- Molina Healthcare (Grand Rapids, MI)
- 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 (MI)
- …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 (MI)
- **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 (MI)
- **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 (MI)
- 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
- Integra Partners (Troy, MI)
- The Quality Assurance Analyst is responsible for... will fairly and consistently review the calls, emails, claims , etc. of our team for accuracy and provide ... in support of the departmental goals and initiatives. The Quality Assurance Analyst evaluates both verbal and...remain focused and motivated during the auditing process + Healthcare experience preferred + Fluent in Spanish and English… more
- Molina Healthcare (Grand Rapids, MI)
- …* 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 (Grand Rapids, MI)
- …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 (Warren, MI)
- …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 (Detroit, MI)
- …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