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Lead Analyst, Healthcare Analytics (Data Stewardship & Enterprise Reporting) – Remote

Role overview

Qualifications

  • Bachelor's Degree in Finance, Economics, Computer Science
  • 6+ years of progressive responsibilities in Data, Finance or Systems Analysis
  • Expert knowledge with SQL
  • Experience in Medical Economics

Responsibilities

  • Perform research and analysis of complex healthcare data (eligibility, claims, auths etc.)
  • Act as the designated data steward for assigned domains, maintaining business definitions, data logic and rules
  • Translate business needs into clear, structured data requirements and logic
  • Define and execute data validation and quality checks, investigating anomalies and discrepancies across systems

About the company

Molina Healthcare logo

Molina Healthcare

Health Insurance (Payers)

Molina Healthcare is a FORTUNE 500 company that is focused exclusively on government-sponsored health care programs for families and individuals who qualify for government sponsored health care. Molina Healthcare contracts with state governments and serves as a health plan providing a wide range of quality health care services to families and individuals. Molina Healthcare offers health plans in Arizona, California, Florida, Idaho, Illinois, Kentucky, Massachusetts, Michigan, Mississippi, Nevada, New Mexico, New York, Ohio, South Carolina, Texas, Utah, Virginia, Washington and Wisconsin. Molina also offers a Medicare product and has been selected in several states to participate in duals demonstration projects to manage the care for those eligible for both Medicaid and Medicare.

Company details

Company typeXLarge
IndustryHealth Insurance (Payers)
Company size10001

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Job description

JOB DESCRIPTION

Job Summary

The 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/ABILITIES

  • Performs 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 definitions
    • Partner with stakeholders to align on intended meaning vs actual implementation
  • Contributes to data model design and evolution
    • Builds design prototypes
    • Provides detailed requirements to engineering for implementation
  • Defines and execute data validation and quality checks
    • Investigates anomalies and discrepancies across systems
    • Drives 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 QUALIFICATIONS

Required Education

  • Bachelor's Degree in Finance, Economics, Computer Science

Required Experience

  • 6+ years of progressive responsibilities in Data, Finance or Systems Analysis   
  • Expert knowledge with SQL                                                                                                         

Preferred Education

  • Bachelor's Degree in Finance, Economics, Math, or Computer Science

Preferred Experience

  • Experience in Medical Economics
  • Business stakeholder management
  • Familiarity with Python, R or BI tools (e.g., Tableau, Power BI)
  • Experience with service categorization
  • Deep auth data knowledge

 #LI-AC1

#PJAF2

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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Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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