Knowledge/Skills/Abilities

Registed Nurse to perform research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings.

• Oversees development, organization, and ongoing maintenance of data representing a wide range of healthcare information.
• Develops and directs a process to clean and integrate complex healthcare datasets in order to create the data foundation for further analytics and the development of key insights.
• Supervises completion of special projects as requested, by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations.
• Oversees, establishes, and maintains 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

RN license highly preferred

#LI-AC1
#HTF

#PJCorp

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: $54,922 - $107,099 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.