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

Lensa; Columbus (OH); Remote; USD 88,000 - 165,000; Full time

Job summary

A leading company is seeking a Manager for Medical Economics to oversee team activities and ensure accurate reporting. This role involves data analysis, project management, and collaboration with operational leaders. Ideal candidates will have a strong background in healthcare analytics and team leadership.

Benefits

Competitive benefits

Qualifications

• At least 3 years of management or team leadership experience.
• Preferably 10 years of work experience with claims data.

Responsibilities

• Collects, validates, analyzes, and organizes data for management decision making.
• Manages and provides oversight of Medical Economics Team activities.

Skills

Management

Leadership

Communication

Healthcare Analytics

Education

Bachelor's Degree in Finance

Master's Degree in related fields

Tools

Excel

SQL

Power BI

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. Designs, develops, tests, and deploys reports to end users for operational and strategic analysis.

Knowledge/Skills/Abilities

Manages and provides oversight of Medical Economics Team activities and personnel. Offers 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 performance, coaching, development, and career growth.

1. Manage Data, Tools & Technology work streams daily.
2. Allocate report/project requests and distribute workload.
3. Coordinate with Medical Economics team for data analysis and database development.
4. Review and improve business logic and data sources.
5. Mentor and support staff with analysis questions.
6. Review analyst work products for accuracy and clarity.
7. Ensure compliance with regulatory reporting and documentation.
8. Maintain reporting service level benchmarks.
9. Represent Medical Economics in cross-departmental meetings.
10. Act as liaison between EIM and Medical Economics for reporting needs.
11. Create reports for strategic, profitability, financial analysis, and utilization patterns.
12. 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 a healthcare environment.
• Strong skills in 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 grow.

Current Molina employees interested in this role should apply via the intranet.

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

Additional Details

• Pay Range: $88,453 - $165,000 annually.
• Location: Remote.
• Seniority Level: Mid-Senior level.
• Employment Type: Full-time.
• Job Function: Healthcare Provider.
• Industries: IT Services and Consulting.