Manager, Medical Economics (Medicare) - REMOTE

Lensa; Cedar Rapids (IA); Remote; USD 88,000 - 207,000; Full time

Job summary

A leading healthcare company is seeking a data management professional to oversee the Medical Economics Team. This role involves collecting and analyzing data, managing team activities, and creating reports for operational and strategic analysis. Candidates should have a strong background in SQL and report development, along with relevant educational qualifications.

Qualifications

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

Responsibilities

• Collects, validates, analyzes, and organizes data into reports for management.
• Manages Medical Economics Team activities and personnel.
• Creates reports for strategic analysis and profitability.

Skills

SQL 2005/2008

SSRS

Power BI

Data management

Team leadership

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

1 day ago Be among the first 25 applicants

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

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, manages relationships with operational leaders and staff. Directs assigned staff, maintains internal and project work plans to meet reporting needs. Responsible for staff timekeeping, performance coaching, development, and career paths.

• Daily management of Data management, Tools & Technology work stream.
• Allocates new report/project requests (workload distribution).
• Coordinates with Medical Economics team to meet data analysis and database development needs.
• Reviews, evaluates, and improves business logic and data sources.
• Mentors and coaches staff; supports analysis questions.
• Reviews Medical Economics analyst work products for accuracy and clarity.
• Reviews regulatory reporting requirements and Health Plan project documentation.
• Maintains reporting service level benchmarks for EIM team.
• Represents Medical Economics in cross-departmental and operational meetings.
• Serves as liaison between EIM and Medical Economics regarding reporting needs.
• Creates reports for strategic analysis, profitability, financial analysis, utilization patterns, and medical management.
• Maintains 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 in claims processing or healthcare environment preferred.
• 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, apply through the intranet job listing.

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

Additional Details

• Pay Range: $88,453 - $206,981 / ANNUAL

Note: Actual compensation may vary 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