Manager, Healthcare Analytics - Health Plan Integration - Remote

Molina Healthcare; Long Beach (CA); Remote; USD 90,000 - 120,000; Full time

Job summary

A leading healthcare organization in California seeks a Healthcare Analytics Manager to oversee the Analytics Team. Responsibilities include team management, data analysis, and collaboration with Health Plan departments. Ideal candidates should have a Bachelor's degree in a relevant field and extensive experience in healthcare analytics, including SQL report development. Competitive benefits and compensation package offered.

Benefits

Competitive benefits and compensation package

Qualifications

• 3 years management or team leadership experience required.
• 10 years’ experience in claims processing or healthcare environment preferred.
• Strong knowledge of SQL 2005/2008 SSRS report development required.

Responsibilities

• Manage Healthcare Analytics team activities and personnel.
• Coordinate with Health Plan departments for data analysis and database development.
• Review and ensure accuracy of analytical work products.

Skills

Team leadership

SQL report development

Data analysis

Education

Bachelor's Degree in Finance, Economics, Math, Computer Science, Information Systems

Master's Degree (preferred)

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 improves 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.
• Manages 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

Master's 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