Director, Data Analytics

Role Description

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.

• 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 Services (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.

Qualifications

• 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.

Benefits

Molina Healthcare offers a competitive benefits and compensation package.