Manager, Medical Economics (Medicare) - REMOTE

Lensa; Bellevue (NE); Remote; USD 88,000 - 207,000; Full time

Job summary

A leading healthcare provider is seeking a qualified professional to manage the Medical Economics Team. The role involves data analysis, report development, and team leadership. Candidates should have a strong background in finance or related fields and experience in healthcare environments. This full-time position offers competitive compensation and benefits.

Qualifications

• At least 3 years of management or team leadership experience.
• 10 years of work experience in claims processing or healthcare environment preferred.

Responsibilities

• Collects, validates, analyzes, and organizes data into meaningful reports.
• Manages and oversees Medical Economics Team activities and personnel.
• Creates reports for strategic analysis and financial metrics.

Skills

Management

Technical Expertise

Coaching

Data Management

SQL

Power BI

Education

Bachelor's Degree in Finance

Bachelor's Degree in Economics

Bachelor's Degree in Math

Bachelor's Degree in Computer Science

Bachelor's Degree in Information Systems

Master's Degree

Tools

SQL 2005/2008

SSRS

Power BI

Job description

Be among the first 25 applicants and get AI-powered advice on this job along with access to exclusive features.

Lensa is a leading career site supporting job seekers at every career stage. Our client, Molina Healthcare, is seeking qualified professionals. Apply via Lensa today!

Job Description

Job Summary

Collects, validates, analyzes, and organizes data into meaningful reports for management decision-making. Designs, develops, tests, and deploys reports for operational and strategic analysis.

Knowledge/Skills/Abilities

• Manages and oversees Medical Economics Team activities and personnel.
• Provides technical expertise and maintains relationships with operational leaders and staff.
• Directs staff on projects, manages work plans, and ensures reporting needs are met.
• Responsible for staff performance, coaching, development, and career growth.
• Manages daily data management, tools, and technology work streams.
• Allocates new report and project requests, coordinating with the team.
• Reviews and improves business logic and data sources.
• Mentors staff and reviews work products for accuracy and clarity.
• Ensures compliance with regulatory reporting requirements and maintains service level benchmarks.
• Represents the department in cross-departmental meetings and liaises with Health Plan and Corporate personnel.
• Creates reports for strategic analysis, profitability, financial metrics, utilization, and medical management.

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 of work experience in claims processing or healthcare environment.
• Strong knowledge of SQL 2005/2008 SSRS and Power BI report development.
• Familiarity with relational database concepts and SDLC.

Preferred Education

Master's Degree in related fields.

Preferred Experience

3-5 years of supervisory experience.

Current Molina employees interested in this position should apply through the intranet.

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 annually (may vary based on location, experience, education, and skills).
• Seniority level: Mid-Senior level
• Employment type: Full-time
• Job function: Healthcare Provider
• Industries: IT Services and Consulting