Director, Data Analytics (Customer Experience / Member Growth & Retention) - REMOTE
Long Beach, CA (Remote)
Posted 2 weeks ago
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Job Description
Job Summary
As a member of the Customer Experience team, the Director, Data Analytics ensures timely creation of key 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 to support business and customer satisfaction decision making. Drives analytic engagement among interdepartmental customers including, but not limited to, IT; Finance; Actuarial, Claims, Call Centers and Utilization and Care Management. Manages data analytic staff who assist in the development and execution of standard and ad-hoc reporting along with supporting analysis as needed.
Knowledge/Skills/Abilities
• 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.
Required Experience
- 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.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Molina Healthcare is a FORTUNE 500 company that is focused exclusively on government-sponsored health care programs for families and individuals who qualify for government sponsored health care. Molina Healthcare contracts with state governments and serves as a health plan providing a wide range of quality health care services to families and individuals. Molina Healthcare offers health plans in Arizona, California, Florida, Idaho, Illinois, Kentucky, Massachusetts, Michigan, Mississippi, Nevada, New Mexico, New York, Ohio, South Carolina, Texas, Utah, Virginia, Washington and Wisconsin. Molina also offers a Medicare product and has been selected in several states to participate in duals demonstration projects to manage the care for those eligible for both Medicaid and Medicare.
