- Molina Healthcare (MI)
- …. + Sets up process for monitoring, tracking, and trending department data , including quality measures, effectiveness of communications, and process ... Designs and implements processes and solutions associated with a wide variety of data sets used for data /text mining, analysis, modeling, and predicting to… more
- Molina Healthcare (Grand Rapids, MI)
- …translate them into comprehensive business and functional specifications. * Analyze complex healthcare data sets to identify trends and patterns. Communicate ... **Job Description** **Job Summary** The Lead Analyst , Advanced Provider Data Management is...from initiation to completion, ensuring adherence to timelines and quality standards. * Establish and maintain strong relationships with… more
- Molina Healthcare (Grand Rapids, MI)
- …in California and work PST hours. **Job Summary** Performs research and analysis of complex healthcare claims data , pharmacy data , and lab data regarding ... utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based… more
- Molina Healthcare (MI)
- …Microsoft Azure, AWS or Hadoop. * 3-5 Years of experience with predictive modeling in healthcare quality data . * 5+ Years of experience in Analysis related ... **Job Summary** The Lead Analyst , Quality Analytics and Performance Improvement...educate users on how to use reports. * Assist Quality Data Analytics Leaders in Predictive Intervention… more
- Molina Healthcare (MI)
- …Microsoft Azure, AWS or Hadoop. + 1-3 Years of experience with predictive modeling in healthcare quality data . + 1-3 Years of experience in Analysis related ... **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement...educate users on how to use reports. + Assist Quality Data Analytics Leaders in Predictive Intervention… more
- Cognizant (Lansing, MI)
- About the role As a ** Quality Analyst with Healthcare - Claims & Membership experience** . You will make an impact by designing and executing end-to-end test ... strategies that ensure the quality and reliability of healthcare claims and.... Perform Automation testing of backend services, APIs, and data flows. . Validate API endpoints using Swagger and… more
- Molina Healthcare (Ann Arbor, MI)
- …pertains to contracting, network management and credentialing. **KNOWLEDGE/SKILLS/ABILITIES** + Generates data to support continuous quality of provider data ... Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as… more
- Evolent (Lansing, MI)
- …for the mission. Stay for the culture. **What You'll Be Doing:** **Senior Analyst , Healthcare Analytics Consultant** The Client Analytics team provides a unique ... insights and compelling narratives for stakeholders. **What You Will Be Doing:** + ** Data Analytics & Insights** : Analyze healthcare claims and authorization … more
- Molina Healthcare (MI)
- …Power BI, and/or Tableau and data management + Knowledge of healthcare operations (utilization management, disease management, HEDIS quality measures, claims ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to...related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health… more
- R1 RCM (Detroit, MI)
- …detail-oriented with strong analytical skills and the ability to work with various healthcare data standards and stakeholders. **Here's what you will experience ... proprietary systems and platforms ready for go-live from a data perspective. + Healthcare data ...data pipelines at scale: Ensure reliability, performance, and data quality of production systems and batch… more