consolidates research and analyses into summarized findings and may develop recommendations to solve problems and issues related to business operations.
• Follows team coding standards for report design. Works to build, implement and support best practices among the team.
• Helps work with all levels of management team to develop business requirements for reports.
• Experience working with member and Provider data.
• Experience working Marketplace, Medicaid, MMP - duals, specifically claims data
• Experience conducting data analysis and data mining using SQL, Excel.

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

Preferred License, Certification, Association

Microsoft certification

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. Molina Healthcare

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