- BJC HealthCare (St. Louis, MO)
- …job qualifications and relevant work experience) **Additional Information About the Role** BJC HealthCare is seeking a Patient Accounts Analyst ! This team has ... oversight of managed care billing denials and rejections. **Overview** **BJC HealthCare ** is one of the largest nonprofit health care organizations in the United… more
- UCLA Health (Los Angeles, CA)
- …Tableau dashboards + Proven experience generating reports using healthcare data , with a focus on encounter/ claims , membership, and provider datasets, ... Description As the Business Data Analyst for our Medicare Advantage...scheduled production reports. + Write clear specifications and design data queries for healthcare performance measures. +… more
- Molina Healthcare (New York, NY)
- …better health, more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...contract valuation and analysis to ensure access to quality healthcare services for people receiving government assistance. Strengthens access… more
- State of Minnesota (St. Paul, MN)
- …+ Experience working with Medicaid, healthcare , or electronic medical record data , especially claims , encounters, or eligibility data . + Understanding ... **Working Title: T-MSIS Data Quality Analyst ** **Job Class: Agency...(T-MSIS). The primary responsibility is to ensure that Medicaid data -such as claims , encounters, and enrollment-is accurately… more
- Molina Healthcare (Lexington, KY)
- …Marketplace and Medicare/MMP * Develops custom health plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates * Assists and ... **Job Summary** The Lead Analyst , Quality Analytics and Performance Improvement role will...* 3-5 Years of experience with predictive modeling in healthcare quality data . * 5+ Years of… more
- Molina Healthcare (Augusta, GA)
- …for Medicaid, Marketplace and Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist ... **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will...+ 1-3 Years of experience with predictive modeling in healthcare quality data . + 1-3 Years of… more
- Molina Healthcare (Akron, OH)
- …Marketplace and Medicare/MMP + Develop custom health plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates + Assists and ... **JOB DESCRIPTION** **Job Summary** The Analyst , Risk and Quality Reporting role supports Molina's...reports as requested to track HEDIS performance and supplemental data monitoring + Development and QA of custom health… more
- Molina Healthcare (Omaha, NE)
- …of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems ... business rules as they apply to each database. Validate data to be housed on databases and ensure adherence...methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule… more
- Independent Health (Buffalo, NY)
- …reporting for internal and external solutions supporting Reliance Rx initiatives. The Data Validation Analyst develops standard operating procedures (SOPs) for ... for completeness, accuracy, and adherence to business requirements. The Data Validation Analyst is responsible for performing...One (1) year of experience with pharmacy or medical claims and/or data analysis, reporting and/or verification… more
- Molina Healthcare (Cincinnati, OH)
- …on claims databases. Maintains critical auditing and outcome information. Synchronizes data among operational and claims systems and application of business ... life cycle * Gains a deep understanding of Molina claims life cycle and all processes that affect ...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more