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

Lensa; San Antonio (TX); Remote; USD 88,000 - 165,000; Full time

Job summary

An established industry player is seeking a skilled Manager in Medical Economics to lead a team focused on data analysis and reporting. This role involves collecting and validating data to support management decisions and improve operational efficiency. The ideal candidate will have a strong background in healthcare analytics, with expertise in Excel, SQL, and Power BI. You'll play a crucial role in mentoring team members and ensuring the accuracy of reporting. Join a forward-thinking organization that values innovation and offers a competitive compensation package, making a significant impact in the healthcare sector.

Qualifications

• 3 years management experience required.
• 10 years experience with claims data in healthcare preferred.

Responsibilities

• Oversee Medical Economics Team activities and personnel.
• Create reports for strategic analysis and financial evaluation.

Skills

Management

Data Analysis

Excel

SQL

Power BI

Communication Skills

Python/PySpark

Education

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

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

Tools

Power BI

SQL

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. Provides technical expertise, manages relationships with operational leaders and staff. Directs staff assigned to their projects, maintains internal work plans as well as project work plans to meet reporting needs of the Medical Economics Team. Responsible for staff timekeeping, 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.
• Serve as resource to staff for mentoring, coaching, and analysis questions.
• Review Medical Economics analyst work products to ensure accuracy and clarity.
• Review regulatory reporting requirements and Health Plan project documentation.
• Maintain reporting service level benchmarks for EIM team.
• Represent Medical Economics department 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.
• Interface and 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 preferable with claims data and/or in a healthcare environment.
• Strong knowledge of Excel, SQL, and Power BI report development.
• Familiar with relational database concepts and SDLC concepts.

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.
• Experience or strong desire to learn Python/PySpark.
• Well-developed communication and presentation skills.
• Strong interest in healthcare with an understanding of nuances that impact analytics.
• Self-motivated to learn and expand domain knowledge and technical skills.

To all current Molina employees: If interested in this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

#PJCorp

Pay Range: $88,453 - $165,000 / ANNUAL

• Actual compensation may vary based on geographic location, work experience, education, and skill level.

Seniority level

• Mid-Senior level

Employment type

• Full-time

Job function

• Health Care Provider

Industries

• IT Services and IT Consulting