Source description
About the role
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
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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.
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