Medicaid Growth Strategy Data Intelligence Manager - Claims Data/SQL/Power BI/Solutioning - Remote

Molina Healthcare · United States

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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

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