JOB DESCRIPTION

Job Summary

The Analyst, Clinical Policy reviews and evaluating existing clinical policies, proposes suggested improvements to existing clinical policies, and researches new policies. Creates reports and analyzes market trends. Improves existing department processes.

KNOWLEDGE/SKILLS/ABILITIES

Proficiency in clinical policy through skills in literature searching and clinical research analysis based on the best available evidence or via direct work experience. Working knowledge of clinical policies. Understanding of the managed care industry and market conditions. High organizational and time-management skills; ability to work independently. Excellent and clear written and verbal communication skills. Strong analytical and problem-solving skills. Ability to work in a cross-functional, professional environment. Exceptional team player with a strong ability to contribute positively to a team environment with a desire to learn, grow, and empower. Ability to perform independent research on complex medical topics.

JOB QUALIFICATIONS

Preferred Experience:

Clinical experience, nursing, therapy, social work background Experience writing clinical policy Knowledge of NCQA regulations

PHYSICAL DEMANDS:

Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.

 

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.