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Molina Healthcare Director, Data Analytics (REMOTE) in Boston, Massachusetts

Knowledge/Skills/Abilities

This position will continue to l ead the analytic function for the SWH MA organization. The Director, Data Analysis ensures timely creation of critical Executive and Health plan management reports, as well as providing critical analytical insights. This role will assist in developing, implementing and monitoring the organization’s enrollment, utilization and operational-related reporting and analytics. Drives analytic engagement among interdepartmental customers including, but not limited to, IT; Finance; Actuarial, Claims, Call Centers, UM and Clinical. This role manages to 2 analytic staff who assist in the development and execution of standard and adhoc reporting.

  • Design and develop analytical reporting tools to efficiently measure, monitor, and communicate clinical, operational & financial results

  • 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

  • Provide Leading indicator reporting to support monthly reserving

  • Oversee enrollment/clinical reporting for State and/or CMS where applicable

  • Represent the organization as SME 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

  • Maintain cooperative and effective workplace relationships and adhere to company code of conduct

  • Manage, mentor and develop/coach analytical staff

    • Candidate must also possess:

  • 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

    REQU I RED ED U C A TI O N :

    Bachelor Degree in Business Administration or related field or equivalent of 7 years+ in Managed Care or Medicare related field.

    REQU I RED E X PE R I E N C E:

    7 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 SQL, programming skills, relational database and financial analysis skills

    PR E FE R RED ED U C A TI O N :

    Masters Degree in Business Administration or related field

    PR E FE R RED EXPERIENCE:

    7+ years in Managed Care or Medicare related field

    PHY S I C AL DEM A N D S :

    W o rki n g en v i r o nm ent is g e n erally f a vo r a b le and li gh t i n g and t e m p erature are a d eq u at e . W o rk is g eneral l y p erf o r m ed in an o ff i ce e n v i r o n m ent in w h i c h t h ere is o n l y m i n i m al e x p o su r e to u np leasa n t a nd /o r ha z ar d o u s w o rki n g c o nd iti o n s. M u s t h a v e t h e a b ility t o s i t f o r l o n g p eri o d s. Rea s o n a b le acc om mo d a ti o n s m a y be m a d e to e n a b le in d i v i du als with d i sa b ilities t o p er f o r m t h e e ssential fu n cti o n .

    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.

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