Analyst, Medical Economics
Lensa
Date: 2 days ago
City: Las Cruces, NM
Contract type: Full time

Lensa is the leading career site for job seekers at every stage of their career. Our client, Molina Healthcare, is seeking professionals in Las Cruces, NM. Apply via Lensa today!
Job Description
Job Summary
Responsible for conducting analyses of insured medical populations with the goal of identifying opportunities to improve financial performance. Extract, analyze, and synthesize data from various sources to identify risks and opportunities. Ideate, size, and track savings initiatives based on these opportunities. Support the creation of reports and presentations for executive level audiences.
This position will primarily support trend mitigation strategies for all populations within ACA exchange products and populations with behavioral health conditions across Medicaid, Medicare, and ACA products. Additional cross-functional opportunities to support clinical savings initiatives.
Knowledge/Skills/Abilities
Required Education
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
#PJCorp
Pay Range: $68,640 - $107,099 / ANNUAL
Job Description
Job Summary
Responsible for conducting analyses of insured medical populations with the goal of identifying opportunities to improve financial performance. Extract, analyze, and synthesize data from various sources to identify risks and opportunities. Ideate, size, and track savings initiatives based on these opportunities. Support the creation of reports and presentations for executive level audiences.
This position will primarily support trend mitigation strategies for all populations within ACA exchange products and populations with behavioral health conditions across Medicaid, Medicare, and ACA products. Additional cross-functional opportunities to support clinical savings initiatives.
Knowledge/Skills/Abilities
- Analyze claims and authorization data to identify trends or other issues related to medical care costs
- Work closely with Marketplace and Behavioral Health teams to address emerging trends
- Draw actionable conclusions based on analyses performed
- Create impactful exhibits and data visualizations to illustrate key trend drivers
- Work with business owners to track performance indicators of medical interventions
- Extract and compile information from various systems to support executive decision-making
- Ability to mine and manage information from large data sources.
Required Education
- Bachelor's degree in Mathematics, Statistics, Economics, Data Science, Actuarial Science or similar field
- 2-5 years of experience
- Proficiency with Excel and SQL for retrieving specified information from data lake and creating summary visuals
- Experience with PowerPivot for Excel and Power BI dashboards
- Healthcare trend analytics
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
#PJCorp
Pay Range: $68,640 - $107,099 / ANNUAL
- Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
How to apply
To apply for this job you need to authorize on our website. If you don't have an account yet, please register.
Post a resume