Molina Healthcare Inc. Logo

Molina Healthcare Inc.

Senior Analyst, Advanced Provider Data Management

Posted Yesterday
Be an Early Applicant
In-Office or Remote
Hiring Remotely in United States
Senior level
In-Office or Remote
Hiring Remotely in United States
Senior level
Lead provider data management analysis and improvements: triage PDM issues, manage cross-functional projects, analyze healthcare datasets, optimize workflows, gather requirements, produce stakeholder presentations, and train end-users to ensure accurate provider information and process adoption.
The summary above was generated by AI
JOB DESCRIPTION Job Summary

Provides senior level analyst support for advanced provider data management (PDM) activities including analyzing business processes related to PDM, identifying areas for improvement, and developing and implementing solutions to optimize performance.  Ensures accurate and timely maintenance of critical provider information for all provider databases, and application of business rules as it pertains to contracting, network management and credentialing.


Essential Job Duties

• Provides first-level triage and support for provider data management (PDM) analysts, and assists with fielding general questions.
• Leads cross-functional projects from initiation to completion -  ensuring adherence to timelines and quality standards.
• Collaborates with stakeholders to understand business objectives and gather requirements, and translate accordingly into comprehensive business and functional specifications.
• Analyzes complex health care data sets to identify trends, patterns and insights that drive informed decision-making and process improvements.
• Evaluates existing workflows, procedures, and systems to identify inefficiencies and opportunities for optimization - proposes and implements innovative solutions.
• Establishes and maintains strong relationships with key stakeholders, ensuring alignment and collaboration across departments.
• Develops presentations to communicate key metrics, performance indicators and actionable insights to stakeholders at all levels of the organization.
• Provides training, support, and guidance to end-users on new processes, systems and tools - ensuring smooth implementation and adoption.
 

Required Qualifications

• At least 4 years of business analytics experience in health care, preferably in a customer/provider services setting, or equivalent combination of relevant education and experience.
• Proficiency in data analysis tools and techniques.
• Presentation and interpersonal skills, and ability to interact effectively with stakeholders at all levels.
• Critical-thinking skills, and attention to detail.
• Organizational and time-management skills; ability to manage simultaneous projects and tasks to meet internal deadlines.
• Effective verbal and written communication skills.
• Microsoft Office suite (including Excel) and applicable software program(s) proficiency.
 

Preferred Qualifications



To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Similar Jobs

29 Minutes Ago
Remote or Hybrid
New York, NY, USA
245K-335K Annually
Senior level
245K-335K Annually
Senior level
Fintech • Machine Learning • Payments • Software • Financial Services
Design, build, deploy, and support large-scale AI systems including foundation model training, LLM inference, similarity search, guardrails, evaluation, and observability. Collaborate cross-functionally, optimize model performance and cost, and contribute to technical vision and roadmap for foundational AI platforms.
Top Skills: AWSAws UltraclustersAzureC#C++GoGCPHugging FaceJavaNemo GuardrailsPythonPyTorchScalaVectordbs
29 Minutes Ago
Remote or Hybrid
New York, NY, USA
162K-221K Annually
Senior level
162K-221K Annually
Senior level
Fintech • Machine Learning • Payments • Software • Financial Services
Lead creative strategy and execution for social, video, and display ads to drive mobile app user acquisition. Scale content sourcing, manage high-volume testing pipelines, collaborate with growth, brand, agencies, and creators, and ensure compliance with legal and risk frameworks while optimizing performance metrics and conversion drivers.
Top Skills: MetaRedditTiktok
29 Minutes Ago
In-Office or Remote
113K-193K Annually
Senior level
113K-193K Annually
Senior level
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Lead business analysis and governance for an Agentic AI portfolio in claims operations. Standardize requirements, translate claims logic into AI rules and prompts, manage cross-functional delivery, implement AI rule libraries, ensure compliance and audit readiness, and track value realization across adjudication, payment integrity, and rework automation.
Top Skills: Aha!FigmaGitJIRAMiroMlops

What you need to know about the NYC Tech Scene

As the undisputed financial capital of the world, New York City is an epicenter of startup funding activity. The city has a thriving fintech scene and is a major player in verticals ranging from AI to biotech, cybersecurity and digital media. It also has universities like NYU, Columbia and Cornell Tech attracting students and researchers from across the globe, providing the ecosystem with a constant influx of world-class talent. And its East Coast location and three international airports make it a perfect spot for European companies establishing a foothold in the United States.

Key Facts About NYC Tech

  • Number of Tech Workers: 549,200; 6% of overall workforce (2024 CompTIA survey)
  • Major Tech Employers: Capgemini, Bloomberg, IBM, Spotify
  • Key Industries: Artificial intelligence, Fintech
  • Funding Landscape: $25.5 billion in venture capital funding in 2024 (Pitchbook)
  • Notable Investors: Greycroft, Thrive Capital, Union Square Ventures, FirstMark Capital, Tiger Global Management, Tribeca Venture Partners, Insight Partners, Two Sigma Ventures
  • Research Centers and Universities: Columbia University, New York University, Fordham University, CUNY, AI Now Institute, Flatiron Institute, C.N. Yang Institute for Theoretical Physics, NASA Space Radiation Laboratory

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account