Manager, Medical Economics (Medicare) - REMOTE - Military Veterans
at Molina Healthcare
JOB 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
- 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 with Databricks
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.
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Pay Range: $88,453 - $172,484 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
AZ
Molina believes every person, family and community deserves access to high-quality health care regardless of their situation. Our mission is to deliver effective, reliable and affordable health care to those who need it most. We strive to meet the physical, social and emotional needs of each member and to strengthen the communities we serve.
We do this by offering a holistic, community-based approach designed specifically to meet the individual needs of our members.
What started in 1980 as one clinic in Long Beach, aimed at addressing the disparities in access to quality health care, has grown into 19 health plans across the country. For over 40-years we’ve been improving the lives of our 5.1 million members across the country by pioneering health care services exclusively for those with government-sponsored health care.
As our membership has grown over the years, so has our commitment to the communities we serve. In 2020, we launched the MolinaCares Accord, which makes substantial investments to improve members’ access to health care.