Manager, Healthcare Analytics - Health Plan Integration - Remote

Molina Healthcare; Detroit (MI); Remote; USD 88,000 - 207,000; Full time

Job summary

A health insurance organization in Detroit is seeking a Healthcare Analytics Manager to oversee team activities and provide technical expertise. The ideal candidate will have extensive experience in analytics, project management, and staff leadership. Responsibilities include managing projects, mentoring staff, and ensuring high-quality reporting. A Bachelor's degree and several years of healthcare experience are required, along with strong SQL skills.

Benefits

Competitive benefits

Equal Opportunity Employer

Qualifications

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

Responsibilities

• Manage Healthcare Analytics team.
• Allocate new report/project requests.
• Coordinate data analysis and database development needs.
• Mentor and coach staff on analysis questions.
• Review and evaluate work products for accuracy.

Skills

SQL 2005/2008 SSRS report development

Team leadership

Data analysis

Project management

Mentoring and coaching

Education

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

Master's Degree in relevant field

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.