- Molina Healthcare (Louisville, KY)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant… more
- Molina Healthcare (KY)
- …and work PST hours. **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant… more
- Molina Healthcare (Lexington, KY)
- …**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 (Lexington, KY)
- **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst , Configuration Oversight to support our Payment Integrity and Claims ... health plan or vendor. Familiarity with claim recovery audits and regulatory reporting requirements (Medicaid). Exposure to EDI transactions (837, 835) and COB data… more
- Molina Healthcare (Owensboro, KY)
- …an overall Zero Trust methodology. We are looking for functional and technical lead with strong experience in Identity Access Management (IAM) with strong experience ... tool upgrades and enhancements. + Manage and support access reviews, audits, and reporting processes to meet compliance requirements. + Act as a liaison between IT,… more
- Molina Healthcare (Louisville, KY)
- …all end-to-end business requirements have been documented. + Creates management reporting tools to enhance communication on configurations updates and initiatives. + ... Eg, Medicare Exclusion POC + Acts as a team lead , assigning and prioritizing work for other team members...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
- Molina Healthcare (KY)
- …understand business problems. Uses advanced mathematical, statistical, querying, and reporting methods to develop solutions. Develops information tools, algorithms, ... making * Responsible for data compilation, data management, data analysis, and reporting * Influence and build relationships with people across all levels of… more
- Molina Healthcare (Lexington, KY)
- …logical data modeling, project coordination, estimation, metrics generation, status reporting . + Provides thought leadership or hands-on expertise for problem ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- Molina Healthcare (KY)
- …all end-to-end business requirements have been documented. + Creates management reporting tools to enhance communication on configurations updates and initiatives. + ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- Molina Healthcare (Bowling Green, KY)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare 's Medicare Compliance team supports sales operations for the Molina Medicare product lines. It is a centralized ... corporate function supporting compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Sales Compliance Analyst position is primarily responsible for Sales Oversight. +… more
Recent Jobs
-
Supplier Quality Engineer
- Ducommun (Coxsackie, NY)
-
Provider Transformation Specialist (RN- Western New York))
- Highmark Health (Buffalo, NY)
-
Presidential Research Fellowship (PRF) for PhD CS Program
- University of Texas Rio Grande Valley (Rio Grande, TX)
-
Feed Mill Truck Driver - South Central FS, Inc.
- GROWMARK, Inc. (Watson, IL)