• Senior Analyst, Healthcare Analytics ( Risk…

    Molina Healthcare (Provo, UT)
    …Health Plan strategic analysis and planning and coordinates across business units on Risk Adjustment Program Valuation and Strategic/Scoreable Action Items ... analytic / programming tools as needed + Reporting includes Risk Adjustment program performance metrics,...risk models including the various CMS models for Medicare Advantage members, the HHS model for Commercial ACA… more
    Molina Healthcare (07/17/25)
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  • IPA Coding Associate Director

    CenterWell (Salt Lake City, UT)
    …+ Ability to travel up to 20% **Preferred Qualifications** + Proven experience with Medicare Advantage risk adjustment functions. + Proven track record of ... entities within the Primary Care Organization. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible for driving ongoing… more
    CenterWell (07/24/25)
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  • Medical Director

    Molina Healthcare (Salt Lake City, UT)
    …HMO regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment , disease management, and ... and effective resource management. + Develops and implements a Utilization Management program and action plan, which includes strategies that ensure a high quality… more
    Molina Healthcare (07/25/25)
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