Molina Healthcare
Mgr, Data Analytics - Contract Configuration/Enrollment/QNXT - Remote in CA
Molina Healthcare, Long Beach, California, us, 90899
Job Description
Job Description
Job Summary
Manages the activities of the Data Analytics and Reporting team. Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents reports and makes recommendations based on relevant findings. Uses advanced mathematical, statistical, querying, and reporting methods to develop solutions. Develops information tools, algorithms, dashboards, and queries to monitor and improve business performance.
Knowledge/Skills/Abilities
•Ensure timely creation of Executive and Health plan management reports
•Ensure data integrity
•Interact with various departments including, but not limited to, IT; Finance; Claims, Call Centers; and UM.
•Manages team of Data Analysts
•Acts as a liaison to all other internal and external customers on behalf of Molina and data management areas
•Provides day-to-day technical management and mentoring as required of the department staff.
Job Qualifications
REQUIRED EDUCATION:
Bachelor's Degree in Math, Finance, Economics, Computer Science or equivalent combination of education and experience
REQUIRED EXPERIENCE:8+ years related experience2+ years in supervisory and/or management experience in Managed Care or Medicare related field3+ years in SQL, programming skills, relational database and financial analysis skillsStrong communication and team/interpersonal skillsStrong leadership capabilities and ability to initiate and maintain cross-team relationshipsKnowledge of applicable state, federal and third party regulationsExcellent organizational and verbal and written communication skillsAbility to establish and maintain positive and effective work relationships with coworkers, clients, and members
PREFERRED EDUCATION:
Graduate Degree or equivalent combination of education and experience
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.
Job Description
Job Summary
Manages the activities of the Data Analytics and Reporting team. Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents reports and makes recommendations based on relevant findings. Uses advanced mathematical, statistical, querying, and reporting methods to develop solutions. Develops information tools, algorithms, dashboards, and queries to monitor and improve business performance.
Knowledge/Skills/Abilities
•Ensure timely creation of Executive and Health plan management reports
•Ensure data integrity
•Interact with various departments including, but not limited to, IT; Finance; Claims, Call Centers; and UM.
•Manages team of Data Analysts
•Acts as a liaison to all other internal and external customers on behalf of Molina and data management areas
•Provides day-to-day technical management and mentoring as required of the department staff.
Job Qualifications
REQUIRED EDUCATION:
Bachelor's Degree in Math, Finance, Economics, Computer Science or equivalent combination of education and experience
REQUIRED EXPERIENCE:8+ years related experience2+ years in supervisory and/or management experience in Managed Care or Medicare related field3+ years in SQL, programming skills, relational database and financial analysis skillsStrong communication and team/interpersonal skillsStrong leadership capabilities and ability to initiate and maintain cross-team relationshipsKnowledge of applicable state, federal and third party regulationsExcellent organizational and verbal and written communication skillsAbility to establish and maintain positive and effective work relationships with coworkers, clients, and members
PREFERRED EDUCATION:
Graduate Degree or equivalent combination of education and experience
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.