Director, Data Analytics (Customer Experience / Member Growth & Retention)

Embedded Shishya; United States; On-site; USD 150,000 - 210,000; Full time

Benefits offered by this job

Competitive benefits package

Job summary

Molina Healthcare is seeking a Director of Data Analytics to ensure timely creation of executive and health plan management reports and to provide critical analytical insights. The role supports enrollment, utilization and operational reporting, driving analytics across IT, Finance, Actuarial, Claims, Call Centers, and Utilization and Care Management.

The position leads an analytics team, develops dashboards and scorecards, and collaborates with health plan finance to review premium rates for

Qualifications

• Bachelor's degree in Business Administration or related field or equivalent 7+ years in Managed Care or Medicare.
• 10+ years operational experience with Managed Care and/or Medicare.
• 5+ years in supervisory/management experience in Managed Care or Medicare fields.
• 5+ years plus in Excel and financial analysis skills.
• Ability to work with Power BI, Salesforce; Lean Six Sigma Green Belt or related certification a plus.
• Strong communication and team/interpersonal skills.
• Strong leadership capabilities and cross-team relationship skills.
• Knowledge of state/federal regulations relating to enrollment/premiums.

Responsibilities

• Design and develop analytical reporting tools to measure, monitor, and communicate clinical, operational, and financial results.
• Lead end-to-end efforts to establish actionable reporting metrics, dashboards, and scorecards.
• Support provider/contract and value-based analytics.
• Create cost, enrollment, and operational metrics for monthly reviews.
• Oversee enrollment/clinical reporting for CMS where applicable.
• Serve as SME for projects in data management areas.
• Collaborate with finance on premium rate analyses.
• Mentor and develop analytics staff.

Skills

Analytical reporting

Leadership

Cross-team collaboration

Data visualization

Communication

Mentoring/coaching

Education

Bachelor's degree in Business Administration or related field

Master's degree (preferred)

Tools

Power BI

Salesforce Analytics

Excel

Lean Six Sigma Green Belt

Job description

Job Summary

A member of the Customer Experience team, the Director, Data Analytics ensures timely creation of key Executive and Health plan management reports, and provides critical analytical insights. This role will assist in developing, implementing and monitoring the organization’s enrollment, utilization and operational-related reporting and analytics to support business and customer satisfaction decision making. Drives analytic engagement among interdepartmental customers including, but not limited to, IT; Finance; Actuarial, Claims, Call Centers and Utilization and Care Management. Manages data analytic staff who assist in the development and execution of standard and ad‑hoc reporting along with supporting analysis as needed.

Knowledge/Skills/Abilities

• Design and develop analytical reporting tools to efficiently measure, monitor, and communicate clinical, operational & financial results.
• Lead end‑to‑end efforts to establish a comprehensive set of actionable reporting metrics, dashboards and scorecards tied to market share growth and Molina member and provider experience.
• Support and provide insightful provider/contract and value‑based analytics.
• Create meaningful cost, enrollment and operational metrics and data visualizations to support monthly operating reviews.
• Oversee enrollment/clinical reporting for State and/or Centers for Medicaid & Medicare Serves (CMS) where applicable.
• Serve as subject matter expert for any projects and or new business related to areas of oversight.
• Collaborate with health plan finance staff in review and analysis of premium rates received from the state(s) for appropriateness.
• Act as a liaison to all other internal and external customers on behalf of Molina and data management areas.
• Manage, mentor and develop/coach analytical team.

Job Qualifications

Required Education

• Bachelor Degree in Business Administration or related field or equivalent of 7 years+ in Managed Care or Medicare related field.

Required Experience

• 10+ years operational experience with Managed Care and/or Medicare.
• 5+ years in supervisory and/or management experience in Managed Care or Medicare related field.
• 5 years+ in Excel and financial analysis skills.
• Ability to work with Power BI, Salesforce and Salesforce Analytics Lean Six Sigma Green Belt or related certification a plus.
• Strong communication and team/interpersonal skills.
• Strong leadership capabilities and ability to initiate and maintain cross‑team relationships.
• Ability to work closely with remote staff to ensure State and Federal requirements as well as standard processes are accommodated within the enrollment and premium process.
• Knowledge of applicable state, federal and third‑party regulations.

Preferred Education

• Master degree in Business Administration or related field.

Molina Healthcare offers a competitive benefits and compensation package.

Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.