Manager, Medical Economics (Pop Health/Clinical Analytics) - REMOTE

Lensa; Bellevue (NE); Remote; USD 80,000 - 100,000; Full time

Job summary

A leading healthcare organization is seeking a Manager of Medical Economics to lead a team in data analysis and reporting. The role involves managing team activities, ensuring compliance with reporting requirements, and creating strategic reports to support decision-making. Ideal candidates will have a strong background in healthcare analytics and team leadership.

Qualifications

• At least 3 years of management or team leadership experience.
• 10 years of work experience with claims data and/or in healthcare.

Responsibilities

• Manage and oversee Medical Economics Team activities and personnel.
• Design, develop, test, and deploy reports for operational and strategic analysis.

Skills

Management

Leadership

Communication

Analytical Skills

Education

Bachelor's Degree in Finance

Master's Degree

Tools

Excel

SQL

Power BI

Python

Job description

Manager, Medical Economics (Pop Health/Clinical Analytics) - REMOTE

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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

The Manager of Medical Economics is responsible for collecting, validating, analyzing, and organizing data into meaningful reports to support management decision-making. They design, develop, test, and deploy reports for operational and strategic analysis.

Knowledge, Skills, and Abilities

• Manage and oversee Medical Economics Team activities and personnel.
• Provide technical expertise and maintain relationships with operational leaders and staff.
• Direct project teams, maintain internal and project work plans to meet reporting needs.
• Handle staff performance coaching, development, and career planning.
• Manage daily data management, tools, and technology work streams.
• Coordinate with the team to meet data analysis and database development needs.
• Review and improve business logic and data sources.
• Mentor staff and review analyst work products for accuracy and clarity.
• Ensure compliance with regulatory reporting requirements and document health plan projects.
• Maintain reporting service level benchmarks.
• Represent the department in cross-departmental meetings and serve as liaison between EIM and Medical Economics.
• 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:

• At least 3 years of management or team leadership experience.
• Preferably 10 years of work experience with claims data and/or in healthcare.
• Strong knowledge of Excel, SQL, and Power BI report development.
• Familiarity with relational database concepts and SDLC.

Preferred Education: Master's Degree in a related field.

Preferred Experience:

• 3–5 years supervisory experience.
• Experience in Population Health/Clinical Analytics and Clinical Program Evaluation.
• Experience building clinical targeting models for Case Management.
• Interest or experience in learning Python/PySpark.
• Strong communication and presentation skills.
• Interest in healthcare analytics and domain knowledge.
• Self-motivated to learn and expand skills.

Current Molina employees interested in this position should apply through the intranet. Molina Healthcare offers competitive benefits and compensation. We are an Equal Opportunity Employer (EOE) M/F/D/V.