Manager, Medical Economics

Centene Management Company LLC; Florida; Hybrid; USD 120,000 - 180,000; Full time

Benefits offered by this job

Health insurance

401K and stock plans

Tuition reimbursement

Paid time off and holidays

Flexible work arrangements (remote,hyb

Job summary

Centene Management Company LLC in the United States is seeking a Manager of Medical Economics to lead analytics strategy, align talent and resources, and drive data-driven improvements for enterprise and health plan needs. The role combines analytical depth with business acumen and requires hands-on SQL and Excel experience, plus familiarity with Power BI.

The manager will oversee two analysts, manage cross-functional engagements, and translate complex findings into actionable recommendations

Qualifications

• 4+ years of experience in healthcare analytics.
• Experience with large databases and data management.
• Experience with SQL and data querying languages.
• Experience leading or managing analysts.
• Familiarity with Power BI.
• Knowledge of Python or R.

Responsibilities

• Lead two analysts and drive complex healthcare analytics projects.
• Translate findings into actionable recommendations for clinical and non-technical stakeholders.
• Plan and execute enterprise-wide analytics projects and initiatives.
• Manage requirements, testing, deployment and user adoption with partners.
• Mentor and develop team members and manage stakeholder expectations.

Job description

Position Purpose:

The Manager, Medical Economics drives the execution of analytics strategy through the discovery, development, and implementation of leading-edge analytics that answer important business questions. The manager aligns talent and resources to support enterprise and health plan needs by leveraging data to achieve strategic objectives and improve business performance.

Key Details:

Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. This is a working-manager role with responsibility for leading two analysts while remaining directly involved in complex healthcare analytics projects. Strong Medical Economics experience working with claims, utilization, cost of care, and other complex healthcare data is highly preferred. Strong hands-on SQL and Excel experience is highly preferred. Experience with Power BI or other modern business intelligence and visualization tools is preferred. The ideal candidate will combine analytical and technical depth with operational business acumen, strategic thinking, and the ability to translate complex findings into actionable recommendations for clinical and nontechnical stakeholders. Lead the planning and execution of enterprise-wide analytics projects and strategic initiatives, translating business goals into actionable solutions. Manage development efforts as a liaison with business and technical partners, including managing stakeholder expectations, requirements gathering, testing, deployment and user adoption. Prioritize team work, manage customer expectations and relationships, and maintain alignment of deliverables with business needs and strategic objectives. Support customer engagement and satisfaction by maintaining effective communication and transparency of work and deliverables with core stakeholders. Partner cross-functionally at all levels of the organization and communicate findings and insights to non-technical business partners. Independently engage with business leaders to understand market-specific levers and constraints. Leverage enterprise reporting tools to rapidly deliver data-driven insights and recommendations. Facilitate cross-team project collaboration between state-based health plans and business units, including IT, Finance, Network Development, and Payment Integrity. Mentor, manage, and ensure the continuous development of team.

Education/Experience:

Bachelor’s degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance or related field. Master’s degree preferred. 4+ years of experience in healthcare analytics, large databases, data verification, data management, table creation and indexing, query optimization, utilization of stored procedures, developing complex queries using SQL or other coding languages, and lead or management experience. Project management experience preferred. Working knowledge of SQL/querying languages. Experience with table creation and indexing, query optimization, and utilization of stored procedures. Preferred knowledge of programmatic coding languages such as Python and R. Knowledge of basic statistical, analytical, or data mining techniques including basic data modeling, trend analysis, and root-cause analysis preferred. Experience in change management processes and procedures preferred. Preferred knowledge of modern business intelligence and visualization tools including Microsoft PowerBI. Demonstrated ability mentoring and training of junior analysts in a supervisory or other informal leadership role preferred.

By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified.

About Centene:

At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

Benefits:

• competitive pay
• health insurance
• 401K and stock purchase plans
• tuition reimbursement
• paid time off plus holidays
• a flexible approach to work with remote, hybrid, field or office work schedules

Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status.

Total compensation may also include additional forms of incentives.

Benefits may be subject to program eligibility.

Equal Opportunity Employer:

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act.

Additional Note:

Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.