Manager, Medical Economics (Medicare) - REMOTE

Molina Healthcare; Long Beach (CA); Remote; USD 80,000 - 110,000; Full time

Job summary

An established industry player is seeking a skilled manager to lead a team in data management and analysis. This role involves overseeing the Medical Economics Team, ensuring accurate reporting, and collaborating with various departments to drive operational efficiency. Ideal candidates will have extensive experience in healthcare and claims processing, along with strong technical skills in SQL and reporting tools like Power BI. Join a forward-thinking organization that values innovation and offers a competitive compensation package, making a significant impact in the healthcare sector.

Qualifications

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

Responsibilities

• Oversee Medical Economics Team activities and personnel.
• Manage data analysis and reporting for strategic decisions.
• Coordinate with cross-departmental teams for project needs.

Skills

SQL 2005/2008

SSRS

Power BI

Data Management

Team Leadership

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 in Finance

Master's Degree in Economics

Master's Degree in Math

Master's Degree in Computer Science

Master's Degree in Information Systems

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.