- Molina Healthcare (Dallas, TX)
- …of critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...and knowledge to research and resolve claim/encounter issues, pended claims and facilitate system update(s) as necessary. + Works… more
- Molina Healthcare (Austin, TX)
- …and work PST hours. **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization ... numbers, assess business impacts, and make recommendations through use of healthcare analytics, etc. + Analysis of trends in medical costs to provide analytic… more
- Prime Healthcare (Farmers Branch, TX)
- …positions and Jr. Analyst positions. Qualifications + Minimum 3 Years of Healthcare Experience with bachelor's or 2 years with masters + Familiar with Revenue ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/229820/senior-strategic-initiatives- analyst /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime … more
- Molina Healthcare (Dallas, TX)
- …lines of business and expansion into new states. The Lead Analyst , Reimbursement will be primarily responsible for implementation, maintenance, and support of ... **Job Description** **Job Summary** The Lead Analyst , Reimbursement is responsible for administering complex provider reimbursement methodologies timely and… more
- Molina Healthcare (Fort Worth, TX)
- …are aligned as well as work with operational leaders within the business to provide recommendations for process improvements and opportunities for cost savings. ... committee structure and timing with key partner organizations. Interpret customer business needs and translate them into application and operational requirements. +… more
- Molina Healthcare (Fort Worth, TX)
- JOB DESCRIPTION Job Summary Provides entry level analyst support for provider configuration activities including accurate and timely maintenance of critical provider ... information on all claims and provider databases. Synchronizes data within multiple ...data stored within provider databases - ensuring adherence to business and system requirements as it pertains to contracting,… more
- Molina Healthcare (Dallas, TX)
- …Maintains critical auditing and outcome information. Synchronizes data among operational and claims systems and application of business rules as they apply ... database. Validate accuracy of configuration and ensure adherence to business and system requirements of customers as it pertains...life cycle * Gains a deep understanding of Molina claims life cycle and all processes that affect … more
- Molina Healthcare (San Antonio, TX)
- …health, more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...business impacts, and make recommendations through use of healthcare analytics, predictive modeling, etc. * Experience with industry… more
- Molina Healthcare (Austin, TX)
- …health, more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...business impacts, and make recommendations through use of healthcare analytics, predictive modeling, etc. + Experience with industry… more
- Molina Healthcare (San Antonio, TX)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule… more