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

Lensa; Everett (WA); Remote; USD 88,000 - 165,000; Full time

Job summary

A leading healthcare organization is seeking a Manager for Medical Economics to oversee a team, analyze data for strategic insights, and ensure reporting accuracy. This role involves significant leadership and technical expertise in healthcare analytics.

Qualifications

• 3 years management or team leadership experience required.
• 10 years experience with claims data and/or in healthcare preferred.

Responsibilities

• Collects and analyzes data for management decision making.
• Manages Medical Economics Team activities and personnel.

Skills

Leadership

Communication

Analytical Skills

Education

Bachelor's Degree in Finance

Master's Degree in a related field

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 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 projects, maintains work plans, and ensures reporting needs are met. Responsible for staff performance, coaching, development, and career growth.

• Oversees Data Management, Tools & Technology work stream daily.
• Allocates new report/project requests and manages workload distribution.
• Coordinates with Medical Economics team to meet data analysis and database development needs.
• Reviews and improves business logic and data sources.
• Mentors and supports staff with analysis questions.
• Ensures accuracy and clarity of analyst work products.
• Reviews regulatory reporting requirements and project documentation.
• Maintains reporting service level benchmarks.
• Represents Medical Economics in cross-departmental meetings.
• Acts as liaison between EIM and Medical Economics for reporting needs.
• Creates reports for strategic analysis, profitability, financials, utilization, and medical management.
• 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

• At least 3 years of management or team leadership experience.
• Preferably 10 years’ experience with claims data and/or in healthcare.
• Strong skills in Excel, SQL, and Power BI report development.
• Knowledge of 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 Python/PySpark.
• Strong communication and presentation skills.
• Interest in healthcare analytics and understanding of its nuances.
• 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.

Additional Details

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

Job Details

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