Manager, Healthcare Analytics - Health Plan Integration - Remote

Molina Healthcare; Atlanta (GA); Remote; USD 88,000 - 207,000; Full time

Job summary

A leading healthcare organization based in Atlanta is seeking a Healthcare Analytics Manager. This role involves managing the Healthcare Analytics Team, overseeing report development, and ensuring data accuracy. The ideal candidate has a Bachelor's degree and significant experience in healthcare analytics and team leadership. Competitive salary with a range of $88,453 - $206,981 annually is offered, highlighting the organization's commitment to professional growth.

Qualifications

• Minimum 3 years of management or team leadership experience.
• 10 years’ work experience in claims processing or healthcare.
• Strong knowledge of SQL and relational database concepts.

Responsibilities

• Manage the Healthcare Analytics Team and oversee project activities.
• Coordinate with Health Plan departments for data analysis.
• Create reports for strategic analysis and profitability.

Skills

Leadership

SQL Development

Data Analysis

Education

Bachelor's Degree in Finance, Economics, Math, Computer Science, or related field

Tools

SQL Server Reporting Services (SSRS)

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 provider networks and other end users for operational and strategic analysis.

Responsibilities

Manages and provides direct oversight of Healthcare Analytics 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 Health Plan. Resource to HCS staff for mentoring, coaching, and analysis questions. Responsible for staff time keeping, performance coaching, development, and career paths.

• Daily management of Healthcare Analytics team.
• Allocate new report/project requests (workload distribution).
• Coordinates with Health Plan departments to meet data analysis and database development needs.
• Reviews, evaluates, and improved Company business logic and data sources.
• Resource to Health Plan staff for mentoring, coaching, and analysis questions.
• Reviews Health Plan analyst work products to ensure accuracy and clarity.
• Reviews regulatory reporting requirements and Health Plan project documentation.
• Maintains reporting service level benchmarks for Healthcare Analytics team.
• Represents Healthcare Analytics department in cross-departmental and operational meetings.
• Serves as liaison between Corporate IT and Health Plan 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.
• Management Health Plan Encounter workflow process.

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 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

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $88,453 - $206,981 / ANNUAL

*Actual compensation may vary from geographic location, work experience, education and/or skill level.