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 as well as designing, developing, testing, and deploying reports to other end users 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 time keeping, performance coaching, development, and career paths.

• Daily management of Data management, Tools & Technology work stream.
• Allocate new report/project requests (workload distribution).
• Coordinates with Medical Economics team to meet data analysis and database development needs.
• Reviews, evaluates, and improved business logic and data sources.
• Resource to staff for mentoring, coaching, and analysis questions.
• Reviews Medical Economics analyst work products to ensure accuracy and clarity.
• Reviews regulatory reporting requirements and Health Plan project documentation.
• Maintains reporting service level benchmarks for EIM team.
• Represents Medical Economics department in cross-departmental and operational meetings.
• Serves as liaison between EIM and Medical Economics regarding reporting needs.
• Creates reporting for strategic analysis, profitability, financial analysis, utilization patterns and medical management.
• Interfaces and 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

• 3 years management or team leadership experience
• 10 years’ work experience preferable with claims data and/or healthcare environment
• Strong knowledge of Excel, SQL, and Power BI report development
• Familiar with relational database concepts, and SDLC concepts
  
  

Preferred Education

• Masters' 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 you are interested in applying for 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 from posting based on geographic location, work experience, education and/or skill level.