- Molina Healthcare (Dayton, OH)
- …on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules ... as they apply to each database. Validate data to be housed on databases and ensure adherence...or CA DOFR, DME, capitation, Physician pricing is highly preferred . + Must have knowledge on Medicare payment methods… more
- Molina Healthcare (Columbus, OH)
- …needs. Supports upgrades, releases, and health plan implementations while validating data integrity and recommending improvements to enhance system efficiency and ... of new and existing health plans. + Must have healthcare experience. + Experience working with SQL is highly... experience. + Experience working with SQL is highly preferred . **JOB QUALIFICATIONS** **Required Education** + Bachelor's Degree or… more
- Molina Healthcare (OH)
- …on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules ... as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to… more
- Molina Healthcare (Cleveland, OH)
- …Key Performance Indicators. Candidate will utilize SQL and Azure Databricks to query and analyze data however this is not just a technical role. They must be able to ... large and complex requirements. + Ability to organize and maintain regulatory data including real-time policy changes. + Self-motivated and ability to take… more
- Molina Healthcare (Cincinnati, OH)
- …and process improvements. + Proficiency in Excel + Knowledge in QNXT preferred + Strong communication and stakeholder management skills with ability to influence ... large and complex requirements. + Ability to organize and maintain regulatory data including real-time policy changes. + Self-motivated and ability to take… more
- Molina Healthcare (Dayton, OH)
- …application development, business process re-engineering, enterprise integration, logical data modeling, project coordination, estimation, metrics generation, status ... 3-5 years experience supporting, designing and/or implementing application changes. ** Preferred Education** Master's Degree ** Preferred Experience** QNXT… more
- Molina Healthcare (Columbus, OH)
- …estimate risk scores, and analyze impact. Extract, analyze, and synthesize data from various sources to identify risks. Additional leadership opportunities are ... License, Certification, Association** Must have passed at least 2 actuarial exams. ** Preferred Experience** 3-4 Years To all current Molina employees: If you are… more
- Molina Healthcare (Akron, OH)
- …rates, financial analysis and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks. **KNOWLEDGE/SKILLS/ABILITIES** + Support ... License, Certification, Association** Must have passed at least 1 actuarial exam. ** Preferred Experience** Internship - 2 Years To all current Molina employees: If… more
- Molina Healthcare (Cleveland, OH)
- …large and complex requirements. + Ability to organize and maintain regulatory data including real-time policy changes. + Self-motivated and ability to take ... + Previous success in a dynamic and autonomous work environment ** Preferred Qualifications** + Project implementation experience + Knowledge and experience with… more
- KeyBank (Cleveland, OH)
- …Ohio 44114 The Analyst will be a member of the FHA Healthcare Underwriting Team and will collaborate internally and externally to analyze and underwrite FHA ... the LEAN Underwriters, closers, and originators for the FHA Healthcare group within CMG. The Analyst will...and analytical skills and the ability to interpret financial data from multiple computer systems. + Ability to synthesize… more