• Lead Analyst , Payment Integrity

    Molina Healthcare (Bellevue, NE)
    …Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan financial ... and shared ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational Ownership** + Assists… more
    Molina Healthcare (08/20/25)
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  • Payment Integrity Program Manager - Health Plan

    Molina Healthcare (Kearney, NE)
    …for oversight, production, and resolution of Health Plan Payment Integrity (PI) recovery concepts. This role executes and monitors Health Plan Scorable Action Items ... regulatory requirements are met for Pre-pay Edits & Overpayment Recovery . Manages inventory and works in collaboration with PI...At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization… more
    Molina Healthcare (08/14/25)
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  • Health Plan Operations, Payment Integrity Program…

    Molina Healthcare (Omaha, NE)
    …coordination, and ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational Ownership** + ... are met for pre-pay edits, post payment datamining, and overpayment recovery which improves encounter submissions, reduces General and Administrative expenses (G&A)… more
    Molina Healthcare (08/14/25)
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