- Molina Healthcare (Spokane, WA)
- **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will support Molina's Risk Adjustment Analytics team. The job responsibilities ... skills in data analysis. Performs research and deep-dive analysis of complex healthcare claims data, CMS return files, and financial cost, revenue, and vendor data.… more
- Humana (Olympia, WA)
- …and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- CVS Health (Olympia, WA)
- …heart, each and every day. **Position Summary** As a Healthcare Encounter Senior Analyst for claim reconciliation in the State Medicaid Encounters department, ... or more years of experience using Excel in a professional or academic setting. ** Preferred Qualifications** - 2 or more years of professional work experience in a… more
- Molina Healthcare (Vancouver, WA)
- **JOB DESCRIPTION** **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives by ... advanced SQL queries to extract, validate, and analyze healthcare data, including claims , authorization, pharmacy, and lab datasets. * Build and maintain efficient… more
- Molina Healthcare (Tacoma, WA)
- **JOB DESCRIPTION** **Job Summary** JOB SUMMARY: The Sr. Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives by translating ... advanced SQL queries to extract, validate, and analyze healthcare data, including claims , pharmacy, and lab datasets. + Build and maintain efficient ETL pipelines… more
- Molina Healthcare (Bellevue, WA)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... equivalent combination of education and experience **Required Experience** 7-9 years ** Preferred Education** Graduate Degree or equivalent experience ** Preferred … more
- Highmark Health (Olympia, WA)
- …Epidemiology or Pharmacy or closely related field **Substitutions** + None ** Preferred ** + Master's Degree in Medicine, Public Health, Nursing, Economics, Health ... 5 years with coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 3 years of project leadership… more
- Molina Healthcare (WA)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... experience in quantifying, measuring, and analyzing financial/performance management metrics ** Preferred Education** Bachelor's Degree in Finance, Economics, Math, or… more
- Molina Healthcare (WA)
- …+ Data analytics + Familiarity w/SDLC Methodologies: Agile, waterfall, etc. ** PREFERRED EXPERIENCE:** + SQL expertise + Excel expertise + Medicare, Medicaid, ... Marketplace claims expertise **PHYSICAL DEMANDS:** Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed… more
- Molina Healthcare (Tacoma, WA)
- …and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed ... coordination, and ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational Ownership** +… more