Director, Data & Analytics
Molina Healthcare of Illinois
Role Description
Directs and leads reporting, analytics, and data‑driven insights that support strategic, operational, financial, clinical, and regulatory decision‑making across Molina. This role is accountable for the design, development, quality, and delivery of executive, operational, and regulatory reporting while ensuring analytic rigor, data integrity, and timely insights.
Partners closely with executive leadership and cross‑functional teams (Finance, Actuarial, IT, Claims, Clinical, Network, Quality, and Operations) to translate complex healthcare data into meaningful insights, metrics, and recommendations that drive performance, compliance, and cost containment.
This position will support Molina Healthcare's Florida Health Plan.
- Serves as the leader and trusted advisor on data, reporting, and analytics strategy, partnering with senior executives to align solutions to business strategy, operating plans, and regulatory requirements.
- Represents the organization as a subject matter expert on healthcare data, analytics, reporting, and data driven decision making for initiatives and new business efforts.
- Establishes standards for reporting design, data definitions, visualization, and delivery to ensure consistency and usability.
- Oversees the development and delivery of executive dashboards, operational and regulatory reporting, and advanced analytics across clinical, financial, operational, enrollment, utilization, and provider domains.
- Ensures delivery of actionable and forward looking analytics to support forecasting, reserving, risk identification, performance management, and value based initiatives.
- Provides insight and analysis related to healthcare utilization, cost containment, quality, risk adjustment, and provider performance.
- Accountable for data accuracy, quality assurance, validation, and reliability across all analytics and reporting outputs.
- Establishes and enforces quality assurance, change management, and release processes to ensure consistent, compliant, and user ready reporting.
- Ensures reporting and analytics meet all state, federal, CMS, and contractual requirements, and escalates risks related to data integrity, compliance, or delivery timelines as needed.
- Leads, mentors, and develops multi disciplinary data, reporting, and analytics teams, setting priorities and resource plans aligned with enterprise needs and budget.
- Implements strategies to meet service level expectations and turnaround times while fostering a culture of accountability, collaboration, innovation, and continuous improvement.
- Provides executive oversight of analytics tools, reporting platforms, and data technologies, and reviews high priority outputs for accuracy, impact, and business value.
- Translates complex technical, clinical, and financial information into clear, actionable insights for executive and non technical stakeholders.
Qualifications
- Bachelor's Degree in Finance, Economics, Math, Business Administration, Information Systems or related field, or equivalent combination of education and experience.
- At least 10 years of experience in data, reporting, and analytics, or equivalent combination of relevant education and experience.
- At least 3 years of leadership or management experience.
- Strong experience with healthcare data domains such as claims, enrollment, utilization, quality, finance, and regulatory reporting.
- Ability to drive data, reporting, and analytics strategy aligned to business, regulatory, and performance priorities, delivering timely, actionable insights that inform executive decision making.
- Demonstrated experience with SQL, relational databases, reporting platforms, and analytical methodologies.
- Proven ability to lead cross functional initiatives and influence at senior leadership levels.
Requirements
- Experience supporting managed care, Medicare, Medicaid, or value based care programs.
- Experience overseeing enterprise analytics, executive reporting, and regulatory submissions in a complex, multi state environment.
Benefits
Molina Healthcare offers a competitive benefits and compensation package.
Company Description
Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
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