- Molina Healthcare (Milwaukee, WI)
- **Job Summary** The Lead Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Reporting team. Designs and develops reporting ... health plan reports related to Risk and Quality/HEDIS for Medicaid , Marketplace and Medicare/MMP * Develops custom health plan...plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates * Assists and… more
- Dignity Health (Bakersfield, CA)
- …Contracting and Credentialing teams as needed when questions arise. The Provider Data Analyst partners with Configuration Claims and Enrollment to ensure end to ... **Job Summary and Responsibilities** The Provider Data Analyst is responsible for the maintenance of the...end accuracy to pay claims accurately and timely. **Job Requirements** **Minimum Qualifications:** +… more
- Molina Healthcare (Tacoma, WA)
- **Job Description** **Job Summary** The Lead Analyst , Reimbursement is responsible for administering complex provider reimbursement methodologies timely and ... existing lines of business and expansion into new states. The Lead Analyst , Reimbursement will be primarily responsible for implementation, maintenance, and support… more
- State of Minnesota (St. Paul, MN)
- **Working Title: T-MSIS Lead Analyst and CMS Data Liaison** **Job Class: Research Scientist 3** **Agency: Human Services Dept** + **Job ID** : 89296 + **Location** : ... compliance duties pertaining to the Centers for Medicare and Medicaid Services (CMS) required T-MSIS (Transformed Medicaid ...research or health care policy + Large health care claims or other data stored in complex SQL Based… more
- Molina Healthcare (San Diego, CA)
- **JOB DESCRIPTION** **Job Summary** The Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. This position designs and ... to use reports related to Risk and Quality/HEDIS for Medicaid , Marketplace and Medicare/MMP. **Job Duties** + Work with...plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates + Assists and… more
- Molina Healthcare (AZ)
- **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom ... to use reports related to Risk and Quality/HEDIS for Medicaid , Marketplace and Medicare/MMP. Assists with research, development, and...plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates + Assists and… more
- Option Care Health (Bannockburn, IL)
- …best and brightest talent in healthcare. **Job Description Summary:** The Analyst , Compliance Auditing, Monitoring and Analytics is responsible for supporting the ... to analyze large datasets, such as related to healthcare operations, billing, claims , and patient information to support Compliance activities and to identify… more
- Molina Healthcare (Nampa, ID)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... as well as automated analytical Reporting modules related to Quality/HEDIS for Medicaid , Marketplace and Medicare/MMP. + Analysis and reporting related to Managed… more
- The Joint Commission (Washington, DC)
- …including patient-level EHR data, accreditation and certification records, and administrative claims (eg, Medicare, Medicaid ). + Extract and manipulate data ... **Overview** Joint Commission seeks a highly skilled and motivated Healthcare Data Analyst to support a growing portfolio of research and analytics initiatives that… more
- Mount Sinai Health System (New York, NY)
- …compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject matter experts ... across the Mount Sinai Health System. MSHP seeks a **Senior Contract Manager Analyst ** will play a critical role in testing, coding, modeling, and reporting on… more
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