• Analyst , Claims Research (Remote)

    Molina Healthcare (Macon, GA)
    JOB DESCRIPTION Job Summary Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory ... operating procedures (SOPs) and job aids to increase the quality and efficiency of claims processing. *...position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
    Molina Healthcare (12/28/25)
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  • Senior Analyst , Quality Analytics…

    Molina Healthcare (Columbus, GA)
    …Microsoft Azure, AWS, or Hadoop. + 3+ Years of experience with predictive modeling in healthcare quality data. + 3+ Years of experience in Analysis related to ... **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement...Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality department with HEDIS measure deep dive to support… more
    Molina Healthcare (12/05/25)
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  • Analyst , Risk & Quality Reporting…

    Molina Healthcare (GA)
    **JOB DESCRIPTION** **Job Summary** The Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. This position designs ... on how to use reports related to Risk and Quality /HEDIS for Medicaid, Marketplace and Medicare/MMP. **Job Duties** +...plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates + Assists and… more
    Molina Healthcare (01/07/26)
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  • Senior Analyst , Risk & Quality…

    Molina Healthcare (GA)
    **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops ... on how to use reports related to Risk and Quality /HEDIS for Medicaid, Marketplace and Medicare/MMP. Assists with research,...plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates + Assists and… more
    Molina Healthcare (01/06/26)
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  • Lead Networx Analyst , Contract…

    Molina Healthcare (Macon, GA)
    JOB DESCRIPTION Job Summary Provides lead level analyst support for configuration information management activities. Responsible for accurate and timely ... implementation and maintenance of critical information on claims databases, synchronizing operational and claims systems data and application of business rules… more
    Molina Healthcare (12/26/25)
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  • Senior Healthcare Economics Analyst…

    Elevance Health (Atlanta, GA)
    **Senior Healthcare Economics Analyst ** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... position is not eligible for current or future visa sponsorship._ The **Senior Healthcare Economics Analyst ** (Advanced Analytics Analyst Senior) creates… more
    Elevance Health (12/11/25)
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  • Senior Analyst , Medical Economics - REMOTE

    Molina Healthcare (Columbus, GA)
    …* Knowledge of health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) * Knowledge of health care ... **JOB DESCRIPTION** **Job Summary** Provides senior level analyst support for medical economics analysis activities, including...and manages information from large data sources. * Analyzes claims and other data sources to identify early signs… more
    Molina Healthcare (01/11/26)
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  • Senior Analyst , Network Strategy, Pricing…

    Molina Healthcare (Savannah, GA)
    …network partners through contract valuation and analysis to ensure access to quality healthcare services for people receiving government assistance. Strengthens ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary)… more
    Molina Healthcare (11/21/25)
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  • Senior Analyst , Network Strategy, Pricing…

    Molina Healthcare (Atlanta, GA)
    …network partners through contract valuation and analysis to ensure access to quality healthcare services for people receiving government assistance. Strengthens ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary)… more
    Molina Healthcare (10/25/25)
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  • Senior QNXT Analyst - Contract…

    Molina Healthcare (Augusta, GA)
    …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... improvement processes to ensure systems are working more efficiently and improve quality . + Assists in planning and coordination of application upgrades and… more
    Molina Healthcare (12/31/25)
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