Molina Healthcare · 1 day ago
Analyst, Data Management (CMS Network - MA HealthPlan)
200 Oceangate, Long Beach, CA, 90802, US
Full-time
Onsite
Senior Level
5+ years expMolina Healthcare is a company that supports the Massachusetts Health Plan, and they are seeking a Data Management Analyst. This role involves data integration, management, analysis, and quality control, as well as providing insights and recommendations based on data trends and ensuring compliance with CMS regulatory submissions.
Health CareHospitalMedical
Responsibilities
Under general supervision, this position has lead responsibilities for accessing, integrating, data compilation, data management, data analysis, data quality controls and reporting from various Molina Healthcare systems (e.g., QNXT, and Med Insight) and/or related external systems (e.g. CMS and State-specific) and direct ownership of files for CMS regulatory submissions
This position will conduct exploratory and discovery studies that include assessing requirements, current state gap analysis, comparison to best practices and presenting the finding and recommendations to management
The Data Analyst will be responsible to provide insight into data trends, drawing broad conclusions and create actionable management reports that can be used to identify opportunities to improve data quality and ensure data governance principles, rules, use and practices are maintained
The Data Analyst will run investigative queries, help identify root causes to data issues and support strategic and contractual network management
This resource may also be utilized for ad hoc data requests and/or assistance with special project management activities
Additional responsibilities may include creating presentations and other collateral in support of those same business requests
Strong knowledge of CMS Network Adequacy and regulatory submission requirements
Extract and compile various sources of information and large data sets from various systems or applications
Contribute and adhere to all phases of the data development lifecycle including – capture data requirements, solution design, specifications, code and test phases (unit, acceptance)
Develop test plans and test cases, report test results and test analysis; analyze and recommend improvements based on testing results
Develop and demonstrate ongoing support data controls that detect data defects
Set up process for monitoring, tracking and trending information and data using various systems or applications
Gather and monitor Data Quality KPIs in relation to Master Data Management requirements and Data Quality Controls tolerances
Research perform profiling tasks on data quality dimensions and analyze report results identifying opportunities and trends
Prepare well organized, easily understood reports, analysis, and summary of findings for use by management
Work with internal, external and enterprise individuals as needed to research, develop and document new standard reports or processes
Consolidate data from multiple sources using industry based tools or manually be able to process and profile data
Conduct Peer Reviews
Support team members and others when additional analytics are required
Participates in special projects and initiatives that are designed to improve data quality
Keeps abreast of industry best business practices and makes suggestions to management on how to improve current practices
Performs special projects upon request
Qualification
Required
Bachelor's degree (BA or BS) in related field
At least 5 years in related data management field
Experience with MS Office applications, SQL and relational database required
Basic level of programming skill with SQL, scripting language such as Python and/or PERL, or SAS
Alternate programming experience may substitute
Preferred
BA or BS in Business, Statistics, Mathematics, Computer Science, Information Management, Information Technology or a related data management field
A Master's degree or certification as Certified Data Management Professional (CDMP), Microsoft SQL Server, Oracle Enterprise Management or related information management field
Experience with multiple data systems, data conversion, data migration, data profiling, data modeling
Ability to use data cubes to extract data
Experience with Master Data Management (MDM), ETL, and/or Data Quality Management (DQM) platforms a plus
Knowledge of Massachusetts provider network and state-specific regulatory requirements related to provider data management
Benefits
Competitive benefits and compensation package
Company
Molina Healthcare
Molina Healthcare is a healthcare company that specializes in government-sponsored healthcare programs for families and individuals.
10001+ employees
H1B Sponsorship
Molina Healthcare has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (56)
2024 (45)
2023 (43)
2022 (31)
2021 (35)
2020 (55)
Funding
Current Stage
Public CompanyTotal Funding
$2.35B2025-11-17Post Ipo Debt· $850M
2024-11-13Post Ipo Debt· $750M
2021-11-16Post Ipo Debt· $750M
Leadership Team
Dave Reynolds
Executive Vice President, Health Plans & Medicaid Chief Operating Officer
Debbie Simkins
Vice President, Office of the CIO
Recent News
2026-01-17
Company data provided by crunchbase