Director, Healthcare Analytics (Wisconsin Market Finance) - REMOTE

Job Description

Job Summary

Support the Market CFO in Wisconsin FP&A. Performs research and analysis of complex healthcare claims data, and utilization management data for month-end reporting, ad-hoc requests, rate advocacy, and other financial needs. Evaluates data, writes code, creates dashboard tools, and presents healthcare utilization and cost containment reports across Medicaid, LTSS, Medicare, and Marketplace, and makes recommendations based on relevant findings.

Knowledge / Skills / Abilities

Directs Health Plan strategic analysis and planning coordinating across business units to meet financial data analysis needs.

• Mentors, coaches, and provides guidance regarding finance and analysis.
• Identifies and sets departmental priorities in alignment with the operating plan, budget, and regulatory requirements.
• Implements strategies to ensure service level benchmarks for report turn-around and report accuracy are met. Supports reporting for Market Finance and collaborates on reporting with other departments such as Med Econ and Operations. Demonstrates best practices and collaboration on projects.
• Reviews high priority analyses, reports, SQL programming, Power BI Reporting, and other Finance projects for accuracy, completeness, return on investment, and compliance with regulatory requirements.
• Functions as subject matter expert on finance and healthcare analytics topics. Able to teach financial / technical information.
• Collaborates with IT and EIM on data ingestion, maintenance, and validation.
• Reviews regulatory contract requirements and reporting requirements applicable to the Finance Department. Implements strategies and infrastructure to ensure compliance with regulatory requirements.

Job Qualifications

Required Education

Required Experience

Preferred Education

Preferred Experience

5 – 7 years supervisory experience

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 : $96,325.57 - $208,705.4 / ANNUAL

Salary : $96,326 - $208,705