Manager, Medical Economics (Medicare) - REMOTE

Lensa; Augusta (GA); Remote; USD 88,000 - 207,000; Full time

Job summary

A leading healthcare organization is seeking a mid-senior level manager for their Medical Economics Team. This role involves data management, report development, and team leadership to support operational and strategic analysis. Candidates should have a strong background in SQL and Power BI, along with relevant management experience.

Qualifications

• Bachelor's degree required; master's preferred.
• 3+ years of management experience.
• 10 years in claims processing or healthcare preferred.

Responsibilities

• Manage daily data management and reporting tasks.
• Oversee staff and project requests.
• Ensure compliance with regulatory reporting.

Skills

SQL 2005/2008 SSRS

Power BI report development

Data analysis

Team leadership

Mentoring

Education

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

Master's Degree in related fields

Job description

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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 Description

This role involves collecting, validating, analyzing, and organizing data into meaningful reports for management decision-making. It also includes designing, developing, testing, and deploying reports for operational and strategic analysis.

Knowledge/Skills/Abilities

The manager manages the Medical Economics Team activities and personnel, providing technical expertise and maintaining relationships with operational leaders. Responsibilities include overseeing staff, managing work plans, coaching, and career development.

• Manage daily Data management, Tools & Technology work streams.
• Allocate report and project requests, distribute workload.
• Coordinate with the Medical Economics team for data analysis and database development.
• Review and improve business logic and data sources.
• Mentor and support staff with analysis questions.
• Review work products for accuracy and clarity.
• Ensure compliance with regulatory reporting and documentation.
• Maintain reporting service level benchmarks.
• Represent the department in cross-departmental meetings.
• Serve as liaison with Health Plan and Corporate personnel.
• Create reports for strategic, financial, utilization, and medical management analysis.

Job Qualifications

Required Education

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

Required Experience

• At least 3 years of management or team leadership experience.
• Preferably 10 years’ experience in claims processing or healthcare environment.
• Strong knowledge of SQL 2005/2008 SSRS and Power BI report development.
• Familiarity with relational databases and SDLC concepts.

Preferred Education

Master's Degree in related fields.

Preferred Experience

3–5 years of supervisory experience.

Current Molina employees should apply through the intranet. Molina Healthcare offers competitive benefits. We are an Equal Opportunity Employer (EOE) M/F/D/V.

Additional Details

• Pay Range: $88,453 - $206,981 annually. Actual compensation varies based on location, experience, education, and skills.

Seniority level

• Mid-Senior level

Employment type

• Full-time

Job function

• Health Care Provider

Industries

• IT Services and IT Consulting