Manager, Healthcare Analytics - Health Plan Integration - Remote

Molina Healthcare; San Antonio (TX); Remote; USD 88,000 - 207,000; Full time

Job summary

A healthcare company in San Antonio is seeking a manager for its Healthcare Analytics Team. The role involves overseeing team activities, coordinating with various departments, and ensuring data reporting accuracy. Candidates should have at least 10 years of experience in healthcare or claims processing, along with SQL report development skills. This role offers competitive compensation and a comprehensive benefits package.

Qualifications

• 3 years management or team leadership experience.
• 10 years’ work experience preferably in claims processing environment and/or healthcare.
• Familiar with relational database concepts and SDLC concepts.

Responsibilities

• Manage Healthcare Analytics Team activities and personnel.
• Coordinate with Health Plan departments to meet data analysis needs.
• Review regulatory reporting requirements for the Health Plan.

Skills

Management experience

SQL report development

Data analysis

Education

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

Tools

SQL 2005/2008

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.