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 provider networks and other end users for operational and strategic analysis.

KNOWLEDGE/SKILLS/ABILITIES

Manages and provides direct oversight of Healthcare Analytics 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 Health Plan. Resource to HCS staff for mentoring, coaching, and analysis questions. Responsible for staff time keeping, performance coaching, development, and career paths.

Daily management of 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 improved Company business logic and data sources. Resource to 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 Healthcare Analytics team. Represents Healthcare Analytics department in cross-departmental and operational meetings. Serves as liaison between Corporate IT and 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. Management Health Plan Encounter workflow process.

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 in claims processing environment and/or healthcare environment Strong knowledge of SQL 2005/2008 SSRS 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

 

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