Manager, Medical Economics (Medicare) - REMOTE

Molina Healthcare; City of Albany (NY); Remote; USD 88,000 - 207,000; Full time

Job summary

An established industry player is seeking a skilled professional to lead their Medical Economics Team. In this pivotal role, you will collect, validate, and analyze data to create meaningful reports that drive management decisions. You will oversee team activities, mentor staff, and ensure the accuracy of reporting. With a focus on strategic analysis and operational efficiency, this position offers a unique opportunity to impact healthcare outcomes significantly. Join a forward-thinking organization that values your expertise and provides a competitive compensation package alongside a supportive work environment.

Qualifications

• 10 years’ experience in claims processing or healthcare environment.
• 3 years management or team leadership experience.

Responsibilities

• Manage Medical Economics Team activities and personnel.
• Create reports for strategic analysis and profitability.

Skills

SQL 2005/2008

SSRS

Power BI

Data Management

Team Leadership

Financial Analysis

Education

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

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

Tools

Power BI

SQL Server

Job description

JOB DESCRIPTION

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).
• Coordinates with Medical Economics team to meet data analysis and database development needs.
• Reviews, evaluates, and improved business logic and data sources.
• Resource to staff for mentoring, coaching, and analysis questions.
• Reviews Medical Economics analyst work products to ensure accuracy and clarity.
• Reviews regulatory reporting requirements and Health Plan project documentation.
• Maintains reporting service level benchmarks for EIM team.
• Represents Medical Economics department in cross-departmental and operational meetings.
• Serves as liaison between EIM and Medical Economics regarding reporting needs.
• Creates reporting for strategic analysis, profitability, financial analysis, utilization patterns and medical management.
• Interfaces and 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 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

• Masters' 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 you are interested in applying for this position, please apply through the intranet job listing.

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

Pay Range: $88,453 - $206,981 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.