- Molina Healthcare (Cincinnati, OH)
- …of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems ... business rules as they apply to each database. Validate data to be housed on databases and ensure adherence...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
- Molina Healthcare (Akron, OH)
- **JOB DESCRIPTION** **Job Summary** Analyzes complex claims business problems and issues using data from internal and external sources to provide insight to ... Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and analysis… more
- Molina Healthcare (OH)
- …Molina's Risk Adjustment Actuarial team. Responsibilities include research, analysis and modeling of complex healthcare claims data , pharmacy data , lab ... analytic support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst... Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data … more
- Molina Healthcare (Columbus, OH)
- …skills in data analysis. Performs research and deep-dive analysis of complex healthcare claims data , CMS return files, and financial cost, revenue, ... and Power BI, organizing and managing large and varied data sets, analyzing healthcare data ...analytic support for finance, pricing and actuarial functions. + Healthcare Analyst I experience desired. + PowerBI,… more
- Molina Healthcare (Dayton, OH)
- …technical solutions. + Write advanced SQL queries to extract, validate, and analyze healthcare data , including claims , pharmacy, and lab datasets. + ... **JOB DESCRIPTION** **Job Summary** JOB SUMMARY: The Sr. Analyst , Healthcare plays a critical role...in clinical and business operations. + Maintain fluency in healthcare data types (eg, ICD/CPT codes, HEDIS… more
- Molina Healthcare (Columbus, OH)
- …+ Perform research and analysis of complex healthcare utilization and performance date, claims data , pharmacy data , and lab data regarding ... findings. + Oversee development, organization, and ongoing maintenance of data representing a wide range of healthcare ...of data representing a wide range of healthcare information. + Develop and direct a process to… more
- Molina Healthcare (OH)
- …coordination, and shared ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational ... integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and...the role. + Validates findings and tests assumptions through data , but leads with contextual knowledge of claims… more
- Molina Healthcare (OH)
- **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst , Configuration Oversight to support our Payment Integrity and Claims ... and regulatory guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen. Experience in… more
- Evolent (Columbus, OH)
- …**What You Will Be Doing:** + ** Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify cost drivers, utilization ... working seamlessly with diverse teams and stakeholders. + Familiarity with healthcare claims , reimbursement methodologies, and cost/utilization KPIs, including… more
- Molina Healthcare (Columbus, OH)
- …from various systems to support executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to ... evaluate the impact of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical...building dashboards in Excel, Power BI, and/or Tableau and data management + Knowledge of healthcare operations… more