Manager, Medical Economics

Centene Corporation•Remote-FL, NV

About The Position

The Manager, Medical Economics drives execution of analytics strategy by discovering, developing, and implementing analytics that address important business questions. The role aligns talent and resources with enterprise and health plan needs, using data to achieve strategic objectives and improve business performance. It is a working-manager position: the manager leads two analysts while remaining directly involved in complex healthcare analytics projects. The manager leads enterprise-wide analytics projects and strategic initiatives, partnering with business and technical stakeholders from planning through requirements gathering, testing, deployment, and user adoption. The role prioritizes team work, manages stakeholder expectations and relationships, and keeps deliverables aligned with business needs. It also involves cross-functional collaboration with state-based health plans and business units, including IT, Finance, Network Development, and Payment Integrity. The position requires translating complex findings into actionable recommendations for clinical and nontechnical stakeholders, understanding market-specific levers and constraints, and using enterprise reporting tools to deliver timely insights. The manager mentors and develops the team. Medical Economics experience involving claims, utilization, cost of care, and other complex healthcare data is highly preferred. Centene states that the role may be considered for other opportunities for which the applicant may qualify. Applicants must be authorized to work in the U.S. without current or future employment-based visa sponsorship.

Requirements

Bachelor’s degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance, or a related field.
At least 4 years of experience in healthcare analytics, large databases, data verification and management, table creation and indexing, query optimization, stored procedures, complex queries using SQL or other coding languages, and lead or management experience.
Working knowledge of SQL or querying languages.
Experience with table creation and indexing, query optimization, and stored procedures.
Must be authorized to work in the U.S. without the need for current or future employment-based visa sponsorship.
Strong Medical Economics experience with claims, utilization, cost of care, and other complex healthcare data is highly preferred.
Strong hands-on SQL and Excel experience is highly preferred.

Nice To Haves

Master’s degree.
Project management experience.
Knowledge of programmatic coding languages such as Python and R.
Knowledge of basic statistical, analytical, or data-mining techniques, including basic data modeling, trend analysis, and root-cause analysis.
Experience with change-management processes and procedures.
Knowledge of modern business intelligence and visualization tools, including Microsoft Power BI; experience with Power BI or similar tools is preferred.
Experience mentoring and training junior analysts in a supervisory or informal leadership role.
Operational business acumen, strategic thinking, and ability to translate complex findings into actionable recommendations for clinical and nontechnical stakeholders.

Responsibilities

Lead the planning and execution of enterprise-wide analytics projects and strategic initiatives, translating business goals into actionable solutions.
Manage development efforts as a liaison between business and technical partners, including stakeholder expectations, requirements gathering, testing, deployment, and user adoption.
Prioritize team work, manage customer expectations and relationships, and align deliverables with business needs and strategic objectives.
Maintain effective communication and transparency with core stakeholders to support customer engagement and satisfaction.
Partner across organizational levels and communicate findings and insights to nontechnical business partners.
Engage independently with business leaders to understand market-specific levers and constraints.
Use enterprise reporting tools to deliver data-driven insights and recommendations.
Facilitate cross-team collaboration between state-based health plans and business units, including IT, Finance, Network Development, and Payment Integrity.
Lead, mentor, manage, and support the continuous development of two analysts.