Manager, Medical Economics (Medicare) - REMOTE

Lensa; Ann Arbor (MI); Remote; USD 88,000 - 207,000; Full time

Job summary

Lensa is seeking a Medical Manager to oversee the Medical Economics Team, focusing on data management and operational analysis. The role requires a Bachelor's degree and extensive experience in healthcare and data reporting. The ideal candidate will manage team activities, ensuring accurate and strategic reporting for decision-making.

Qualifications

• 3 years management or team leadership experience.
• 10 years’ work experience in claims processing or healthcare.
• Strong knowledge of SQL 2005/2008 SSRS and Power BI report development.

Responsibilities

• Manage Medical Economics Team activities and personnel.
• Coordinate with Medical Economics team for data analysis.
• Review and improve business logic and data sources.

Skills

Management

Data Analysis

SQL

Power BI

Education

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

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

Job description

Job Description

Lensa is the leading career site for job seekers at every stage of their career. Our client, Molina Healthcare, is seeking professionals. Apply via Lensa today!

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 other end users for operational and strategic analysis.

Knowledge/Skills/Abilities

Manages and provides direct oversight of Medical Economics 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 Medical Economics Team. Responsible for staff time keeping, performance coaching, development, and career paths.

• Daily management of Data management, Tools & Technology work stream.
• Allocate new report/project requests (workload distribution).
• Coordinate with Medical Economics team to meet data analysis and database development needs.
• Review, evaluate, and improve business logic and data sources.
• Serve as resource to staff for mentoring, coaching, and analysis questions.
• Review Medical Economics analyst work products to ensure accuracy and clarity.
• Review regulatory reporting requirements and Health Plan project documentation.
• Maintain reporting service level benchmarks for EIM team.
• Represent Medical Economics department in cross-departmental and operational meetings.
• Serve as liaison between EIM and Medical Economics regarding reporting needs.
• Create reporting for strategic analysis, profitability, financial analysis, utilization patterns, and medical management.
• Maintain positive interactions with Health Plan and Corporate personnel.

Job 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 and Power BI 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.

To all current Molina employees: If interested, please apply through the intranet job listing.

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

Additional Details

• Pay Range: $88,453 - $206,981 / ANNUAL
• Actual compensation may vary based on location, experience, education, and skills.

Job Details

• Seniority level: Mid-Senior level
• Employment type: Full-time
• Job function: Health Care Provider
• Industries: IT Services and IT Consulting

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