Manager, Medical Economics (Pop Health/Clinical Analytics) - REMOTE
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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.
- Provides technical expertise and manages relationships with operational leaders and staff.
- Directs staff on projects, maintains work plans to meet reporting needs.
- Responsible for staff time keeping, performance coaching, development, and career paths.
Responsibilities include:
- Daily management of Data management, Tools & Technology work stream.
- Allocate new report/project requests.
- Coordinate with Medical Economics team for data analysis and database development.
- Review 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, financial analysis, 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
- 3 years management or team leadership experience.
- 10 years’ work experience, preferably 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, 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.
- Self-motivated to learn and expand skills.
Current Molina employees interested in applying should do so through the intranet. Molina Healthcare offers competitive benefits. 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