Manager, Medical Economics (Medicare) - REMOTE

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

Job summary

A leading company in the healthcare sector is seeking a Medical Manager to oversee data analysis and team management. The role requires a Bachelor's degree and extensive experience in healthcare and management. The candidate will manage reporting processes and collaborate with various departments to enhance operational efficiency.

Qualifications

• 3 years of management or team leadership experience.
• 10 years’ work experience in claims processing or healthcare preferred.
• Familiarity with relational database concepts and SDLC concepts.

Responsibilities

• Daily management of Data management, Tools & Technology work stream.
• Allocate new report/project requests and coordinate with the Medical Economics team.
• Create reports for strategic analysis, profitability, financial analysis, and medical management.

Skills

SQL 2005/2008 SSRS

Power BI report development

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

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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 and provides oversight of the Medical Economics Team activities and personnel. Responsibilities include providing technical expertise, managing relationships with operational leaders and staff, directing staff projects, maintaining work plans, and overseeing staff performance, coaching, and development.

• 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.
• Mentor and coach staff, assist with analysis questions.
• Review analyst work products for accuracy and clarity.
• Review regulatory reporting requirements and project documentation.
• Maintain reporting service level benchmarks for the EIM team.
• Represent the Medical Economics department in cross-departmental meetings.
• Serve as liaison between EIM and Medical Economics for reporting needs.
• Create reports 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 of 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.
• Familiarity 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.

Current Molina employees interested in this position should 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 skill level.

Seniority level

• Mid-Senior level

Employment type

• Full-time

Job function

• Health Care Provider

Industries

• IT Services and IT Consulting

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