• Senior Actuarial Analyst (Medicaid Risk…

    Molina Healthcare (Savannah, GA)
    …is not required. **KNOWLEDGE/SKILLS/ABILITIES** + Analyze risk score results - calculate financial impact and identify trends or other issues related to risk scores. ... distribute routine reports to support risk adjustment calculations, pricing, and financial reporting + Identify opportunities for improvement in risk adjustment… more
    Molina Healthcare (08/08/25)
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  • Senior Actuarial Analyst (Medicare Risk…

    Molina Healthcare (Savannah, GA)
    …for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from ... and distribute routine reports to support risk adjustment calculations, pricing, and financial reporting. + Extract and compile information from various systems to… more
    Molina Healthcare (07/25/25)
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  • Health Plan Operations, Payment Integrity Program…

    Molina Healthcare (Augusta, GA)
    …who serves as a key strategic partner in driving health plan financial performance. This role focuses on identifying, leading, and executing operational initiatives ... coordination, and ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational Ownership** +… more
    Molina Healthcare (08/14/25)
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  • Corporate Development Manager

    Molina Healthcare (Augusta, GA)
    …ideal candidate will have at least two years of experience as an analyst at an investment bank or similar firm. **Knowledge/Skills/Abilities** * Develop financial ... or related fields **REQUIRED EXPERIENCE:** + Minimum 5 years' experience in financial modeling and analysis + Ability to synthesize complex ideas and translate… more
    Molina Healthcare (08/08/25)
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  • Payment Integrity Program Manager - Health Plan

    Molina Healthcare (Atlanta, GA)
    …and Administrative expenses (G&A) costs, and continues to drive positive operational and financial outcomes for all PI solutions. + Leads efforts to improve claim ... payment accuracy, claim referrals, adjustment analysis and financial performance without needing extensive oversight. + Collaborates with...At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization… more
    Molina Healthcare (08/14/25)
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  • Clinical Content Strategy Manager

    Elevance Health (Atlanta, GA)
    …to meet financial and operational targets. As a Clinical Content Analyst , you'll research and interpret CMS, CPT/AMA and other major payer policies based ... in Excel (ability to manipulate data using excel functions along with pivot tables, v -look up, etc). + SQL query-building and lookup skills. + Analytical and able to… more
    Elevance Health (08/19/25)
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