- Molina Healthcare (ID)
- …**Job Summary** A successful candidate will have a balance of business insight, critical thinking, strong communication and analytical skills. Possess the ... and data collection with internal departments or external requestors. * Interpret business needs and translate them into application and operational requirements. *… more
- Molina Healthcare (Long Beach, CA)
- …used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables ... departments and with customers to define requirements and understand business problems. Uses advanced mathematical, statistical, querying, and reporting methods… more
- Molina Healthcare (Milwaukee, WI)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...information into the claim payment system and other applicable systems . + Participates in defect resolution for assigned component… more
- Molina Healthcare (WA)
- …Applications Development session with business stakeholders to define business requirements and provides systems /application expertise for multiple projects ... engineering process improvements and verifies compliance. + Mentors and trains systems /programmer analysts on software applications, business domain and design… more
- LA Care Health Plan (Los Angeles, CA)
- …for and the configuration of the LA Care Health Plan Core System (ie, QNXT ) and the related surround systems , applications, and database (eg, Clinical ... Quality Configuration Assurance Analyst III Job Category: Information Technology Department: Enterprise...identify issues and provide well thought-out recommendations for proposed business process and systems configuration improvements, where… more
- CVS Health (Boise, ID)
- …with heart, each and every day. **Position Summary** The Senior Network Relations Analyst is responsible for the accurate and timely validation and maintenance of ... Provider Relationship Management System. Works closely with both internal and external business partners to ensure Provider inquiries are handled within a timely… more
- Molina Healthcare (Long Beach, CA)
- …used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables ... departments and with customers to define requirements and understand business problems. Uses advanced mathematical, statistical, querying, and reporting methods… more
- Molina Healthcare (Chandler, AZ)
- …Applications Development session with business stakeholders to define business requirements and provides systems /application expertise for multiple projects ... engineering process improvements and verifies compliance. + Mentors and trains systems /programmer analysts on software applications, business domain and design… more
- Fallon Health (Worcester, MA)
- …including but not limited to entering data into the QXNT and TruCare systems to ensure accuracy in reporting + Manages incoming requests from vendors/ASAPs/providers ... documentation system as well as Fallon Health's core system QNXT + In coordination with the Administrative Assistant, manages...members to nurse case manager and navigator staff each business day and reconciles to ensure accuracy and timeliness… more