Data Analyst - Reporting & Analytics - Risk Adjustment

**JOB DESCRIPTION**

**Job Summary**

The Data Analyst role will support Molina's Risk Adjustment Predictive Analytics team. Designs and develops Suspect, Targeting, and Tracking System to support Molina’s Prospective and Retrospective Interventions.

**Knowledge/Skills/Abilities**

+ Assist Risk Adjustment Data Analytics Leaders in Prospective and Retrospective Intervention Strategy Analytics along with corresponding tracking of progress and impact of such interventions.
+ Development and QA of ad-hoc as well as automated analytical as well as Reporting modules related to Risk Adjustment for Medicaid, Marketplace and Medicare/MMP.
+ Assist Risk Adjustment Data Analytics Leaders in developing Automated Suspect and Target/Ranking Engine for all line of businesses.
+ Analysis and reporting related to Managed care data like Medical Claims, Pharmacy, Lab and related financial data like risk score, revenue and cost.
+ Calculate and track risk scor...