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

Lensa; City of Rochester (NY); Remote; USD 60,000 - 80,000; Full time

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 direct oversight of Medical Economics Team activities and personnel. Offers technical expertise, manages relationships with operational leaders and staff. Directs staff on projects, maintains internal and project work plans to meet reporting needs. Responsible for staff time tracking, performance coaching, development, and career paths.

• 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, coach, and support analysis questions for staff.
• Review Medical Economics analyst work products for accuracy and clarity.
• Review regulatory reporting requirements and Health Plan project documentation.
• Maintain reporting service level benchmarks for EIM team.
• Represent Medical Economics in cross-departmental and operational meetings.
• Serve as liaison between EIM and Medical Economics regarding 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

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

Preferred Education

Master's Degree in Finance, Economics, Math, Computer Science, Information Systems, or related field.

Preferred Experience

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

Additional Details

Pay Range: $88,453 - $165,000 annually.

Job Details

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

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