Manager, Medical Economics - REMOTE
$80k-172k/hr•Full-timeRemote
location_on3363, Coldstream Drive, Gainesway, Lexington, Fayette County, Kentucky, 40517, United States
Job Description
About the Role
The Manager, Medical Economics is responsible for leading the refinement, operationalization, and stewardship of enterprise healthcare datasets for Medical Economics use cases. This role focuses on transforming foundational enterprise data assets into trusted, business-ready datasets aligned to Medical Economics reporting, analytics, and operational workflows. The curation and enhancement of authorization data assets is an initial priority.
This role partners closely with Enterprise Information Management (EIM), Medical Economics, Reporting, and operational stakeholders to improve data quality, establish sustainable governance practices, and support scalable enterprise data solutions.
Work location
Work model: Remote
3363, Coldstream Drive, Gainesway, Lexington, Fayette County, Kentucky, 40517, United States
Lexington, Kentucky
Key Responsibilities
- check_circleLead refinement and operationalization of enterprise healthcare datasets for Medical Economics use cases
- check_circleEstablish and maintain business definitions, transformation logic, and validation rules for data assets
- check_circleIdentify and resolve data quality, consistency, and usability gaps across curated datasets
- check_circleLead Medical Economics curation efforts for authorization data assets and define business logic
- check_circleManage and mentor Lead Analysts supporting data curation initiatives and establish team standards
- check_circleServe as liaison between Medical Economics, EIM, Finance, and operational stakeholders
- check_circleTranslate business pain points into actionable data improvement opportunities and priorities
- check_circleSupport governance processes and maintain documentation for business rules and data lineage
- check_circleCollect, validate, and analyze data to create reports for leadership decision making
- check_circleCreate reporting for strategic analysis, profitability, financial analysis, and utilization patterns
Requirements
- verifiedAt least 7 years of health care analytics and/or medical economics experience
- verifiedAt least 1 year of management/leadership experience
- verifiedBachelor’s degree in statistics, mathematics, economics, computer science, health care management or related field
- verifiedDemonstrated understanding of Medicaid and Medicare programs or other health care plans
- verifiedFamiliar with relational database concepts
- verifiedProficiency with retrieving specified information from data sources
- verifiedExperience with building dashboards in Excel, Power BI, and/or Tableau and data management
- verifiedKnowledge of health care operations (utilization management, disease management, claims processing, etc.)
- verifiedKnowledge of health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD‑10CM, CPT, HCPCS, NDC, etc.)
- verifiedDemonstrated understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS, DRG’s, APG’s, APC’s, and other payment mechanisms
- verifiedUnderstanding of value‑based risk arrangements
- verifiedExperience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in health care
- verifiedAbility to mine and manage information from large data sources
Skills, education and keywords
Skills: excel, power bi, tableau, python, r, cpt, hcpcs, ndc, relational database.
Education: Bachelor’s degree in statistics, mathematics, economics, computer science, health care management or related field.
Frequently asked questions about Manager, Medical Economics - REMOTE at Molina Healthcare
What does a Manager, Medical Economics - REMOTE at Molina Healthcare do?expand_more
In this Manager, Medical Economics - REMOTE at Molina Healthcare role, you will lead refinement and operationalization of enterprise healthcare datasets for medical economics use cases; establish and maintain business definitions, transformation logic, and validation rules for data assets; identify and resolve data quality, consistency, and usability gaps across curated datasets; and lead medical economics curation efforts for authorization data assets and define business logic.
What are the requirements for this Manager, Medical Economics - REMOTE role?expand_more
Molina Healthcare is looking for candidates who meet the following requirements: At least 7 years of health care analytics and/or medical economics experience; At least 1 year of management/leadership experience; Bachelor’s degree in statistics, mathematics, economics, computer science, health care management or related field; Demonstrated understanding of Medicaid and Medicare programs or other health care plans; Familiar with relational database concepts; and Proficiency with retrieving specified information from data sources.
What is the salary range for Manager, Medical Economics - REMOTE at Molina Healthcare?expand_more
The advertised salary range for Manager, Medical Economics - REMOTE at Molina Healthcare is $80k-172k/hr.
Where is the Manager, Medical Economics - REMOTE role at Molina Healthcare located?expand_more
Manager, Medical Economics - REMOTE at Molina Healthcare is based in 3363, Coldstream Drive, Gainesway, Lexington, Fayette County, Kentucky, 40517, United States. This is a remote role.
Is this Manager, Medical Economics - REMOTE job remote, hybrid, or on-site?expand_more
Molina Healthcare has listed this Manager, Medical Economics - REMOTE role as remote.
How much experience is required for this Manager, Medical Economics - REMOTE role?expand_more
Manager, Medical Economics - REMOTE at Molina Healthcare typically requires 7+ years of relevant experience at the senior level.
What skills do you need for the Manager, Medical Economics - REMOTE role at Molina Healthcare?expand_more
Key skills for Manager, Medical Economics - REMOTE at Molina Healthcare include excel; power bi; tableau; python; r; cpt; hcpcs; and ndc.
What education is required for Manager, Medical Economics - REMOTE at Molina Healthcare?expand_more
Educational requirements for this role: Bachelor’s degree in statistics, mathematics, economics, computer science, health care management or related field.
What category does the Manager, Medical Economics - REMOTE role belong to?expand_more
Manager, Medical Economics - REMOTE at Molina Healthcare is part of the Healthcare & Nursing job category on Recrutus.