Sr Analyst, Medical Economics – Remote (SQL, PMPM Analysis & Cost Trend Strategy)

**JOB DESCRIPTION**

**Job Summary**

Provides senior level analyst support for medical economics analysis activities, including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities, and improve financial performance.

**Essential Job Duties**

• Analyzes claims, authorization, and other data sources to identify early signs of trends or other issues related to medical care costs.
• Analyzes trends by proactively identifying and investigating complex suspect areas regarding medical cost issues, initiating in-depth analysis of suspect/problem areas and suggesting corrective action plans.
• Analyzes the financial performance, including PMPM, unit cost, utilization and revenue of all Molina products - identifying favorable and unfavorable trends, developing recommendations to improve trends and communicating recommendations to leadership.
• Draws actionable conclusions based on analyses performed, make...