Key Responsibilities Healthcare Data Domain Leadership * Lead delivery and ongoing management of core payer data domains , including but not limited to: * Claims, Encounters, Authorizations
Key Responsibilities Healthcare Data Domain Leadership * Lead delivery and ongoing management of core payer data domains , including but not limited to: * Claims, Encounters, Authorizations
Our mission, as we partner together with our clients, is to develop innovative drug management ... Analyze pharmacy and medical claims data as well as other healthcare data sets to identify trends ...
Our mission, as we partner together with our clients, is to develop innovative drug management ... Analyze pharmacy and medical claims data as well as other healthcare data sets to identify trends ...
Healthcare Data Analyst
Chandler, AZ · Remote
Experience with Snowflake (data review and uploads) * Healthcare/Claims industry experience * Excellent communication and collaboration skills * Bachelor's or advanced degree
Quick apply
Healthcare Data Analyst
Chandler, AZ · Remote
Experience with Snowflake (data review and uploads) * Healthcare/Claims industry experience * Excellent communication and collaboration skills * Bachelor's or advanced degree
Enterprise Data Management SME Sacramento, CA 18 months Required Skills ... Minimum of three (3) years of experience working with health care data. Minimum of three (3) years ...
Enterprise Data Management SME Sacramento, CA 18 months Required Skills ... Minimum of three (3) years of experience working with health care data. Minimum of three (3) years ...
Must have 8+ years of experience in gathering requirements and analysis for HEALTHCARE PAYER related projects * Experience working with complex data analysis and data migrations, including source to ...
Must have 8+ years of experience in gathering requirements and analysis for HEALTHCARE PAYER related projects * Experience working with complex data analysis and data migrations, including source to ...
Healthcare Data Analyst (Clinic Administration)
Boston, MA · On-site
$72K/yr
They will not only manage data and design new processes, but will be accountable for the timely and ... As a health care organization, we have the responsibility to do everything in our power to care for ...
Healthcare Data Analyst (Clinic Administration)
Boston, MA · On-site
$72K/yr
They will not only manage data and design new processes, but will be accountable for the timely and ... As a health care organization, we have the responsibility to do everything in our power to care for ...
Healthcare Data Analyst (Clinic Administration)
Boston, MA · Hybrid
$93K/yr
They will not only manage data and design new processes, but will be accountable for the timely and ... As a health care organization, we have the responsibility to do everything in our power to care for ...
Healthcare Data Analyst (Clinic Administration)
Boston, MA · Hybrid
$93K/yr
They will not only manage data and design new processes, but will be accountable for the timely and ... As a health care organization, we have the responsibility to do everything in our power to care for ...
Health Care Data Engineer
New York, NY · On-site
$125K - $150K/yr
Experience with healthcare data and leading data teams * Agile development experience * Strong problem-solving and communication skills Responsibilities * Design and maintain scalable data pipelines ...
Quick apply
Health Care Data Engineer
New York, NY · On-site
$125K - $150K/yr
Experience with healthcare data and leading data teams * Agile development experience * Strong problem-solving and communication skills Responsibilities * Design and maintain scalable data pipelines ...
Under the direction of the Quality Systems Leadership Team, the Healthcare Data Analyst II (HDA) is ... Responsible for managing assigned projects and effectively communicating with the QS leadership ...
Under the direction of the Quality Systems Leadership Team, the Healthcare Data Analyst II (HDA) is ... Responsible for managing assigned projects and effectively communicating with the QS leadership ...
Healthcare Data Developer
Chicago, IL · On-site
$90K - $120K/yr
Description Healthcare Data Developer AArete is one-of-a-kind when it comes to consulting firm ... We're celebrating our fourth year as one of Forbes' World's Best Management Consulting Firms - and ...
Healthcare Data Developer
Chicago, IL · On-site
$90K - $120K/yr
Description Healthcare Data Developer AArete is one-of-a-kind when it comes to consulting firm ... We're celebrating our fourth year as one of Forbes' World's Best Management Consulting Firms - and ...
Healthcare Data Developer
Vienna, VA · On-site
$90K - $120K/yr
Description Healthcare Data Developer AArete is one-of-a-kind when it comes to consulting firm ... We're celebrating our fourth year as one of Forbes' World's Best Management Consulting Firms - and ...
New
Healthcare Data Developer
Vienna, VA · On-site
$90K - $120K/yr
Description Healthcare Data Developer AArete is one-of-a-kind when it comes to consulting firm ... We're celebrating our fourth year as one of Forbes' World's Best Management Consulting Firms - and ...
New
Healthcare Data Developer
El Segundo, CA · On-site
$90K - $120K/yr
Description Healthcare Data Developer AArete is one-of-a-kind when it comes to consulting firm ... We're celebrating our fourth year as one of Forbes' World's Best Management Consulting Firms - and ...
New
Healthcare Data Developer
El Segundo, CA · On-site
$90K - $120K/yr
Description Healthcare Data Developer AArete is one-of-a-kind when it comes to consulting firm ... We're celebrating our fourth year as one of Forbes' World's Best Management Consulting Firms - and ...
New
Under the direction of the Quality Systems Leadership Team, the Healthcare Data Analyst II (HDA) is ... Responsible for managing assigned projects and effectively communicating with the QS leadership ...
Under the direction of the Quality Systems Leadership Team, the Healthcare Data Analyst II (HDA) is ... Responsible for managing assigned projects and effectively communicating with the QS leadership ...
You will analyze healthcare data, collaborate with clinical teams, and manage performance metrics across Federally Qualified Health Centers. The ideal candidate has a Bachelor's degree in a relevant ...
You will analyze healthcare data, collaborate with clinical teams, and manage performance metrics across Federally Qualified Health Centers. The ideal candidate has a Bachelor's degree in a relevant ...
Healthcare Data Scientist (RWD)
San Francisco, CA · On-site +1
We are seeking a Healthcare Data Scientist (Real-World Evidence) to answer complex healthcare and biopharma questions using large-scale real-world data and help shape the next generation of AI ...
Healthcare Data Scientist (RWD)
San Francisco, CA · On-site +1
We are seeking a Healthcare Data Scientist (Real-World Evidence) to answer complex healthcare and biopharma questions using large-scale real-world data and help shape the next generation of AI ...
Evaluate health care administrative data in order to identify cost, quality, and utilization trends ... Provide reports and recommendations to management that result in effective relationships with ...
Evaluate health care administrative data in order to identify cost, quality, and utilization trends ... Provide reports and recommendations to management that result in effective relationships with ...
Senior Healthcare Data Analyst
Chicago, IL · On-site
$103K - $115K/yr
What You Will Do - Essential Functions The Sr Analyst, Healthcare Data will be a business ... Partner with clinical, account management, and strategy teams to identify target populations ...
Senior Healthcare Data Analyst
Chicago, IL · On-site
$103K - $115K/yr
What You Will Do - Essential Functions The Sr Analyst, Healthcare Data will be a business ... Partner with clinical, account management, and strategy teams to identify target populations ...
Data Engineer
$124K - $149K/yr
Experience in software development, data integration, vendor data management, and writing production-grade code for data reconciliation. * Experience working with healthcare or other regulated ...
Data Engineer
$124K - $149K/yr
Experience in software development, data integration, vendor data management, and writing production-grade code for data reconciliation. * Experience working with healthcare or other regulated ...
Senior Healthcare Data Analyst
Chicago, IL · On-site
$103K - $115K/yr
What You Will Do - Essential Functions The Sr Analyst, Healthcare Data will be a business ... Partner with clinical, account management, and strategy teams to identify target populations ...
Senior Healthcare Data Analyst
Chicago, IL · On-site
$103K - $115K/yr
What You Will Do - Essential Functions The Sr Analyst, Healthcare Data will be a business ... Partner with clinical, account management, and strategy teams to identify target populations ...
Senior Analytics Analyst - Healthcare Data
Arlington, VA · On-site
$98K - $124K/yr
Strong project management and prioritization skills with the ability to manage multiple analytics ... Experience working with healthcare transaction data, pharmacy data, claims data, patient journey ...
Senior Analytics Analyst - Healthcare Data
Arlington, VA · On-site
$98K - $124K/yr
Strong project management and prioritization skills with the ability to manage multiple analytics ... Experience working with healthcare transaction data, pharmacy data, claims data, patient journey ...
Director, Data Management (EIM / Health Plan Analytics / AI & ML) - REMOTE
Remote
8.0
Based on 199 frontline employees who took The Breakroom Quiz
171st of 315 rated insurance
People enjoy working here
Good employer
Recommended by students
Recommended by parents
Respectful managers
$117K - $229K/yr
Full-time
Re-posted 25 days ago
Job description
Director, Data Management (EIM)
Job Summary
The Director, Data Management is a senior leadership role within Molina Healthcare responsible for enterprise data management strategy, delivery, and modernization across core health plan domains. This role leads the design, integration, and operation of data platforms that support Medicaid, Medicare, Marketplace, and other payer lines of business, with a strong emphasis on Databricks-based lakehouse architecture, AI-enabled data management, and cloud platform cost optimization (FinOps).
This leader owns end-to-end data domain delivery, including ingestion, integration, governance, quality, analytics enablement, and operational reliability for critical healthcare data such as claims, clinical, provider, member, authorizations, encounters, quality, and financial data. The role partners closely with Clinical, Operations, Finance, Compliance, Security, and Enterprise Architecture to ensure data solutions are secure, compliant, scalable, and aligned to Molina's business objectives and regulatory obligations.
The Director balances near-term delivery commitments with long-term platform strategy, ensuring Molina's data ecosystem enables analytics, reporting, regulatory submissions, value-based care, and AI/ML use cases.
Key Responsibilities
Healthcare Data Domain Leadership
- Lead delivery and ongoing management of core payer data domains, including but not limited to:
- Claims, Encounters, Authorizations
- Clinical and Utilization Management data
- Provider, Network, and Contract data
- Member, Eligibility, and Enrollment data
- Quality, HEDIS, and Regulatory reporting data
- Establish clear data domain ownership, stewardship, and accountability models across business and IT.
- Ensure data consistency, quality, lineage, and traceability required for regulatory audits and reporting.
Databricks & Data Platform Modernization
- Drive Molina's Databricks lakehouse strategy, including ingestion, transformation, analytics, ML enablement, and downstream consumption.
- Lead modernization from legacy data warehouses, marts, and custom pipelines to cloud-native, scalable data platforms.
- Define and enforce platform standards for performance, security, availability, resiliency, and operational excellence.
AI-Enabled Data Management
- Enable AI and ML-ready data foundations, including governed datasets, feature stores, and reusable data products.
- Promote use of automation and AI-assisted capabilities for data quality monitoring, anomaly detection, metadata enrichment, and observability.
- Partner with analytics, reporting, and AI teams to accelerate insights that support clinical outcomes, cost management, and operational efficiency.
Enterprise Integration & Data Exchange
- Oversee enterprise data integration and data movement patterns, including batch, near-real-time, streaming, APIs, and industry standards (e.g., 837/835/278, FHIR where applicable).
- Ensure secure, compliant data exchanges with internal systems and external vendors, partners, and delegated entities.
- Establish clear ownership and operating models for inbound and outbound data pipelines.
FinOps & Platform Cost Management
- Lead cloud and data platform financial management (FinOps), including Databricks usage, storage, and compute optimization.
- Establish cost transparency, forecasting, and governance to balance performance, scalability, and cost efficiency.
- Drive accountability for platform usage across teams and domains.
Delivery, Governance & Risk Management
- Partner with EPMO, business leaders, and IT stakeholders to manage roadmaps, priorities, dependencies, and delivery commitments.
- Ensure adherence to HIPAA, CMS, state Medicaid, and internal security and compliance requirements.
- Identify and mitigate data, platform, and delivery risks impacting business continuity and regulatory obligations.
Leadership & Team Development
- Build, lead, and mentor data engineering, platform, and integration teams.
- Establish clear performance expectations, metrics, and career development paths.
- Champion modern engineering practices, documentation, and operational discipline.
Required Knowledge, Skills & Experience
Required
- 10+ years of experience in healthcare data management, data engineering, or analytics, with direct experience in a payer / managed-care organization.
- Strong understanding of health plan operations and data, including claims, encounters, authorizations, provider, member, and clinical data.
- Proven leadership experience delivering enterprise-scale data platforms and integrations.
- Hands-on experience with Databricks and Azure cloud data platforms.
- Experience operating in highly regulated healthcare environments (HIPAA, CMS, state Medicaid).
- Demonstrated ability to lead cross-functional teams and manage complex stakeholder relationships.
Preferred
- Experience supporting Medicaid, Medicare, Marketplace, or multi-LOB health plans.
- Experience enabling AI/ML initiatives in healthcare.
- Strong background in FinOps, cloud cost governance, and optimization.
- Familiarity with healthcare data standards and integrations (EDI, FHIR, HL7).
- Prior experience in Data Engineering and Data Management
Leadership Expectations
- Acts as a healthcare data thought leader within Molina.
- Treats data as a strategic enterprise asset supporting clinical quality, regulatory compliance, and financial performance.
- Drives results through collaboration, accountability, and disciplined execution.
- Promotes standardization, reuse, and long-term sustainability of Molina's data ecosystem.
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.
About Molina Healthcare
Sourced by ZipRecruiter
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Long Beach, CA, US
Year founded
1980
Website
What Molina Healthcare employees say
Pay
Benefits
Hours and flexibility
Workplace
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