Dir, Medical Economics - REMOTE - Military Veterans
at Molina Healthcare
Job Description
Job Summary
Responsible for leading the Medical Economics team to develop SAI tracking tools in conjunction with SAI leads to support of Health Plans data management needs. Collaborates with senior leadership to identify opportunities to improve the Health Plan's performance and data management.
Knowledge/Skills/Abilities
- Participates or leads standard trend management review with Health Plans
- Leads ad hoc analysis to support Health Plans and Shared Service Partners.
- Coordinate with Shared Services functions (Payment Integrity, National Contracting, Health Services) to conduct annual deep dive trend review of each Health Plan.
- Coordinates trend mitigation strategies with Health Plans, Shared Services and SAI process.
- Performs consistent follow up on issues and opportunities identified.
- Leads staff to utilize tracking tool for trend mitigation items being worked between Health Plan and Shared Services (Tools and Technology).
- Coordinates analytical views of data for oversight of initiatives and impact on trend.
- Leads team to develop SAI tracking tools in conjunction with SAI leads.
- Leads team to develop intake tool for MedEcon Request
- Coordinates Data management advocacy structure and set organizational standards.
- Primary point of contact between MedEcon and EIM Team.
- Coordinate projects involving employees across functional areas.
- Stay abreast of professional developments and industry trends.
Job Qualifications
Required Education
Bachelor's Degree
Required Experience
6+ Years
Preferred Experience
7 Years and experience in complex managed care or other health care organizations.
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.
Pay Range: $107,028 - $208,705 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
United States / Remote
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.