Manager, Healthcare Analytics - Health Plan Integration - Remote

Position Overview

Collects, validates, analyzes, and organizes data into meaningful reports for management decision making as well as designing, developing, testing, and deploying reports to provider networks and other end users for operational and strategic analysis.

Key Responsibilities

Manages and provides direct oversight of the Healthcare Analytics Team activities and personnel, offers technical expertise, manages relationships with operational leaders and staff, directs assigned project staff, maintains internal and project work plans to meet Health Plan reporting needs, and serves as a resource for mentoring, coaching, and analysis questions.

• Daily management of the Healthcare Analytics team.
• Allocate new report/project requests (workload distribution).
• Coordinates with Health Plan departments to meet data analysis and database development needs.
• Reviews, evaluates, and improves Company business logic and data sources.
• Resources Health Plan staff for mentoring, coaching, and analysis questions.
• Reviews Health Plan analyst work products to ensure accuracy and clarity.
• Reviews regulatory reporting requirements and Health Plan project documentation.
• Maintains reporting service level benchmarks for the Healthcare Analytics team.
• Represents the Healthcare Analytics department in cross-departmental and operational meetings.
• Serves as liaison between Corporate IT and the Health Plan 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.
• Manages the Health Plan Encounter workflow process.

Required Qualifications

• Education: Bachelor's Degree in Finance, Economics, Math, Computer Science, Information Systems, or related field
• Experience Required: 3 years management or team leadership experience; 10 years' work experience preferable in a claims processing and/or healthcare environment; strong knowledge of SQL 2005/2008 SSRS report development; familiarity with relational database concepts and SDLC methodologies

Preferred Qualifications

• Education: Master's Degree in Finance, Economics, Math, Computer Science, Information Systems, or related field
• Qualifications: 3 - 5 years supervisory experience

Benefits & Perks

• Benefits: Molina Healthcare offers a competitive benefits and compensation package.
• To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
• Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.