Manager, Medical Economics (Medicare) - REMOTE

Lensa; Phoenix (AZ); Remote; USD 88,000 - 207,000; Full time

Job summary

A leading career site seeks a Manager for the Medical Economics Team at a healthcare provider. The role involves overseeing data management, team leadership, and ensuring accurate reporting for operational and strategic analysis. Ideal candidates will have a strong background in SQL and healthcare, with a focus on data-driven decision-making.

Qualifications

• 3 years management or team leadership experience.
• 10 years’ work experience in claims processing or healthcare environment.
• Strong knowledge of SQL 2005/2008 and report development.

Responsibilities

• Manages Medical Economics Team activities and personnel.
• Directs staff on projects and maintains work plans.
• Creates reports for strategic analysis and profitability.

Skills

SQL

Data Management

Team Leadership

Data 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

SSRS

Job description

2 days 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 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.

#PJCorp

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

• Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
  
  

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  IT Services and IT Consulting

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