Analyst jobs at HCA Healthcare - 109 jobs

Senior Revenue Integrity Charge Analyst- Cardiac
HCA 4.5
Analyst job at HCA Healthcare
Introduction Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Senior Revenue Integrity Charge Specialist with Revenue Integrity you can be a part of an organization that is devoted to giving back! This is a work from home position. Schedule: Monday-Friday Day Shift Must have prior experience in Cardiology Coding or experience working in a Cardiac Cath Lab/Interventional Radiology. Benefits Revenue Integrity offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: * Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. * Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. * Free counseling services and resources for emotional, physical and financial wellbeing * 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) * Employee Stock Purchase Plan with 10% off HCA Healthcare stock * Family support through fertility and family building benefits with Progyny and adoption assistance. * Referral services for child, elder and pet care, home and auto repair, event planning and more * Consumer discounts through Abenity and Consumer Discounts * Retirement readiness, rollover assistance services and preferred banking partnerships * Education assistance (tuition, student loan, certification support, dependent scholarships) * Colleague recognition program * Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) * Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. Would you like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our colleagues? Join the Revenue Integrity family! We will give you the tools and resources you need to succeed in our organization. We are looking for an enthusiastic Senior Revenue Integrity Charge Specialist to help us reach our goals. Unlock your potential! Job Summary and Qualifications The Senior Revenue Integrity for Cath Lab and Interventional Radiology Coding Specialist plays a critical role in ensuring Cardiovascular and Interventional Radiology (CVIR) services are charged and coded correctly. This position is a specialized senior medical coder in the Cath Lab, IR, and EP service lines. The Senior RI Charge Specialist educates specialty physicians and facility departments on coding and billing practices. Consults with IT&S, E.H.R. Specialists, and CDM Departments to ensure accurate CDM, Meditech, and Hemodynamic systems are set up appropriately in all clinical modules. Consults with Division and Corporate Leadership on charging and coding trends to identify financial opportunities. What you will do in this role: * Assigns/Codes Charges CPCS/CPT Coding based on medical record documentation for Cath Lab/IR/EP service lines * Coordinates with facility/departments to obtain missing medical record documentation as needed * Coordinates with department leaders to identify trends and address issues related to charge capture * Ability to understand/apply National and Local Coverage Determination and educate facility departments routinely * Performs in-depth reviews and verifies the appropriateness of patient charges and Chargemaster (CDM) assignments * Supports the Revenue Integrity team by optimizing processes to ensure services rendered are accurately reported and reimbursed while maintaining compliance What qualifications you will need: * Associates Degree Required. Equivalent work experience may substitute education requirements. * Minimum 1 year coding/HIM experience * Minimum 3 years healthcare experience (hospital operations, clinical operations, etc.) * RHIA or RHIT or CPC or COC or CCS, or CIRCC certifications required (must obtain certification within one year of start date) Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll, and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers, and their communities. HCA Healthcare has been recognized as one of the Worlds Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder Be a part of an organization that invests in you! We are reviewing applications for our Senior Revenue Integrity Charge Specialist opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
$75k-95k yearly est. 1d ago

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Lead Analyst, Healthcare (Remote)
Molina Healthcare 4.4
Columbus, OH jobs
Performs 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. **KNOWLEDGE/SKILLS/ABILITIES** + Provides healthcare analysis including quantification and analysis of health care costs, development and maintenance of databases and other sources of information for quality initiatives, accreditation efforts, and regulatory mandates, and claims data coordination. + Manages small to large scale projects initiated by both health plan and Corporate Parent. + Designs and develops solutions to support business needs using various technologies. + Analyzes all in bound requests and determines appropriate technology solution for an effective and efficient delivery. + Quality oversight mechanisms to include reconciliation guidelines, mentoring guidance and new employee training. + Provides Administrator level support for share point and reporting services. + Accomplishes the goals and objectives of the Finance, Research and Analytics team. + Responsible for prioritization and timely completion of all tasks and report requests as assigned thru the share point request system. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent combination of education and experience **Required Experience** 5-7 Years **Preferred Experience** 7-9 Years 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: $80,168 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$80.2k-155.5k yearly 12d ago
Lead Analyst, Healthcare (Remote)
Molina Healthcare 4.4
Cleveland, OH jobs
Performs 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. **KNOWLEDGE/SKILLS/ABILITIES** + Provides healthcare analysis including quantification and analysis of health care costs, development and maintenance of databases and other sources of information for quality initiatives, accreditation efforts, and regulatory mandates, and claims data coordination. + Manages small to large scale projects initiated by both health plan and Corporate Parent. + Designs and develops solutions to support business needs using various technologies. + Analyzes all in bound requests and determines appropriate technology solution for an effective and efficient delivery. + Quality oversight mechanisms to include reconciliation guidelines, mentoring guidance and new employee training. + Provides Administrator level support for share point and reporting services. + Accomplishes the goals and objectives of the Finance, Research and Analytics team. + Responsible for prioritization and timely completion of all tasks and report requests as assigned thru the share point request system. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent combination of education and experience **Required Experience** 5-7 Years **Preferred Experience** 7-9 Years 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: $80,168 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$80.2k-155.5k yearly 12d ago
Senior Analyst, Medical Economics - REMOTE
Molina Healthcare 4.4
Cincinnati, OH jobs
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** - Extracts and compiles data and information from various systems to support executive decision-making. - Mines and manages information from large data sources. - Analyzes claims and other data sources to identify early signs of trends or other issues related to medical care costs. - Analyzes the financial performance, including 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, makes recommendations through use of health care analytics and predictive modeling, and communicates those conclusions effectively to audiences at various levels of the enterprise. - Performs pro forma sensitivity analyses in order to estimate the expected financial value of proposed medical cost improvement initiatives. - Collaborates with clinical, provider network and other teams to bring supplemental context/insight to data analyses, and design and perform studies related to the quantification of medical interventions. - Collaborates with business owners to track key performance indicators of medical interventions. - Proactively identifies and investigates complex suspect areas regarding medical cost issues, initiates in-depth analysis of suspect/problem areas and suggests corrective action plans. - Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends - with root causes identified, drives innovation through creation of tools to monitor trend drivers and provides recommendations to senior leaders for affordability opportunities. - Leads projects to completion by contributing to ad-hoc data analyses, development, and presentation of financial reports. - Serves as subject matter expert on developing financial models to evaluate the impact of provider reimbursement changes - Provides data driven analytics to finance, claims, medical management, network, and other departments to enable critical decision making. - Supports financial analysis projects related to medical cost reduction initiatives. - Supports medical management by assisting with return on investment (ROI) analyses for vendors to determine if financial and clinical performance is achieving desired results. - Keeps abreast of Medicaid and Medicare reforms and impact on the Molina business. - Supports scoreable action item (SAI) initiative tracking to performance. **Required Qualifications** - At least 3 years of health care analytics and/or medical economics experience, or equivalent combination of relevant education and experience. - Bachelor's degree in statistics, mathematics, economics, computer science, health care management or related field. - Demonstrated understanding of Medicaid and Medicare programs or other health care plans. - Analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.) - Proficiency with retrieving specified information from data sources. - Experience with building dashboards in Excel, Power BI, and/or Tableau and data management. - Knowledge of health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) - Knowledge of health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form). - Demonstrated understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. - Understanding of value-based risk arrangements - Experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in health care. - Ability to mine and manage information from large data sources. - Demonstrated problem-solving skills. - Strong critical-thinking and attention to detail. - Ability to effectively collaborate with technical and non-technical stakeholders. - Strong time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. - Effective verbal and written communication skills. - Proficient in Microsoft Office suite products, key skills in Excel (VLOOKUPs and pivot tables)/applicable software program(s) proficiency. **Preferred Qualifications** - Proficiency with Power BI and/or Tableau for building dashboards. 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 Pay Range: $80,168 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$80.2k-155.5k yearly 1d ago
Lead Analyst, Healthcare (Remote)
Molina Healthcare 4.4
Akron, OH jobs
Performs 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. **KNOWLEDGE/SKILLS/ABILITIES** + Provides healthcare analysis including quantification and analysis of health care costs, development and maintenance of databases and other sources of information for quality initiatives, accreditation efforts, and regulatory mandates, and claims data coordination. + Manages small to large scale projects initiated by both health plan and Corporate Parent. + Designs and develops solutions to support business needs using various technologies. + Analyzes all in bound requests and determines appropriate technology solution for an effective and efficient delivery. + Quality oversight mechanisms to include reconciliation guidelines, mentoring guidance and new employee training. + Provides Administrator level support for share point and reporting services. + Accomplishes the goals and objectives of the Finance, Research and Analytics team. + Responsible for prioritization and timely completion of all tasks and report requests as assigned thru the share point request system. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent combination of education and experience **Required Experience** 5-7 Years **Preferred Experience** 7-9 Years 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: $80,168 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$80.2k-155.5k yearly 12d ago
Lead Analyst, Healthcare (Remote)
Molina Healthcare 4.4
Cincinnati, OH jobs
Performs 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. **KNOWLEDGE/SKILLS/ABILITIES** + Provides healthcare analysis including quantification and analysis of health care costs, development and maintenance of databases and other sources of information for quality initiatives, accreditation efforts, and regulatory mandates, and claims data coordination. + Manages small to large scale projects initiated by both health plan and Corporate Parent. + Designs and develops solutions to support business needs using various technologies. + Analyzes all in bound requests and determines appropriate technology solution for an effective and efficient delivery. + Quality oversight mechanisms to include reconciliation guidelines, mentoring guidance and new employee training. + Provides Administrator level support for share point and reporting services. + Accomplishes the goals and objectives of the Finance, Research and Analytics team. + Responsible for prioritization and timely completion of all tasks and report requests as assigned thru the share point request system. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent combination of education and experience **Required Experience** 5-7 Years **Preferred Experience** 7-9 Years 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: $80,168 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$80.2k-155.5k yearly 12d ago
Lead Analyst, Healthcare (Remote)
Molina Healthcare 4.4
Dayton, OH jobs
Performs 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. **KNOWLEDGE/SKILLS/ABILITIES** + Provides healthcare analysis including quantification and analysis of health care costs, development and maintenance of databases and other sources of information for quality initiatives, accreditation efforts, and regulatory mandates, and claims data coordination. + Manages small to large scale projects initiated by both health plan and Corporate Parent. + Designs and develops solutions to support business needs using various technologies. + Analyzes all in bound requests and determines appropriate technology solution for an effective and efficient delivery. + Quality oversight mechanisms to include reconciliation guidelines, mentoring guidance and new employee training. + Provides Administrator level support for share point and reporting services. + Accomplishes the goals and objectives of the Finance, Research and Analytics team. + Responsible for prioritization and timely completion of all tasks and report requests as assigned thru the share point request system. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent combination of education and experience **Required Experience** 5-7 Years **Preferred Experience** 7-9 Years 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: $80,168 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$80.2k-155.5k yearly 12d ago
Senior Analyst, Medical Economics - REMOTE
Molina Healthcare 4.4
Austin, TX jobs
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** - Extracts and compiles data and information from various systems to support executive decision-making. - Mines and manages information from large data sources. - Analyzes claims and other data sources to identify early signs of trends or other issues related to medical care costs. - Analyzes the financial performance, including 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, makes recommendations through use of health care analytics and predictive modeling, and communicates those conclusions effectively to audiences at various levels of the enterprise. - Performs pro forma sensitivity analyses in order to estimate the expected financial value of proposed medical cost improvement initiatives. - Collaborates with clinical, provider network and other teams to bring supplemental context/insight to data analyses, and design and perform studies related to the quantification of medical interventions. - Collaborates with business owners to track key performance indicators of medical interventions. - Proactively identifies and investigates complex suspect areas regarding medical cost issues, initiates in-depth analysis of suspect/problem areas and suggests corrective action plans. - Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends - with root causes identified, drives innovation through creation of tools to monitor trend drivers and provides recommendations to senior leaders for affordability opportunities. - Leads projects to completion by contributing to ad-hoc data analyses, development, and presentation of financial reports. - Serves as subject matter expert on developing financial models to evaluate the impact of provider reimbursement changes - Provides data driven analytics to finance, claims, medical management, network, and other departments to enable critical decision making. - Supports financial analysis projects related to medical cost reduction initiatives. - Supports medical management by assisting with return on investment (ROI) analyses for vendors to determine if financial and clinical performance is achieving desired results. - Keeps abreast of Medicaid and Medicare reforms and impact on the Molina business. - Supports scoreable action item (SAI) initiative tracking to performance. **Required Qualifications** - At least 3 years of health care analytics and/or medical economics experience, or equivalent combination of relevant education and experience. - Bachelor's degree in statistics, mathematics, economics, computer science, health care management or related field. - Demonstrated understanding of Medicaid and Medicare programs or other health care plans. - Analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.) - Proficiency with retrieving specified information from data sources. - Experience with building dashboards in Excel, Power BI, and/or Tableau and data management. - Knowledge of health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) - Knowledge of health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form). - Demonstrated understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. - Understanding of value-based risk arrangements - Experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in health care. - Ability to mine and manage information from large data sources. - Demonstrated problem-solving skills. - Strong critical-thinking and attention to detail. - Ability to effectively collaborate with technical and non-technical stakeholders. - Strong time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. - Effective verbal and written communication skills. - Proficient in Microsoft Office suite products, key skills in Excel (VLOOKUPs and pivot tables)/applicable software program(s) proficiency. **Preferred Qualifications** - Proficiency with Power BI and/or Tableau for building dashboards. 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 Pay Range: $80,168 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$80.2k-155.5k yearly 1d ago
Lead Analyst, Healthcare (Remote)
Molina Healthcare 4.4
Ohio jobs
Performs 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. **KNOWLEDGE/SKILLS/ABILITIES** + Provides healthcare analysis including quantification and analysis of health care costs, development and maintenance of databases and other sources of information for quality initiatives, accreditation efforts, and regulatory mandates, and claims data coordination. + Manages small to large scale projects initiated by both health plan and Corporate Parent. + Designs and develops solutions to support business needs using various technologies. + Analyzes all in bound requests and determines appropriate technology solution for an effective and efficient delivery. + Quality oversight mechanisms to include reconciliation guidelines, mentoring guidance and new employee training. + Provides Administrator level support for share point and reporting services. + Accomplishes the goals and objectives of the Finance, Research and Analytics team. + Responsible for prioritization and timely completion of all tasks and report requests as assigned thru the share point request system. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent combination of education and experience **Required Experience** 5-7 Years **Preferred Experience** 7-9 Years 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: $80,168 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$80.2k-155.5k yearly 12d ago
Senior Analyst, Medical Economics - REMOTE
Molina Healthcare 4.4
Houston, TX jobs
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** - Extracts and compiles data and information from various systems to support executive decision-making. - Mines and manages information from large data sources. - Analyzes claims and other data sources to identify early signs of trends or other issues related to medical care costs. - Analyzes the financial performance, including 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, makes recommendations through use of health care analytics and predictive modeling, and communicates those conclusions effectively to audiences at various levels of the enterprise. - Performs pro forma sensitivity analyses in order to estimate the expected financial value of proposed medical cost improvement initiatives. - Collaborates with clinical, provider network and other teams to bring supplemental context/insight to data analyses, and design and perform studies related to the quantification of medical interventions. - Collaborates with business owners to track key performance indicators of medical interventions. - Proactively identifies and investigates complex suspect areas regarding medical cost issues, initiates in-depth analysis of suspect/problem areas and suggests corrective action plans. - Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends - with root causes identified, drives innovation through creation of tools to monitor trend drivers and provides recommendations to senior leaders for affordability opportunities. - Leads projects to completion by contributing to ad-hoc data analyses, development, and presentation of financial reports. - Serves as subject matter expert on developing financial models to evaluate the impact of provider reimbursement changes - Provides data driven analytics to finance, claims, medical management, network, and other departments to enable critical decision making. - Supports financial analysis projects related to medical cost reduction initiatives. - Supports medical management by assisting with return on investment (ROI) analyses for vendors to determine if financial and clinical performance is achieving desired results. - Keeps abreast of Medicaid and Medicare reforms and impact on the Molina business. - Supports scoreable action item (SAI) initiative tracking to performance. **Required Qualifications** - At least 3 years of health care analytics and/or medical economics experience, or equivalent combination of relevant education and experience. - Bachelor's degree in statistics, mathematics, economics, computer science, health care management or related field. - Demonstrated understanding of Medicaid and Medicare programs or other health care plans. - Analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.) - Proficiency with retrieving specified information from data sources. - Experience with building dashboards in Excel, Power BI, and/or Tableau and data management. - Knowledge of health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) - Knowledge of health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form). - Demonstrated understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. - Understanding of value-based risk arrangements - Experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in health care. - Ability to mine and manage information from large data sources. - Demonstrated problem-solving skills. - Strong critical-thinking and attention to detail. - Ability to effectively collaborate with technical and non-technical stakeholders. - Strong time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. - Effective verbal and written communication skills. - Proficient in Microsoft Office suite products, key skills in Excel (VLOOKUPs and pivot tables)/applicable software program(s) proficiency. **Preferred Qualifications** - Proficiency with Power BI and/or Tableau for building dashboards. 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 Pay Range: $80,168 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$80.2k-155.5k yearly 1d ago
Senior Analyst, Medical Economics - REMOTE
Molina Healthcare 4.4
Long Beach, CA jobs
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 • Extracts and compiles data and information from various systems to support executive decision-making. • Mines and manages information from large data sources. • Analyzes claims and other data sources to identify early signs of trends or other issues related to medical care costs. • Analyzes the financial performance, including 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, makes recommendations through use of health care analytics and predictive modeling, and communicates those conclusions effectively to audiences at various levels of the enterprise. • Performs pro forma sensitivity analyses in order to estimate the expected financial value of proposed medical cost improvement initiatives. • Collaborates with clinical, provider network and other teams to bring supplemental context/insight to data analyses, and design and perform studies related to the quantification of medical interventions. • Collaborates with business owners to track key performance indicators of medical interventions. • Proactively identifies and investigates complex suspect areas regarding medical cost issues, initiates in-depth analysis of suspect/problem areas and suggests corrective action plans. • Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends - with root causes identified, drives innovation through creation of tools to monitor trend drivers and provides recommendations to senior leaders for affordability opportunities. • Leads projects to completion by contributing to ad-hoc data analyses, development, and presentation of financial reports. • Serves as subject matter expert on developing financial models to evaluate the impact of provider reimbursement changes • Provides data driven analytics to finance, claims, medical management, network, and other departments to enable critical decision making. • Supports financial analysis projects related to medical cost reduction initiatives. • Supports medical management by assisting with return on investment (ROI) analyses for vendors to determine if financial and clinical performance is achieving desired results. • Keeps abreast of Medicaid and Medicare reforms and impact on the Molina business. • Supports scoreable action item (SAI) initiative tracking to performance. Required Qualifications • At least 3 years of health care analytics and/or medical economics experience, or equivalent combination of relevant education and experience. • Bachelor's degree in statistics, mathematics, economics, computer science, health care management or related field. • Demonstrated understanding of Medicaid and Medicare programs or other health care plans. • Analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.) • Proficiency with retrieving specified information from data sources. • Experience with building dashboards in Excel, Power BI, and/or Tableau and data management. • Knowledge of health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) • Knowledge of health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form). • Demonstrated understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. • Understanding of value-based risk arrangements • Experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in health care. • Ability to mine and manage information from large data sources. • Demonstrated problem-solving skills. • Strong critical-thinking and attention to detail. • Ability to effectively collaborate with technical and non-technical stakeholders. • Strong time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. • Effective verbal and written communication skills. • Proficient in Microsoft Office suite products, key skills in Excel (VLOOKUPs and pivot tables)/applicable software program(s) proficiency. Preferred Qualifications • Proficiency with Power BI and/or Tableau for building dashboards. 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
$103k-136k yearly est. Auto-Apply 2d ago
Senior Analyst, Healthcare Analytics (Marketplace) - REMOTE
Molina Healthcare 4.4
Everett, WA jobs
Reporting into the Molina Marketplace Strategy Organization, this role supports the Molina Marketplace line of business by developing and maintaining analytical dashboards and data solutions that provide actionable insights into enrollment, broker performance, network performance and competitive intelligence. Working closely with Sales, Strategy, Network and Operations leaders, this role transforms complex data into meaningful business intelligence, supporting key strategic and operational decisions across the Marketplace. **KNOWLEDGE/SKILLS/ABILITIES** + Develop ad-hoc reports using SQL programming, SQL Server Reporting Services (SSRS), Medinsight, RxNavigator, Crystal Reports, Executive Dashboard, and other analytic / programming tools as needed. + Generate and distribute standard reports on schedule using SQL, Excel, and other reporting software. + Create new databases and reporting tools for monitoring, tracking and trending based on project specifications. + Collects and documents report / programming requirements from requestors to ensure appropriate creation of reports and analyses. Uses peer-to-peer review process and end-user consultation to reduce report writing errors and rework. + Responsible for timely completion of projects, including timeline development and maintenance; coordinates activities and data collection with requesting internal departments or external requestors. + Identify and complete report enhancements/fixes; modify reports in response to approved change requests; retain old and new report design for audit trail purposes. + Analyze data sets and trends for anomalies, outliers, trend changes and opportunities, using statistical tools and techniques to determine significance and relevance. Utilize extrapolation, interpolation, and other statistical methodologies to predict future trends in cost, utilization and performance. Provide executive summary of findings to requestors. + Create comprehensive workflows for the production and distribution of assigned reports, document reporting processes and procedures. + Assist with research, development and completion of special projects as requested by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations. + Maintains SharePoint Sites as needed. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree in Finance, Economics, Computer Science **Required Experience** + 5-7 years increasingly complex database and data management responsibilities + 5-7 years of increasingly complex experience in quantifying, measuring, and analyzing financial/performance management metrics + Demonstrate Healthcare experience in Quantifying, Measuring and Analyzing Financial and Utilization Metrics of Healthcare + Basic knowledge of SQL + Preferred Education + Bachelor's Degree in Finance, Economics, Math, or Computer Science **Preferred Experience** Preferred experience in Medical Economics and Strong Knowledge of Performance Indicators: + Proactively identify and investigate complex suspect areas regarding medical cost issues + Initiate in-depth analysis of the suspect/problem areas and suggest a corrective action plan + Apply investigative skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive modeling, etc. + Analysis and forecasting of trends in medical costs to provide analytic support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data systems and models + BI tools 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. \#PJCorp \#LI-AC1 Pay Range: $80,168 - $129,590 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$80.2k-129.6k yearly 29d ago
Senior Analyst, Healthcare Analytics (Marketplace) - REMOTE
Molina Healthcare 4.4
Dayton, OH jobs
Reporting into the Molina Marketplace Strategy Organization, this role supports the Molina Marketplace line of business by developing and maintaining analytical dashboards and data solutions that provide actionable insights into enrollment, broker performance, network performance and competitive intelligence. Working closely with Sales, Strategy, Network and Operations leaders, this role transforms complex data into meaningful business intelligence, supporting key strategic and operational decisions across the Marketplace. **KNOWLEDGE/SKILLS/ABILITIES** + Develop ad-hoc reports using SQL programming, SQL Server Reporting Services (SSRS), Medinsight, RxNavigator, Crystal Reports, Executive Dashboard, and other analytic / programming tools as needed. + Generate and distribute standard reports on schedule using SQL, Excel, and other reporting software. + Create new databases and reporting tools for monitoring, tracking and trending based on project specifications. + Collects and documents report / programming requirements from requestors to ensure appropriate creation of reports and analyses. Uses peer-to-peer review process and end-user consultation to reduce report writing errors and rework. + Responsible for timely completion of projects, including timeline development and maintenance; coordinates activities and data collection with requesting internal departments or external requestors. + Identify and complete report enhancements/fixes; modify reports in response to approved change requests; retain old and new report design for audit trail purposes. + Analyze data sets and trends for anomalies, outliers, trend changes and opportunities, using statistical tools and techniques to determine significance and relevance. Utilize extrapolation, interpolation, and other statistical methodologies to predict future trends in cost, utilization and performance. Provide executive summary of findings to requestors. + Create comprehensive workflows for the production and distribution of assigned reports, document reporting processes and procedures. + Assist with research, development and completion of special projects as requested by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations. + Maintains SharePoint Sites as needed. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree in Finance, Economics, Computer Science **Required Experience** + 5-7 years increasingly complex database and data management responsibilities + 5-7 years of increasingly complex experience in quantifying, measuring, and analyzing financial/performance management metrics + Demonstrate Healthcare experience in Quantifying, Measuring and Analyzing Financial and Utilization Metrics of Healthcare + Basic knowledge of SQL + Preferred Education + Bachelor's Degree in Finance, Economics, Math, or Computer Science **Preferred Experience** Preferred experience in Medical Economics and Strong Knowledge of Performance Indicators: + Proactively identify and investigate complex suspect areas regarding medical cost issues + Initiate in-depth analysis of the suspect/problem areas and suggest a corrective action plan + Apply investigative skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive modeling, etc. + Analysis and forecasting of trends in medical costs to provide analytic support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data systems and models + BI tools 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. \#PJCorp \#LI-AC1 Pay Range: $80,168 - $129,590 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$80.2k-129.6k yearly 29d ago
Senior Analyst, Healthcare Analytics (Marketplace) - REMOTE
Molina Healthcare 4.4
Bellevue, NE jobs
Reporting into the Molina Marketplace Strategy Organization, this role supports the Molina Marketplace line of business by developing and maintaining analytical dashboards and data solutions that provide actionable insights into enrollment, broker performance, network performance and competitive intelligence. Working closely with Sales, Strategy, Network and Operations leaders, this role transforms complex data into meaningful business intelligence, supporting key strategic and operational decisions across the Marketplace. **KNOWLEDGE/SKILLS/ABILITIES** + Develop ad-hoc reports using SQL programming, SQL Server Reporting Services (SSRS), Medinsight, RxNavigator, Crystal Reports, Executive Dashboard, and other analytic / programming tools as needed. + Generate and distribute standard reports on schedule using SQL, Excel, and other reporting software. + Create new databases and reporting tools for monitoring, tracking and trending based on project specifications. + Collects and documents report / programming requirements from requestors to ensure appropriate creation of reports and analyses. Uses peer-to-peer review process and end-user consultation to reduce report writing errors and rework. + Responsible for timely completion of projects, including timeline development and maintenance; coordinates activities and data collection with requesting internal departments or external requestors. + Identify and complete report enhancements/fixes; modify reports in response to approved change requests; retain old and new report design for audit trail purposes. + Analyze data sets and trends for anomalies, outliers, trend changes and opportunities, using statistical tools and techniques to determine significance and relevance. Utilize extrapolation, interpolation, and other statistical methodologies to predict future trends in cost, utilization and performance. Provide executive summary of findings to requestors. + Create comprehensive workflows for the production and distribution of assigned reports, document reporting processes and procedures. + Assist with research, development and completion of special projects as requested by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations. + Maintains SharePoint Sites as needed. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree in Finance, Economics, Computer Science **Required Experience** + 5-7 years increasingly complex database and data management responsibilities + 5-7 years of increasingly complex experience in quantifying, measuring, and analyzing financial/performance management metrics + Demonstrate Healthcare experience in Quantifying, Measuring and Analyzing Financial and Utilization Metrics of Healthcare + Basic knowledge of SQL + Preferred Education + Bachelor's Degree in Finance, Economics, Math, or Computer Science **Preferred Experience** Preferred experience in Medical Economics and Strong Knowledge of Performance Indicators: + Proactively identify and investigate complex suspect areas regarding medical cost issues + Initiate in-depth analysis of the suspect/problem areas and suggest a corrective action plan + Apply investigative skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive modeling, etc. + Analysis and forecasting of trends in medical costs to provide analytic support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data systems and models + BI tools 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. \#PJCorp \#LI-AC1 Pay Range: $80,168 - $129,590 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$80.2k-129.6k yearly 29d ago
Senior Analyst, Healthcare Analytics (Marketplace) - REMOTE
Molina Healthcare 4.4
Houston, TX jobs
Reporting into the Molina Marketplace Strategy Organization, this role supports the Molina Marketplace line of business by developing and maintaining analytical dashboards and data solutions that provide actionable insights into enrollment, broker performance, network performance and competitive intelligence. Working closely with Sales, Strategy, Network and Operations leaders, this role transforms complex data into meaningful business intelligence, supporting key strategic and operational decisions across the Marketplace. **KNOWLEDGE/SKILLS/ABILITIES** + Develop ad-hoc reports using SQL programming, SQL Server Reporting Services (SSRS), Medinsight, RxNavigator, Crystal Reports, Executive Dashboard, and other analytic / programming tools as needed. + Generate and distribute standard reports on schedule using SQL, Excel, and other reporting software. + Create new databases and reporting tools for monitoring, tracking and trending based on project specifications. + Collects and documents report / programming requirements from requestors to ensure appropriate creation of reports and analyses. Uses peer-to-peer review process and end-user consultation to reduce report writing errors and rework. + Responsible for timely completion of projects, including timeline development and maintenance; coordinates activities and data collection with requesting internal departments or external requestors. + Identify and complete report enhancements/fixes; modify reports in response to approved change requests; retain old and new report design for audit trail purposes. + Analyze data sets and trends for anomalies, outliers, trend changes and opportunities, using statistical tools and techniques to determine significance and relevance. Utilize extrapolation, interpolation, and other statistical methodologies to predict future trends in cost, utilization and performance. Provide executive summary of findings to requestors. + Create comprehensive workflows for the production and distribution of assigned reports, document reporting processes and procedures. + Assist with research, development and completion of special projects as requested by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations. + Maintains SharePoint Sites as needed. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree in Finance, Economics, Computer Science **Required Experience** + 5-7 years increasingly complex database and data management responsibilities + 5-7 years of increasingly complex experience in quantifying, measuring, and analyzing financial/performance management metrics + Demonstrate Healthcare experience in Quantifying, Measuring and Analyzing Financial and Utilization Metrics of Healthcare + Basic knowledge of SQL + Preferred Education + Bachelor's Degree in Finance, Economics, Math, or Computer Science **Preferred Experience** Preferred experience in Medical Economics and Strong Knowledge of Performance Indicators: + Proactively identify and investigate complex suspect areas regarding medical cost issues + Initiate in-depth analysis of the suspect/problem areas and suggest a corrective action plan + Apply investigative skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive modeling, etc. + Analysis and forecasting of trends in medical costs to provide analytic support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data systems and models + BI tools 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. \#PJCorp \#LI-AC1 Pay Range: $80,168 - $129,590 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$80.2k-129.6k yearly 29d ago
Senior Analyst, Healthcare Analytics (Marketplace) - REMOTE
Molina Healthcare 4.4
Ohio jobs
Reporting into the Molina Marketplace Strategy Organization, this role supports the Molina Marketplace line of business by developing and maintaining analytical dashboards and data solutions that provide actionable insights into enrollment, broker performance, network performance and competitive intelligence. Working closely with Sales, Strategy, Network and Operations leaders, this role transforms complex data into meaningful business intelligence, supporting key strategic and operational decisions across the Marketplace. **KNOWLEDGE/SKILLS/ABILITIES** + Develop ad-hoc reports using SQL programming, SQL Server Reporting Services (SSRS), Medinsight, RxNavigator, Crystal Reports, Executive Dashboard, and other analytic / programming tools as needed. + Generate and distribute standard reports on schedule using SQL, Excel, and other reporting software. + Create new databases and reporting tools for monitoring, tracking and trending based on project specifications. + Collects and documents report / programming requirements from requestors to ensure appropriate creation of reports and analyses. Uses peer-to-peer review process and end-user consultation to reduce report writing errors and rework. + Responsible for timely completion of projects, including timeline development and maintenance; coordinates activities and data collection with requesting internal departments or external requestors. + Identify and complete report enhancements/fixes; modify reports in response to approved change requests; retain old and new report design for audit trail purposes. + Analyze data sets and trends for anomalies, outliers, trend changes and opportunities, using statistical tools and techniques to determine significance and relevance. Utilize extrapolation, interpolation, and other statistical methodologies to predict future trends in cost, utilization and performance. Provide executive summary of findings to requestors. + Create comprehensive workflows for the production and distribution of assigned reports, document reporting processes and procedures. + Assist with research, development and completion of special projects as requested by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations. + Maintains SharePoint Sites as needed. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree in Finance, Economics, Computer Science **Required Experience** + 5-7 years increasingly complex database and data management responsibilities + 5-7 years of increasingly complex experience in quantifying, measuring, and analyzing financial/performance management metrics + Demonstrate Healthcare experience in Quantifying, Measuring and Analyzing Financial and Utilization Metrics of Healthcare + Basic knowledge of SQL + Preferred Education + Bachelor's Degree in Finance, Economics, Math, or Computer Science **Preferred Experience** Preferred experience in Medical Economics and Strong Knowledge of Performance Indicators: + Proactively identify and investigate complex suspect areas regarding medical cost issues + Initiate in-depth analysis of the suspect/problem areas and suggest a corrective action plan + Apply investigative skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive modeling, etc. + Analysis and forecasting of trends in medical costs to provide analytic support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data systems and models + BI tools 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. \#PJCorp \#LI-AC1 Pay Range: $80,168 - $129,590 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$80.2k-129.6k yearly 29d ago
Lead Analyst, Healthcare (Remote)
Molina Healthcare 4.4
Fort Worth, TX jobs
Performs 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. **KNOWLEDGE/SKILLS/ABILITIES** + Provides healthcare analysis including quantification and analysis of health care costs, development and maintenance of databases and other sources of information for quality initiatives, accreditation efforts, and regulatory mandates, and claims data coordination. + Manages small to large scale projects initiated by both health plan and Corporate Parent. + Designs and develops solutions to support business needs using various technologies. + Analyzes all in bound requests and determines appropriate technology solution for an effective and efficient delivery. + Quality oversight mechanisms to include reconciliation guidelines, mentoring guidance and new employee training. + Provides Administrator level support for share point and reporting services. + Accomplishes the goals and objectives of the Finance, Research and Analytics team. + Responsible for prioritization and timely completion of all tasks and report requests as assigned thru the share point request system. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent combination of education and experience **Required Experience** 5-7 Years **Preferred Experience** 7-9 Years 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: $80,168 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$80.2k-155.5k yearly 12d ago
Sr. Cybersecurity Analyst (Remote)
Community Health Systems 4.5
Franklin, TN jobs
As a key member of the Cybersecurity organization, the Cybersecurity Senior Analyst is responsible for leading the identification and remediation of security deficiencies within third-party, cloud, and internally developed applications. The Senior Analyst will collaborate with leadership to formulate strategies designed to enhance Cybersecurity operations, improve threat response across organizational assets, and ensure strict adherence to enterprise security standards. This role requires cross-functional collaboration with technical and business teams to address compliance risks, spearhead remediation efforts, and provide expert guidance to associate analysts and enterprise teams. Exceptional customer service, communication, and teamwork skills are essential for success in this position. The primary responsibilities encompass recommending the prioritization of applications for audit, conducting audits of best practices for critical applications, defining key metrics to monitor ongoing application security posture, and identifying risks arising from application misconfiguration. These duties necessitate excellent communication skills to effectively coordinate with application owners. Given the need to work with a high volume of diverse applications, the ability to rapidly comprehend technical configurations and business requirements is recommended. Experience in the implementation of third-party, cloud, and internally developed applications is highly recommended. Application Development evaluations will utilize frameworks such as Static Application Security Testing (SAST) and Dynamic Application Security Testing (DAST). Due to the elevated level of required communication, the ability to develop engaging communications and professional presentations tailored for a broad audience is necessary. Presentations will be delivered to leadership, detailing remediation recommendations and requirements. These communications must be adaptable for audiences ranging from business owners to highly technical working groups. As a Senior Cybersecurity Analyst, this individual is responsible for identifying and establishing processes to adhere to Application Security auditing frameworks. This role functions as the subject matter expert regarding Application Security. Components of this position will necessitate involvement in API Security, Cloud File Sharing, and application integration security **Essential Functions** + Lead efforts to support and optimize operational processes for various Cybersecurity solutions that protect critical systems and data. + Identify risks, propose solutions, and implement process improvements to enhance security effectiveness. + Provide Level III support across Cybersecurity solutions, making strategic recommendations to improve the organization's security posture. + Collaborate with Cybersecurity, IT, and Facilities teams to improve operational processes within existing solution frameworks. + Ensure security measures align with organizational standards and best practices. + Leads problem-solving efforts, root cause analysis, and resolution for intermediate to complex security issues. + Prioritizes and ensures timely resolution of incidents, even in fast-paced and complex project environments. + Provides 24x7 support for critical events and leads incident (break/fix) response efforts. + Actively participates in the creation of solution metrics, contributing to the strategic development of Cybersecurity initiatives. + Serves as an expert in supporting multiple intermediate and complex security solutions. **Qualifications** + Bachelor's degree in Cybersecurity, Computer Science, or related field preferred + 5-8 years of progressive experience in security operations or incident response + Industry certifications (e.g., OSCP, GIAC, CISSP) highly preferred + Demonstrated success in enterprise threat defense or security architecture roles **Knowledge, Skills and Abilities** + Advanced ability to design and implement operational processes for complex security solutions with minimal oversight. + In-depth knowledge of security principles, techniques, and implementations across multiple Cybersecurity domains with ability to lead operational initiatives. + Demonstrates a strong ability to present to senior management at the organizational level. + Proficient in translating complex technical concepts into clear, understandable terms for diverse audiences with the ability to present to senior management at the organizational level. + Strong collaboration skills with ability to manage cross-functional teams, balance security controls with business requirements, and promote consensus-building. + Ability to lead, conduct, and facilitate team and solution-related support calls. Equal Employment Opportunity This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to ************************************************* to obtain the main telephone number of the facility and ask for Human Resources.
$64k-80k yearly est. 8d ago
Sr. Cybersecurity Analyst (Remote)
Community Health Systems 4.5
Remote
As a key member of the Cybersecurity organization, the Cybersecurity Senior Analyst is responsible for leading the identification and remediation of security deficiencies within third-party, cloud, and internally developed applications. The Senior Analyst will collaborate with leadership to formulate strategies designed to enhance Cybersecurity operations, improve threat response across organizational assets, and ensure strict adherence to enterprise security standards. This role requires cross-functional collaboration with technical and business teams to address compliance risks, spearhead remediation efforts, and provide expert guidance to associate analysts and enterprise teams. Exceptional customer service, communication, and teamwork skills are essential for success in this position. The primary responsibilities encompass recommending the prioritization of applications for audit, conducting audits of best practices for critical applications, defining key metrics to monitor ongoing application security posture, and identifying risks arising from application misconfiguration. These duties necessitate excellent communication skills to effectively coordinate with application owners. Given the need to work with a high volume of diverse applications, the ability to rapidly comprehend technical configurations and business requirements is recommended. Experience in the implementation of third-party, cloud, and internally developed applications is highly recommended. Application Development evaluations will utilize frameworks such as Static Application Security Testing (SAST) and Dynamic Application Security Testing (DAST). Due to the elevated level of required communication, the ability to develop engaging communications and professional presentations tailored for a broad audience is necessary. Presentations will be delivered to leadership, detailing remediation recommendations and requirements. These communications must be adaptable for audiences ranging from business owners to highly technical working groups. As a Senior Cybersecurity Analyst, this individual is responsible for identifying and establishing processes to adhere to Application Security auditing frameworks. This role functions as the subject matter expert regarding Application Security. Components of this position will necessitate involvement in API Security, Cloud File Sharing, and application integration security Essential Functions Lead efforts to support and optimize operational processes for various Cybersecurity solutions that protect critical systems and data. Identify risks, propose solutions, and implement process improvements to enhance security effectiveness. Provide Level III support across Cybersecurity solutions, making strategic recommendations to improve the organization's security posture. Collaborate with Cybersecurity, IT, and Facilities teams to improve operational processes within existing solution frameworks. Ensure security measures align with organizational standards and best practices. Leads problem-solving efforts, root cause analysis, and resolution for intermediate to complex security issues. Prioritizes and ensures timely resolution of incidents, even in fast-paced and complex project environments. Provides 24x7 support for critical events and leads incident (break/fix) response efforts. Actively participates in the creation of solution metrics, contributing to the strategic development of Cybersecurity initiatives. Serves as an expert in supporting multiple intermediate and complex security solutions. Qualifications Bachelor's degree in Cybersecurity, Computer Science, or related field preferred 5-8 years of progressive experience in security operations or incident response Industry certifications (e.g., OSCP, GIAC, CISSP) highly preferred Demonstrated success in enterprise threat defense or security architecture roles Knowledge, Skills and Abilities Advanced ability to design and implement operational processes for complex security solutions with minimal oversight. In-depth knowledge of security principles, techniques, and implementations across multiple Cybersecurity domains with ability to lead operational initiatives. Demonstrates a strong ability to present to senior management at the organizational level. Proficient in translating complex technical concepts into clear, understandable terms for diverse audiences with the ability to present to senior management at the organizational level. Strong collaboration skills with ability to manage cross-functional teams, balance security controls with business requirements, and promote consensus-building. Ability to lead, conduct, and facilitate team and solution-related support calls.
$74k-96k yearly est. Auto-Apply 8d ago
Sr. Cybersecurity Analyst (Remote)
Community Health System 4.5
Remote
As a key member of the Cybersecurity organization, the Cybersecurity Senior Analyst is responsible for leading the identification and remediation of security deficiencies within third-party, cloud, and internally developed applications. The Senior Analyst will collaborate with leadership to formulate strategies designed to enhance Cybersecurity operations, improve threat response across organizational assets, and ensure strict adherence to enterprise security standards. This role requires cross-functional collaboration with technical and business teams to address compliance risks, spearhead remediation efforts, and provide expert guidance to associate analysts and enterprise teams. Exceptional customer service, communication, and teamwork skills are essential for success in this position. The primary responsibilities encompass recommending the prioritization of applications for audit, conducting audits of best practices for critical applications, defining key metrics to monitor ongoing application security posture, and identifying risks arising from application misconfiguration. These duties necessitate excellent communication skills to effectively coordinate with application owners. Given the need to work with a high volume of diverse applications, the ability to rapidly comprehend technical configurations and business requirements is recommended. Experience in the implementation of third-party, cloud, and internally developed applications is highly recommended. Application Development evaluations will utilize frameworks such as Static Application Security Testing (SAST) and Dynamic Application Security Testing (DAST). Due to the elevated level of required communication, the ability to develop engaging communications and professional presentations tailored for a broad audience is necessary. Presentations will be delivered to leadership, detailing remediation recommendations and requirements. These communications must be adaptable for audiences ranging from business owners to highly technical working groups. As a Senior Cybersecurity Analyst, this individual is responsible for identifying and establishing processes to adhere to Application Security auditing frameworks. This role functions as the subject matter expert regarding Application Security. Components of this position will necessitate involvement in API Security, Cloud File Sharing, and application integration security Essential Functions * Lead efforts to support and optimize operational processes for various Cybersecurity solutions that protect critical systems and data. * Identify risks, propose solutions, and implement process improvements to enhance security effectiveness. * Provide Level III support across Cybersecurity solutions, making strategic recommendations to improve the organization's security posture. * Collaborate with Cybersecurity, IT, and Facilities teams to improve operational processes within existing solution frameworks. * Ensure security measures align with organizational standards and best practices. * Leads problem-solving efforts, root cause analysis, and resolution for intermediate to complex security issues. * Prioritizes and ensures timely resolution of incidents, even in fast-paced and complex project environments. * Provides 24x7 support for critical events and leads incident (break/fix) response efforts. * Actively participates in the creation of solution metrics, contributing to the strategic development of Cybersecurity initiatives. * Serves as an expert in supporting multiple intermediate and complex security solutions. Qualifications * Bachelor's degree in Cybersecurity, Computer Science, or related field preferred * 5-8 years of progressive experience in security operations or incident response * Industry certifications (e.g., OSCP, GIAC, CISSP) highly preferred * Demonstrated success in enterprise threat defense or security architecture roles Knowledge, Skills and Abilities * Advanced ability to design and implement operational processes for complex security solutions with minimal oversight. * In-depth knowledge of security principles, techniques, and implementations across multiple Cybersecurity domains with ability to lead operational initiatives. * Demonstrates a strong ability to present to senior management at the organizational level. * Proficient in translating complex technical concepts into clear, understandable terms for diverse audiences with the ability to present to senior management at the organizational level. * Strong collaboration skills with ability to manage cross-functional teams, balance security controls with business requirements, and promote consensus-building. * Ability to lead, conduct, and facilitate team and solution-related support calls.
$74k-96k yearly est. 8d ago