Molina Healthcare

Mgr, Data Analytics - Contract Configuration/Enrollment/QNXT - Remote in CA


PayCompetitive
LocationLong Beach/California
Employment typeFull-Time

This job is now closed

  • Job Description

      Req#: 2028452
      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 EDU C A TI O N:

      Bachelor’s Degree in Math, Finance, Economics, Computer Science or equivalent combination of education and experience

      REQUIRED EXPER I E N CE:

      • 8+ years related experience
      • 2+ years in supervisory and/or management experience in Managed Care or Medicare related field
      • 3+ years in SQL, programming skills, relational database and financial analysis skills
      • Strong communication and team/interpersonal skills
      • Strong leadership capabilities and ability to initiate and maintain cross-team relationships
      • Knowledge of applicable state, federal and third party regulations
      • Excellent organizational and verbal and written communication skills
      • Ability to establish and maintain positive and effective work relationships with coworkers, clients, and members

      PREFERRED EDU C A TI O N:

      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.

  • About the company

      Molina Healthcare is a managed care company headquartered in Long Beach, California, United States.