ESSENTIAL FUNCTIONS • Leads or participates in complex medical economic projects (e.g., medical cost savings, trend, and risk assessment initiatives) including identification and completion of key deliverables. • Apply statistical analysis methods to develop, validate, and execute algorithms, statistical models, and reporting tools that answer applied research and business questions for internal and external clients. • Provide medical cost trend analytics, assess variance to expectations, and determine forecasted contract terms for health insurer and risk bearing provider clients. • Makes recommendations about data collection methods, metrics definition, and evaluation methods. • Develops studies, analyses, and presentation materials needed to appropriately inform decision makers. Presents results and recommendations to management across VBC teams. • Works cross-functionally throughout the organization toward achieving operational targets. • Presents complex information in a way that multiple levels within an organization can understand and utilize to make appropriate decisions to meet business objectives. • Responsible for project commitments to quality and on-time deliverables. • Willingness to understand and probe into technical details. • Creates and evaluates the data needs of assigned projects and assures the integrity of the data. • Works independently to plan and conduct sophisticated analyses. • Other duties as assigned. EDUCATION • Bachelor’s degree preferred. Undergraduate degree in math/actuarial, business, finance, or related field preferred EXPERIENCE Healthcare Industry Experience: 3+ years in health insurance, value-based care, or healthcare administration • Data & Analytical Expertise: 2+ years of experience analyzing healthcare claims and eligibility data, including: ▪ Medical cost, trend, and variance analysis. Identification of cost management opportunities. Medical economics analysis and reporting. Statistical analysis and data modeling • Contract & Product Knowledge: 2+ years of experience analyzing capitated and fee-for-service provider contracts across: ▪ Medicare, Medicare Advantage, Commercial, and Medicaid plans Technical Skills: 2+ years working with database management systems (e.g., SQL Server, DB2, SAS) Proficiency in SQL and healthcare data analytics Experience with reporting tools such as Power BI (or similar) Advanced skills in Microsoft Excel; working knowledge of Word, PowerPoint, and Access Preferred: Experience with actuarial analysis and methodologies ABILITIES • Proficiency in statistical methods of data analysis • Understanding of medical cost drivers and provider reimbursement methodologies • Strong problem solving, analytical, and project management skills • Demonstrated extensive and diverse knowledge of health care data, metrics, systems, and standards; demonstrated subject matter expert in multiple subject areas • Ability to make sound decisions and recommendations to drive business solutions • Ability to communicate statistical and technical ideas and results to non-technical clients • Ability to work independently and complete projects within established timeframes • Self-starter and ability to juggle competing priorities SKILLS • General business/demonstrated business and industry acumen • General business/turning data into information • Finance/delivering profit and performance ENVIRONMENTAL WORKING CONDITIONS • Normal office environment or remote • Some travel PHYSICAL/MENTAL DEMANDS • Requires sitting and standing associated with a normal office environment. • Some bending and stretching are required. • Manual dexterity using a computer keyboard, phone, and scanner. ORGANIZATIONAL REQUIREMENT • HOPCo Mission, Vision, and Values must be read and signed. This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities, and working conditions may change as needs evolve.

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 • 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

• Act strategically in workforce planning and management, with a focus on data, efficiency, and predictability • Develop, automate, and improve models, spreadsheets, and dashboards for controlling personnel costs, headcount, and personnel budget • Prepare and consolidate Budgets and Forecasts, ensuring accuracy and financial alignment with company goals • Implement automation, BI, and artificial intelligence tools to optimize processes and reduce manual tasks • Monitor KPIs for efficiency, productivity, and personnel costs, identifying variances and opportunities for improvement • Ensure data integrity and governance, maintaining high attention to detail and quality in deliverables • Produce analyses and strategic insights to support decisions on organizational structure, growth, and investments in people • Collaborate with FP&A, People Analytics, and Finance to ensure consistency between financial planning and workforce planning.

• Understand each customer’s workflows, KPIs, and constraints. • Translate business needs into clear, testable requirements. • Distinguish between regulatory requirements, customer must-haves, and nice-to-haves. • Develop a detailed knowledge of our product to map requirements to existing features, upcoming roadmap items, and needed customizations. • Explain the value of solutions in terms of data quality, regulatory compliance, and operational efficiency. • Define how GridUnity and customer systems exchange data. • Map fields, identify transformations, and validate data. • Guide configuration of GridUnity products and ensure customer IT environments are ready. • Partner with Project Managers and the CX team to plan and run User Acceptance Testing. • Track issues, support defect triage, and manage readiness checklists. • Coordinate cutover activities with customers and internal teams. • Work with BAs to document requirements and compare them to market best practices and product capabilities. • Create clear source-to-target data mappings, confirm data ownership and quality rules, and review historical data to reduce risk. • Identify future integration opportunities. • Contribute to Statements of Work and scoping workshops. • Act as the technical liaison during sales and early project phases. • Support or deliver product demos and training. Ensure clean handoffs to customer administrators and support teams.