AVP, Data & Analytics - Clinical informatics/Risk and Quality - Remote

Direct comprehensive data and analytics initiatives to enhance payer strategy, operational excellence, and clinical outcomes across Medicare, Medicaid, and Commercial populations. Oversee enterprise reporting, integrate pragmatic AI/ML solutions, and specialized clinical analytics while fostering cross-functional partnerships and robust data governance.

Develop high-performing teams that transform complex data into trusted, actionable insights to drive financial and organizational growth.

• Lead payer analytics strategy to improve quality, risk adjustment, clinical outcomes, operational performance, and business results across Medicare, Medicaid, Marketplace, and Dual populations.

• Oversee enterprise reporting and business intelligence, delivering trusted insights, KPIs, dashboards, and self-service analytics that support strategic and operational decision-making.

• Direct Quality, Risk Adjustment, and Clinical Analytics, including HEDIS®, Star Ratings, RAF performance, population health, care management, utilization management, and provider performance initiatives.

• Leverage AI, machine learning, and advanced analytics to identify opportunities, predict outcomes, automate decision support, and accelerate business value realization.

• Partner with data, technology, and business leaders to ensure analytics solutions are built on trusted data, modern platforms, and strong governance practices.

• Build and develop high-performing analytics teams while translating complex data into actionable insights that improve member outcomes, financial performance, and organizational growth.

Bachelor’s Degree in business administration or related field

• 5 years+ in supervisory and/or management experience in Managed Care or Medicare related field

• 5 years+ in SQL, programming skills, relational database, and financial analysis skills

• 3 years+ in implementing AI and ML augmented analytic solutions across payer landscape

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.