- Molina Healthcare (Houston, TX)
- …effectiveness of strategic initiatives with the ability to frame strategic challenges with research and synthesis to draw out solutions and create action plans. + ... + Leads team to support business development opportunities, public policy positions in collaboration with enterprise partners. + Partners with applicable teams… more
- Molina Healthcare (Dallas, TX)
- …major projects of considerable complexity, prepares system design specifications, conducts research to resolve customer initiated issues related to core systems ... project teams in the development of large multi-system, multi-platform projects. This position is responsible for implementing the test approach, strategy for test… more
- Molina Healthcare (TX)
- …or discrepancies related to over- or underpayment. + Utilize QNXT to research claims history, provider contract setup, and benefits configuration. + Work ... + Assist manager in establishing peer review standards and methodology + Research and review new audit tools and techniques and provide recommendations to… more
- Molina Healthcare (Fort Worth, TX)
- …who have Databricks experience with advanced skills in data analysis. Performs research and deep-dive analysis of complex healthcare claims data, CMS return files, ... + Converting data into usable information that is easy to understand. + Research and develop reports and analysis for senior management and effectively communicate… more
- Molina Healthcare (Austin, TX)
- …Program Valuation on Molina's Risk Adjustment Actuarial team. Responsibilities include research , analysis and modeling of complex healthcare claims data, pharmacy ... understand and provides insights needed to support strategic investment decisions + Research and develop reports and analyses for senior management and effectively… more
- Molina Healthcare (Dallas, TX)
- …a broad range of audiences. Effectively uses current and emerging technologies. This position will be focused on Medicare Stars requirements and data review. Please ... trends * Works with internal, external and enterprise individuals as needed to research , develop and document new standard reports or processes * Consolidates data… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Sr Compliance Coding Analyst position is responsible for supporting accurate billing and coding compliance with Medicare and third-party ... payments and internal policies. Responsibilities for this position include serving as subject matter expert, performing complex and high risk-based and baseline… more
- Molina Healthcare (Fort Worth, TX)
- …+ Actively participates in all stages of project development including research , design, programming, testing and implementation to ensures the released product ... the intended functional and operational requirements. **JOB QUALIFICATIONS** **Required Education ** Bachelor's Degree or equivalent combination of education … more
- Molina Healthcare (Fort Worth, TX)
- …analysis. + Works with internal, external and enterprise clients as needed to research , develop, and document new standard reports or processes. + Implements and ... and systems to support the departments goals. **JOB QUALIFICATIONS** **Required Education ** Associate's Degree or equivalent combination of education and… more
- Molina Healthcare (TX)
- …trends + Works with internal, external and enterprise individuals as needed to research , develop, and document new standard reports or processes + Consolidates data ... members as requested on all things data related. **JOB QUALIFICATIONS** **Required Education ** Associate degree or equivalent combination of education and… more