Growth Strategy Data Intelligence Manager - Claims Data/SQL/Power BI/Solutioning
工作简介提供专业知识和领导力,用于 Molina 的数据智能活动。为新或重新处理业务提出建议 (RFP).通过数据智能化和研究和分析努力推动了医疗补助,双资格特殊需求计划 (DSNP) 和市场行业中的业务增长和战略。跨职位合作在 Molina 公司开发了一个令人信服的数据点/证据点库以及整个医疗补贴管理行业的竞争对手分析报价响应。向提案作者提供数据/证据分数来加强 RFP 回复。开发数据智能策略和流程,以提高 Molina 内容的质量来提高效率,并确保 Molina 利用正式竞争对手内容和分数分析数据库和流程。基本工作职责 ·领导采购努力的数据智能战略,通过收集,分析和应用绩效指标和证明点支持市场捕获,RFP 前规划,提案开发和口头准备。• 开发,维护和管理集中数据库和所有权框架,确保性能数据,支持证据以及源文档保持准确,最新,可审计并与报告周期和监管要求一致。• 与主题专家和整个组织的业务利益相关者合作,以确定,收集,验证和策划运营性,临床性,质量,网络,索赔,人口健康和其他用于提案响应的绩效数据。• 开展竞争情报和市场分析,评估竞争对手的建议,现有健康计划绩效,行业趋势以及公开可用的数据以确定风险,缺口,机会和增强 Molina 定位的差异因素。•提供基于数据的战略建议和提案支持,与作家,增长领导者和功能专家合作,将令人信服,符合和说服力的性能指标纳入了提案回应和演示中。• 促进利益相关者参与,报告和持续改善工作,提供绩效见解,纳入评论员反,确定增强机会,并支持提案内容和数据管理能力的发展。
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JOB DESCRIPTION Job Summary Provides subject matter expertise and leadership for data intelligence activities for Molina request for proposals (RFPs) for new or reprocuring business. Drives business growth and strategy within the Medicaid, Dual Eligible Special Needs Plan (DSNP) and Marketplace lines of business through data intelligence and research and analysis efforts. Collaborates cross-functionally across the Molina enterprise to develop a compelling library of data points/proof points and competitor analysis of bid responses across the Medicaid managed care industry. Provides data/proof points to proposal writers to strengthen RFP responses. Develops data intelligence strategies and processes to enhance the quality of Molina’s content to drive efficiency, and ensure Molina is leveraging formal competitor content and scoring analysis databases and processes.
Essential Job Duties
- Leads data intelligence strategy for procurement efforts, supporting market capture, pre-RFP planning, proposal development, and orals preparation through the collection, analysis, and application of performance metrics and proof points.
- • Develops, maintains, and governs centralized data repositories and ownership frameworks, ensuring performance data, supporting evidence, and source documentation remain accurate, current, auditable, and aligned with reporting cycles and regulatory requirements.
- • Partners with subject matter experts and business stakeholders across the organization to identify, collect, validate, and curate operational, clinical, quality, network, claims, population health, and other performance data used in proposal responses.
- • Conducts competitive intelligence and market analysis, evaluating competitor proposals, incumbent health plan performance, industry trends, and publicly available data to identify risks, gaps, opportunities, and differentiators that strengthen Molina's positioning.
- • Provides strategic data-driven recommendations and proposal support, collaborating with writers, growth leaders, and functional experts to incorporate compelling, compliant, and persuasive performance metrics into proposal responses and presentations.
- • Facilitates stakeholder engagement, reporting, and continuous improvement efforts, presenting performance insights, incorporating reviewer feedback, identifying enhancement opportunities, and supporting the evolution of proposal content and data management capabilities.
- • Supports organizational capability development and risk management, including early issue identification and escalation, application of emerging technologies such as AI, staff training and mentoring, and monitoring regulatory and competitive developments that may impact contract awards.
• Business travel up to 40% required.
Required Qualifications
- At least 7 years of progressive experience in Medicaid managed care with a large national payer, including experience in competitive intelligence, research and analysis, or equivalent combination of relevant education and experience.
- • At least 1 year of management/leadership experience.
- • Proven experience managing multiple procurements concurrently and accomplishing previously agreed upon goals within stringent time frames requirements.
- • Experience analyzing and using data for marketing and/or communications, demonstration of outcomes, or RFP response purposes.
- • Experience analyzing a broad range of data/information (e.g. clinical, network, operations, etc.).
- • Strong competitive intelligence research and skills/experience.
- • Experience with business intelligence (BI) tools.
- • Ability to drive operational performance improvements and best practices.
- • Organizational and time-management skills.
- • Ability to collaborate cross-functionally within a highly matrixed organization, including senior level executives.
- • Experience managing staff directly or indirectly.
- • Strong interpersonal and relationship development skills.
- • Excellent verbal and written communication skills, and ability to lead meetings with senior level leaders.
- • Microsoft Office suite proficiency (including Excel and PowerPoint), and applicable software programs proficiency.
Preferred Qualifications
• Project management experience.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Originally posted on Himalayas