- Molina Healthcare (St. Petersburg, FL)
- …(case management, integrations), QNXT (or similar core claims), RPA/automation, and analytics /reporting (eg, SQL/Excel, BI tools). + Delivery Excellence: Plan and ... stage gates, and financial controls. + **Operational & Regulatory Acumen ( Healthcare /Claims)** + Deep understanding of claims lifecycle, EDI transactions, payment… more
- Molina Healthcare (FL)
- …leaders to improve outcomes by managing Risk/Quality data collection strategy, analytics , and reporting, including but not limited to: Risk/Quality rate trending ... and forecasting; provider Risk/Quality measure performance, CAHPS and survey analytics , health equity and SDOH, and engaging external vendors. * Monitor projects… more
- Molina Healthcare (FL)
- …including but not limited to witness interviews, background checks, data analytics to identify outlier billing behavior, contract and program regulation research, ... various internal customers (eg, Provider Services, Contracting and Credentialing, Healthcare Services, Member Services, Claims) to gather documentation pertinent to… more
- Molina Healthcare (Jacksonville, FL)
- Molina Healthcare is in search of an experienced Sr Digital Marketing Specialist. The Sr. Specialist, Digital Marketing will be responsible for analyzing and ... Experience-** Digital Tag Manager Programs Salesforce Marketing Cloud Google or Adobe analytics (or similar) Google AdWords, Tag Manager systems, (Adobe or Google)… more
- Molina Healthcare (Orlando, FL)
- …that aligns strategy and improves the member experience. * Leverages data analytics , area of expertise knowledge, and implementation skills. * Works effectively with ... as required for the specific functional area. * Experience with data analytics and implementing data driven programs and solutions. * Excellent verbal and… more
- Molina Healthcare (FL)
- …* Collaborates with senior executives, Vice Presidents and others across Molina Healthcare to set and achieve Risk Adjustment goals. * Develops training, goals ... Degree in a clinical field, IT, Public Health or Healthcare Administration or equivalent combination of education and work...adjustment experience * 3+ years experience in Reporting & Analytics for chart retrieval and/or Risk Adjustment * 3+… more
- Molina Healthcare (Jacksonville, FL)
- …requirements/rules and are aligned with effective practices as identified in the healthcare quality improvement literature and within Molina plans. + Develops and ... and key performance indicators. + Collaborates with the national intervention collaborative analytics and strategic teams to deliver value for both prospective and… more
- Molina Healthcare (Tampa, FL)
- …decision-making within the organization and be the pioneer on generative AI healthcare solutions, aimed at revolutionizing healthcare operations as well as ... all level of audiences in a clear and concise manner Collaborate with analytics team, assigning and managing delivery of analytical projects as appropriate * Perform… more
- Molina Healthcare (Jacksonville, FL)
- …annual reporting requirement as needed. + Works with delegation oversight analytics representatives on monitoring performance reports from delegated entities. + ... Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or Certified Professional in Healthcare … more
- WTW (Tampa, FL)
- **Description** As a Healthcare Financial/Actuarial Senior Associate you will be a key member of the Financial Actuarial & Analytics (FAA) Community of ... Expertise. You will substantially contribute to a wide variety of complex analyses and projects involving the design, financing, and measurement and financial analysis of the full spectrum of employer health and group benefit programs including medical,… more
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