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

Lensa; Boise (ID); Remote; USD 88,000 - 165,000; Full time

Job summary

A leading healthcare organization is seeking a Manager of Medical Economics to oversee team activities, manage reporting needs, and support staff development. This role involves working with data to provide insights for management decision-making. Ideal candidates will have strong leadership skills and experience in healthcare analytics.

Qualifications

• 3+ years of management or team leadership experience.
• 10 years’ work experience with claims data and/or healthcare environment.

Responsibilities

• Manage Medical Economics Team activities and personnel.
• Create reports for strategic analysis and profitability.
• Mentor and support staff with analysis questions.

Skills

Management

Leadership

Communication

Data Analysis

Healthcare Analytics

Education

Bachelor's Degree in Finance

Master's Degree in related fields

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

Job Summary

Collects, validates, analyzes, and organizes data into meaningful reports for management decision-making, as well as designing, developing, testing, and deploying reports for operational and strategic analysis.

Knowledge/Skills/Abilities

Manages and provides oversight of Medical Economics Team activities and personnel. Provides technical expertise, manages relationships with operational leaders and staff. Directs staff on projects, maintains work plans, and ensures reporting needs are met. Responsible for staff development, performance coaching, and career growth.

• Manage Data management, Tools & Technology work streams daily.
• Distribute new report/project requests.
• Coordinate with Medical Economics team to fulfill data analysis and database development needs.
• Review, evaluate, and improve business logic and data sources.
• Mentor and support staff with analysis questions.
• Review analyst work products for accuracy and clarity.
• Review regulatory reporting requirements and project documentation.
• Maintain reporting service level benchmarks.
• Represent Medical Economics in cross-departmental meetings.
• Serve as liaison between EIM and Medical Economics for reporting needs.
• Create reports for strategic analysis, profitability, financials, utilization, 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’ work experience with claims data and/or healthcare environment.
• Strong knowledge of Excel, SQL, and Power BI report development.
• Familiarity with relational database concepts and SDLC.

Preferred Education

Master's Degree in related fields.

Preferred Experience

• 3–5 years supervisory experience.
• Experience in Population Health/Clinical Analytics.
• Experience in Clinical Program Evaluation.
• Experience building clinical targeting models for Case Management.
• Interest or experience in 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 role should apply through the intranet.

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

Additional Information

Pay Range: $88,453 - $165,000 annually. Actual compensation may vary based on location, experience, education, and skills.

Job Details

• Seniority level: Mid-Senior level
• Employment type: Full-time
• Job function: Healthcare Provider
• Industry: IT Services and Consulting