Design and develop analytical reporting tools to efficiently measure, monitor, and communicate clinical, operational & financial results
Lead end-to-end efforts to establish a comprehensive set of actionable reporting metrics, dashboards and scorecards tied to market share growth and Molina member and provider experience
Support and provide insightful provider/contract and value-based analytics
Create meaningful cost, enrollment and operational metrics and data visualizations to support monthly operating reviews
Oversee enrollment/clinical reporting for State and/or Centers for Medicaid &Medicare Serves (CMS) where applicable
Serve as subject matter expert for any projects and or new business related to areas of oversight
Collaborate with health plan finance staff in review and analysis of premium rates received from the state(s) for appropriateness
Act as a liaison to all other internal and external customers on behalf of Molina and data management areas
Manage, mentor and develop/coach analytical team
Job Qualifications
Required Education
Bachelor Degree in Business Administration or related field or equivalent of 7 years+ in Managed Care or Medicare related field
10+ years operational experience with Managed Care and/or Medicare
5+ years in supervisory and/or management experience in Managed Care or Medicare related field
5 years+ in Excel and financial analysis skills
Ability to work with Power BI, Salesforce and Salesforce Analytics Lean Six Sigma Green Belt or related certification a plus
Strong communication and team/interpersonal skills
Strong leadership capabilities and ability to initiate and maintain cross-team relationships
Ability to work closely with remote staff to ensure State and Federal requirements as well as standard processes are accommodated within the enrollment and premium process
Knowledge of applicable state, federal and third-party regulations
Preferred Education
Master degree in Business Administration or related field
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board