VP, Medical Economics

Molina Healthcare

Long Beach, United States•6mo ago

OnsiteMedicaidMedicare AdvantageCommercial Employer Health

Role Summary

HIGHLIGHTS

VP, Medical Economics (Health) in Long Beach, CA leading enterprise medical economics and analytics. You will lead a team, set strategy for SAI analytics and forecasting, collaborate with clinical, finance and contracting leaders, and drive data tools and dashboards to improve financial and clinical outcomes. Senior executive-level role requiring deep Medicaid/Medicare and managed care experience.

JOB DESCRIPTION SUMMARY

Lead enterprise medical economics strategy and a team of analytics professionals
Analyze medical cost trends and translate findings into clinical and financial actions
Collaborate with clinical, finance, and provider contracting leaders
Build standards and data analytic tools; oversee dashboards in Excel, Power BI, Tableau
Executive role based in Long Beach, CA with 12+ years in health analytics experience

DOMAIN EXPERTISE

health care analytics and medical economics
Medicaid and Medicare program expertise
value-based risk arrangements and provider reimbursement principles
building dashboards in Excel, Power BI, or Tableau
working with medical coding/billing systems (ICD-10CM, CPT, HCPCS, NDC)

KEY REQUIREMENTS

Minimum 12 years health care analytics/medical economics experience
At least 3 years executive-level experience and 7 years management experience
Bachelor’s degree in statistics, economics, CS, healthcare management or related
Advanced knowledge of Medicaid and Medicare programs and managed care concepts
Advanced dashboard and data management skills in Excel, Power BI, and/or Tableau