• Provides application and technical support by analyzing, diagnosing, and resolving incidents, issues, and problems in accordance with established service levels and department standards. • Works with stakeholders to gather, validate, and translate business and technical requirements into clear design and development specifications, while supporting product management activities. • Configures, tests, installs, implements, monitors, and maintains common to complex systems, including applications, workflows, processes, and related hardware. • Documents current and future-state workflows and recommends technical and functional design solutions to support business needs. • Partners with external vendors to support third-party applications, including integration, implementation, troubleshooting, and ongoing support. • Serves as a project manager for small to mid-size projects involving multiple teams and completes related project management functions. • Collaborates effectively with peers, internal stakeholders, external partners, and vendors to achieve project and operational goals. • Adheres to documentation, change management, and configuration management standards. • Assists in the development and maintenance of testing plans and test scripts to validate system functionality, outputs, and integrity. • Participates in the creation and delivery of training materials and knowledge-based documentation for peers, end users, and other team members. • Configures and integrates electronic and mechanical hardware with software solutions to meet defined functional requirements. • Develops an understanding of business reporting needs and supports reporting solutions for end users. • Participates in on-call rotations and command center activities, as applicable. • Attends and actively participates in team, project, and department meetings to promote communication, collaboration, and information sharing. • Works with project requesters to define and deliver minimum viable products (MVPs) for requests submitted in ServiceHub. • Requests and coordinates resources for projects and enhancement efforts using the ServiceHub Resource Planning process.

Where You’ll Work Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system. Job Summary and Responsibilities *** This position does require 50% travel during the first five (5) years. *** Job Summary Expert in one or more highly specialized areas within the healthcare environment. Role in developing clinical/business solutions. Design and present solutions and options that improve patient care, enhance patient engagement, improve operational efficiency and improve the organization's financial position. Integrates organizational knowledge with thoughtful design. Reviews and analyzes systems including testing and documenting Epic applications. Understands system options and configurations completely and can suggest and lead teams through decisions on the best way to configure and utilize the system. Job Responsibilities - Designs, builds, tests, implements, and supports information technology solutions to meet operational and clinical needs. - Also, provides consultation for program design, coding, testing, debugging and documentation. - Understands system options and configurations completely and can suggest and lead teams through decisions on the best way to configure and utilize the system. - Analyzes, designs, and makes recommendations to improve existing systems and/or methods, and provide written, detailed reports. - Creates thorough system design and build documentation. - Collaborates with other analysts, staff, vendors, and leadership. - Translate high-level business requirements to detailed technical designs/documentation. - Leads large/complex projects or initiatives. - Supports/maintains day-to-day existing functionality/programs/applications including ancillary systems support. - Coordinates all phases of a system optimization or upgrade project and provides production services, such as recommending improvements to strategy, system usage and process through the application of business and technology skill sets. Supports continued system maintenance and optimization. - Serves as resource and advocate for assigned user group(s). Assists with a variety of related projects and staff education on an ad hoc basis. Provide solutions for application issues and complex support for troubleshooting difficult situations. Acts as the group resources for complex issues needing resolution. Mentors other analysts on troubleshooting issues of intermediate to advanced complexity and creating system design solutions. - Performs advanced system analysis and troubleshooting to implement new functionality/programs/applications, and to analyze/research vendor release notes and documentation; understanding complete end-to-end system integration. - Identifies and manages new system specifications or user services and coordination of installations. - Assesses assigned user areas for efficiencies and effectiveness. Evaluates alternative services and technology solutions on an ongoing basis and assures cost-effective solutions. Responsible for providing systems support. Ability to coordinate various systems. - Coordinates the preparation of departmental and interdepartmental policies and procedures, job functions, operating procedures, manuals, and system documentation. Performs advanced analysis using databases and data reporting tools. - Maintains complete and up-to-date project documentation for all assigned projects. Meeting with department heads on a routine basis to identify and prioritize their needs. - Works closely with customers to document requirements and communicate effectively with customers and peers to implement changes. - Facilitates performance improvement for the effective use of information technology. Assists in identifying any barriers to adoption of clinical practice. Supports business/clinical operations with clinical and financial end users. Analyze the functionality of the system and how it fits or not with operations; The ability to troubleshoot basic problems and recommend and take appropriate action as required. - On-call coverage (after business hours and weekends) is sometimes required, on a rotational basis or as-needed, if circumstances warrant. - Some travel required, both locally and overnight. Job Requirements Required - Bachelors Other in related field or 4 years of equivalent experience may be considered in lieu of Bachelor's degree, upon hire and - 3 years working with systems analysis programming/design; and - 5 years of additional relevant experience: application support, implementation; or - Development experience with applications in a hospital or medical related industry. - EPIC Certification, within 120 Days

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