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Molina Healthcare

Lead Analyst, Healthcare Analytics - REMOTE

Molina Healthcare

41d ago

0DataUnited Stateshimalayas
Healthcare-AnalyticsData-AnalysisData-StewardshipMedical-EconomicsHealthcare-Data-AnalystSenior

Job Description

JOB DESCRIPTIONJob SummaryThe Lead Analyst serves as a data steward with deep subject matter expertise, responsible for designing and prototyping Medical Economics data assets that are clearly defined and fit for use. This role bridges business and data by translating complex concepts into structured logic.KNOWLEDGE/SKILLS/ABILITIESPerforms research and analysis of complex healthcare data (eligibility, claims, auths etc.)Acts as the designated data steward for assigned domains. Maintain and evolve business definitions, data logic and rules.Apply deep subject matter expertise to ensure data reflects real-world business processes.Translates business needs into clear, structured data requirements and logic.Identify and resolve ambiguities, inconsistencies, and gaps in definitionsPartner with stakeholders to align on intended meaning vs actual implementationContributes to data model design and evolutionBuilds design prototypesProvides detailed requirements to engineering for implementationDefines and execute data validation and quality checksInvestigates anomalies and discrepancies across systemsDrives resolution with appropriate teams (engineering, source system owners, etc.)Maintain clear, structured documentation to ensure traceability between business intent and data implementation.Support downstream users (reporting, actuarial, finance) in understanding and using data correctly.Has experience working with large-scale healthcare datasets.Understands healthcare economics and operations.Pays strong attention to details with ability to see the big picture.Communicates clearly and concisely.Escalates cross-domain conflicts, prioritization trade-offs, and strategic decisions to Manager/Director.Operates effectively within defined ownership structures.Proactively identifies and resolves issues, not wait for direction.JOB QUALIFICATIONSRequired EducationBachelor's Degree in Finance, Economics, Computer ScienceRequired Experience6+ years of progressive responsibilities in Data, Finance or Systems Analysis Expert knowledge with SQL Preferred EducationBachelor's Degree in Finance, Economics, Math, or Computer SciencePreferred ExperienceExperience in Medical EconomicsBusiness stakeholder managementFamiliarity with Python, R or BI tools (e.g., Tableau, Power BI)Experience with service categorizationDeep auth data knowledgeTo 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.Originally posted on Himalayas