Manager, Medical Economics (Pop Health/Clinical Analytics) - REMOTE
Molina Healthcare Albany, New York; Everett, Washington; Florida; Kentucky; Nebraska; Iowa; Georgia; Michigan; Texas; Utah; Idaho; New York; Ohio; Washington; New Mexico; Wisconsin; Rio Rancho, New Mexico; Salt Lake City, Utah; Ann Arbor, Michigan; Grand Rapids, Michigan; Miami, Florida; Syracuse, New York; Yonkers, New York; Covington, Kentucky; Des Moines, Iowa; Columbus, Ohio; Layton, Utah; Warren, Michigan; Spokane, Washington; Buffalo, New York; Rochester, New York; Iowa City, Iowa; Akron, Ohio; Columbus, Georgia; Green Bay, Wisconsin; Jacksonville, Florida; New York, New York; Bowling Green, Kentucky; Cleveland, Ohio; Caldwell, Idaho; Mesa, Arizona; Austin, Texas; Dallas, Texas; Fort Worth, Texas; Houston, Texas; Sterling Heights, Michigan; Detroit, Michigan; Seattle, Washington; Kearney, Nebraska; Davenport, Iowa; Cincinnati, Ohio; Atlanta, Georgia; Kenosha, Wisconsin; Scottsdale, Arizona; Albuquerque, New Mexico; Tacoma, Washington; Omaha, Nebraska; Cedar Rapids, Iowa; Macon, Georgia; Madison, Wisconsin; Meridian, Idaho; Phoenix, Arizona; Chandler, Arizona; Tucson, Arizona; San Antonio, Texas; Las Cruces, New Mexico; Orem, Utah; Tampa, Florida; Owensboro, Kentucky; Lexington-Fayette, Kentucky; Louisville, Kentucky; Sioux City, Iowa; Racine, Wisconsin; Nampa, Idaho; Idaho Falls, Idaho; Santa Fe, New Mexico; West Valley City, Utah; Provo, Utah; Orlando, Florida; Dayton, Ohio; Augusta, Georgia; Milwaukee, Wisconsin; Boise, Idaho; Roswell, New Mexico; Bellevue, Washington; Vancouver, Washington; St. Petersburg, Florida; Bellevue, Nebraska; Lincoln, Nebraska; Grand Island, Nebraska; Savannah, Georgia Job ID 2031308JOB DESCRIPTION
Job Summary
Collects, validates, analyzes, and organizes data into meaningful reports for management decision making as well as designing, developing, testing, and deploying reports to other end users for operational and strategic analysis.
KNOWLEDGE/SKILLS/ABILITIES
Manages and provides direct oversight of Medical Economics Team activities and personnel. Provides technical expertise, manages relationships with operational leaders and staff. Directs staff assigned to their projects, maintains internal work plans as well as project work plans to meet reporting needs of the Medical Economics Team. Responsible for staff time keeping, performance coaching, development, and career paths.
- Daily management of Data management, Tools & Technology work stream.
- Allocate new report/project requests (workload distribution).
- Coordinates with Medical Economics team to meet data analysis and database development needs.
- Reviews, evaluates, and improved business logic and data sources.
- Resource to staff for mentoring, coaching, and analysis questions.
- Reviews Medical Economics analyst work products to ensure accuracy and clarity.
- Reviews regulatory reporting requirements and Health Plan project documentation.
- Maintains reporting service level benchmarks for EIM team.
- Represents Medical Economics department in cross-departmental and operational meetings.
- Serves as liaison between EIM and Medical Economics regarding reporting needs.
- Creates reporting for strategic analysis, profitability, financial analysis, utilization patterns and medical management.
- Interfaces and maintains positive interactions with Health Plan and Corporate personnel.
JOB QUALIFICATIONS
Required Education
Bachelor's Degree in Finance, Economics, Math, Computer Science, Information Systems, or related field
Required Experience
- 3 years management or team leadership experience
- 10 years’ work experience preferable with claims data and/or healthcare environment
- Strong knowledge of Excel, SQL, and Power BI report development
- Familiar with relational database concepts, and SDLC concepts
Preferred Education
- Masters' Degree in Finance, Economics, Math, Computer Science, Information Systems, or related field.
Preferred Experience
- 3 – 5 years supervisory experience
- Experience in Population Health/Clinical Analytics
- Experience in Clinical Program Evaluation
- Experience in building clinical targeting models for Case Management
- Experience or strong desire to learn Python/PySpark
- Well developed communication and presentation skills
- Strong interest in healthcare with an understanding of nuances that impact analytics
- Self-motivated to learn and expand domain knowledge and technical skills
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.
#PJCorp
#LI-AC1
Pay Range: $88,453 - $165,000 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Job Type: Full Time Posting Date: 04/15/2025ABOUT OUR LOCATION
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