Job Description

　　Job Summary

　　The Director, Healthcare Analytics ensures timely creation of critical Executive and Health plan management reports, as well as providing critical analytical insights and analysis. This role will assist in developing, implementing, and monitoring the organization's enrollment, utilization and operational-related reporting and analytics for five business lines in Wisconsin (ABD, TANF, LTSS, FIDE, DA). This position will support the Market CFO and help drive analytic engagement among interdepartmental customers including, but not limited to, IT; Finance; Actuarial, Claims, Call Centers, UM and Clinical to meet health plan operational results including SAI's. Manages health care financial and analytic staff who assist in the development and execution of financial analysis, modeling and standard & ad hoc reporting.

　　Risk corridors, cap rate models, WI BC/SSI/FC/FCP business knowledge, SAI, RFPs, analysis, and dashboarding.

　　Knowledge/Skills/Abilities

　　• 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 financial analysis / analytics.

　　• Create meaningful cost, enrollment and operational metrics, dashboards and data visualizations to support monthly operating reviews and key management initiatives.

　　• Provide leading indicator reporting to support monthly reserving and support Market CFO to lead business operations in SAI identification.

　　• 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 including knowledge of Wisconsin based capitation rate models and risk corridors.

　　• Collaborate with actuarial department and lead/direct health plan finance staff in review and analysis of premium rates received from the state(s) for appropriateness and identify potential opportunities for health plan.

　　• Act as a liaison to all other internal and external customers on behalf of Molina and financial management areas.

　　• Manage, mentor and develop/coach finance analytical team.

　　• Knowledge in responding to Request for Proposals (RFP's) a must.

　　Job Qualifications

　　Required Education

　　Bachelor degree in Business Administration, Accounting or Finance or related field.

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

　　• Strong communication and team/interpersonal skills.

　　• Strong leadership capabilities and ability to initiate and maintain cross-team relationships with experience in presenting information to Executive leadership and collaboration.

　　• 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.

　　Must possess strong business acumen with demonstration through prior work experience.Preferred Education

　　Masters 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 intranet job listing.

　　Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

　　Pay Range: $106,325.57 - $191,705.4 / ANNUAL

　　*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.