Manager, Medical Economics (Medicare) - REMOTE
Molina Healthcare Everett, Washington; Albany, New York; Iowa; Florida; Utah; Washington; New Mexico; Georgia; Ohio; New York; Kentucky; Nebraska; Texas; Idaho; Michigan; Wisconsin; Atlanta, Georgia; Chandler, Arizona; Mesa, Arizona; Salt Lake City, Utah; Syracuse, New York; Austin, Texas; Albuquerque, New Mexico; Nampa, Idaho; West Valley City, Utah; Owensboro, Kentucky; Kearney, Nebraska; Sioux City, Iowa; Savannah, Georgia; Madison, Wisconsin; Caldwell, Idaho; Miami, Florida; Tucson, Arizona; Scottsdale, Arizona; Dallas, Texas; Rio Rancho, New Mexico; Idaho Falls, Idaho; Des Moines, Iowa; Columbus, Ohio; Orlando, Florida; Warren, Michigan; Bellevue, Washington; Tacoma, Washington; Seattle, Washington; Houston, Texas; Meridian, Idaho; Phoenix, Arizona; Covington, Kentucky; Bowling Green, Kentucky; Lincoln, Nebraska; Iowa City, Iowa; Cedar Rapids, Iowa; Akron, Ohio; Rochester, New York; Louisville, Kentucky; Grand Island, Nebraska; Columbus, Georgia; Kenosha, Wisconsin; Sterling Heights, Michigan; Vancouver, Washington; Fort Worth, Texas; Las Cruces, New Mexico; Layton, Utah; New York, New York; Lexington-Fayette, Kentucky; Omaha, Nebraska; Cincinnati, Ohio; Macon, Georgia; Provo, Utah; Spokane, Washington; Detroit, Michigan; Cleveland, Ohio; Racine, Wisconsin; Milwaukee, Wisconsin; Ann Arbor, Michigan; Grand Rapids, Michigan; Boise, Idaho; San Antonio, Texas; Santa Fe, New Mexico; Orem, Utah; Buffalo, New York; Yonkers, New York; Bellevue, Nebraska; Davenport, Iowa; Dayton, Ohio; Augusta, Georgia; Green Bay, Wisconsin; St. Petersburg, Florida; Jacksonville, Florida; Tampa, Florida; Roswell, New Mexico Job ID 2031266JOB 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 in claims processing environment and/or healthcare environment
- Strong knowledge of SQL 2005/2008 SSRS 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
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 - $206,981 / 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: 04/30/2025ABOUT OUR LOCATION
View Map- Growth & Community Engagement Spc (Field Based Norfolk Area) Norfolk Nebraska, O'Neill Nebraska 05/20/2025
- Pharmacy Technician Everett Washington, Albany New York, New Mexico, Wisconsin, Idaho, New York, Texas, Kentucky, Nebraska, Ohio, Georgia, Utah, Florida, Michigan, Washington, Iowa, Warren Michigan, Bellevue Washington, Miami Florida, Bowling Green Kentucky, Bellevue Nebraska, Fort Worth Texas, Santa Fe New Mexico, Albuquerque New Mexico, West Valley City Utah, Des Moines Iowa, Columbus Georgia, Milwaukee Wisconsin, Green Bay Wisconsin, Jacksonville Florida, Salt Lake City Utah, Syracuse New York, Mesa Arizona, Houston Texas, Dayton Ohio, Augusta Georgia, Racine Wisconsin, Layton Utah, Provo Utah, Grand Rapids Michigan, Owensboro Kentucky, Davenport Iowa, Cedar Rapids Iowa, Cleveland Ohio, Columbus Ohio, Savannah Georgia, Macon Georgia, Yonkers New York, Covington Kentucky, Nampa Idaho, Chandler Arizona, Roswell New Mexico, Grand Island Nebraska, Sioux City Iowa, Akron Ohio, Madison Wisconsin, Boise Idaho, Orem Utah, Spokane Washington, Tampa Florida, Orlando Florida, Meridian Idaho, Idaho Falls Idaho, Phoenix Arizona, Louisville Kentucky, Dallas Texas, Rio Rancho New Mexico, Omaha Nebraska, Atlanta Georgia, Detroit Michigan, Tacoma Washington, St. Petersburg Florida, Rochester New York, Tucson Arizona, Lincoln Nebraska, Las Cruces New Mexico, Kenosha Wisconsin, Caldwell Idaho, Ann Arbor Michigan, Sterling Heights Michigan, Vancouver Washington, Buffalo New York, Lexington-Fayette Kentucky, Scottsdale Arizona, Austin Texas, San Antonio Texas, Kearney Nebraska, Iowa City Iowa, Cincinnati Ohio 04/25/2025
- Rep, MTM Pharmacy Services I Everett Washington, Albany New York, Boise Idaho, Kentucky, Owensboro Kentucky, Covington Kentucky, Michigan, Warren Michigan, Omaha Nebraska, Dallas Texas, Augusta Georgia, Iowa City Iowa, Cedar Rapids Iowa, Meridian Idaho, Lexington-Fayette Kentucky, Nebraska, Rio Rancho New Mexico, Rochester New York, Dayton Ohio, Chandler Arizona, Tampa Florida, Georgia, Ohio, Columbus Ohio, Texas, Salt Lake City Utah, Spokane Washington, Wisconsin, Racine Wisconsin, Caldwell Idaho, Louisville Kentucky, Grand Island Nebraska, Las Cruces New Mexico, New Mexico, Akron Ohio, San Antonio Texas, Washington, Madison Wisconsin, Green Bay Wisconsin, Idaho, Bellevue Nebraska, Roswell New Mexico, Cleveland Ohio, Austin Texas, Provo Utah, Utah, Layton Utah, Orem Utah, Vancouver Washington, Tacoma Washington, Kenosha Wisconsin, Tucson Arizona, Florida, Macon Georgia, Idaho Falls Idaho, Ann Arbor Michigan, Santa Fe New Mexico, Cincinnati Ohio, Fort Worth Texas, Houston Texas, West Valley City Utah, Bellevue Washington, Milwaukee Wisconsin, St. Petersburg Florida, Savannah Georgia, Columbus Georgia, Des Moines Iowa, Iowa, Davenport Iowa, Bowling Green Kentucky, Detroit Michigan, Sterling Heights Michigan, Grand Rapids Michigan, Kearney Nebraska, Albuquerque New Mexico, Scottsdale Arizona, Mesa Arizona, Jacksonville Florida, Miami Florida, Nampa Idaho, Lincoln Nebraska, New York, Syracuse New York, Yonkers New York, Buffalo New York, Phoenix Arizona, Orlando Florida, Atlanta Georgia, Sioux City Iowa 03/20/2025
- Specialist, Appeals & Grievances (Medicaid exp. required) New York, Nebraska, Washington, Madison Wisconsin, Mesa Arizona, Columbus Ohio, Roswell New Mexico, Sioux City Iowa, Spokane Washington, St. Petersburg Florida, Akron Ohio, New Mexico, Meridian Idaho, Warren Michigan, Louisville Kentucky, Tucson Arizona, Savannah Georgia, Detroit Michigan, Green Bay Wisconsin, San Antonio Texas, Iowa, Wisconsin, Michigan, Orem Utah, Syracuse New York, Grand Rapids Michigan, Cincinnati Ohio, Cedar Rapids Iowa, Rochester New York, Atlanta Georgia, Jacksonville Florida, Texas, Cleveland Ohio, Santa Fe New Mexico, Salt Lake City Utah, Chandler Arizona, Boise Idaho, Miami Florida, Provo Utah, Albany New York, Covington Kentucky, Dayton Ohio, Florida, Phoenix Arizona, Des Moines Iowa, Kearney Nebraska, West Valley City Utah, Macon Georgia, Austin Texas, Tacoma Washington, Omaha Nebraska, Ann Arbor Michigan, Racine Wisconsin, Iowa City Iowa, Layton Utah, Idaho, Las Cruces New Mexico, Kenosha Wisconsin, Bellevue Nebraska, Owensboro Kentucky, Grand Island Nebraska, Vancouver Washington, Bowling Green Kentucky, Utah, Ohio, Albuquerque New Mexico, Buffalo New York, Lexington-Fayette Kentucky, Dallas Texas, Fort Worth Texas, Bellevue Washington, Augusta Georgia, Yonkers New York, Idaho Falls Idaho, Orlando Florida, Lincoln Nebraska, Everett Washington, Davenport Iowa, Sterling Heights Michigan, Tampa Florida, Rio Rancho New Mexico, Columbus Georgia, Caldwell Idaho, Kentucky, Georgia, Milwaukee Wisconsin, Scottsdale Arizona, Houston Texas, Nampa Idaho 05/20/2025
No recently viewed jobs.
View All JobsNo saved jobs.
View All Jobs