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

Lensa; Madison (WI); Remote; USD 88,000 - 165,000; Full time

Job summary

A leading company seeks a Manager for Medical Economics to oversee data analysis and reporting within a healthcare context. The role involves managing a team, ensuring compliance, and providing strategic insights through data. Ideal candidates will have a strong background in healthcare analytics and team leadership, with a focus on improving business logic and data sources.

Qualifications

• Bachelor's degree in a related field required.
• 3 years management experience preferred.
• 10 years' experience in claims data or healthcare environment.

Responsibilities

• Oversee Medical Economics Team activities and personnel.
• Design and deploy reports for operational and strategic analysis.
• Ensure compliance with regulatory reporting.

Skills

Excel

SQL

Power BI

Data management

Communication

Presentation skills

Education

Bachelor's Degree in Finance, Economics, Math, Computer Science, Information Systems

Master's Degree in relevant fields

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

• Manage Data management, Tools & Technology work streams daily.
• Allocate new report/project requests and distribute workload.
• Coordinate with Medical Economics team for data analysis and database development.
• Review, evaluate, and improve business logic and data sources.
• Mentor and support staff with analysis questions.
• Review analyst work products for accuracy and clarity.
• Ensure compliance with regulatory reporting and project documentation.
• Maintain reporting service level benchmarks.
• Represent Medical Economics in cross-departmental meetings.
• Act as liaison between EIM and Medical Economics for reporting needs.
• Create reports for strategic analysis, profitability, financial performance, 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' experience with claims data and/or healthcare environment.
• Strong skills in Excel, SQL, and Power BI report development.
• Knowledge of relational database concepts and SDLC.

Preferred Education

Master's Degree in relevant fields.

Preferred Experience

• 3-5 years supervisory experience.
• Experience in Population Health/Clinical Analytics.
• Experience in Clinical Program Evaluation and building clinical targeting models.
• Interest or experience in Python/PySpark.
• Strong communication and presentation skills.
• Interest in healthcare analytics and domain knowledge expansion.

Interested current Molina employees should apply through the intranet.

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

Additional Details

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