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Molina Healthcare Careers 38 Jobs

  • Encounters Analyst (EST business hours)

    Molina Healthcare - United States
    ... business hours** Job Summary The Analyst, Encounters is responsible for monitoring ... . Writes business requirements for system updates to resolve errors and optimize encounter performance ...
  • Analyst, Business (Remote)-Claims

    Molina Healthcare - United States
    ... JOB DESCRIPTION Job Summary Analyzes complex business problems and issues ... strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and ...
  • Sr Analyst, Business (Coding)

    Molina Healthcare - United States
    ... JOB DESCRIPTION Job Summary Job Summary Provides support to the business by making sure proper ICD-10 and CPT codes are reported accurately to maintain compliance and to ...
  • Sr Business Systems Analyst (Provider Data Compliance)

    Molina Healthcare - United States
    ... ** Works closely with regulatory requirements to develop business requirements for major projects of ... Operations Staff regarding business, technical and operations rules. Develops solutions to complex ...
  • Healthcare Data Analyst (EST Business Hours)

    Molina Healthcare - United States
    ... JOB DESCRIPTION **Employee for this role will work standard EST business hours ... business decisions. Gains insight into key business problems and deliverables by applying statistical ...
  • Sr Analyst, Business (PST HOURS/HEALTHCARE OPERATIONS/AZURE DATABRICKS/POWER BI/SQL – REMOTE)

    Molina Healthcare - United States
    ... JOB DESCRIPTION Job Summary Analyzes complex business problems **(Appeals ... . Constructs forecasts, recommendations and strategic/tactical plans based on business data and market ...
  • Sr Business Analyst - Healthplan Enrollment Operations (834 EDI file experience)

    Molina Healthcare - United States
    ... to identifying enrollment data issues that impact the business, and working with IT and corporate ... the business and dynamic. Must have ability to think big picture but also the desire to work in the ...
  • Sr Analyst, Healthcare Analytics

    Molina Healthcare - United States
    ... , assess business impacts, and make recommendations through use of healthcare analytics, predictive ... finance, pricing and actuarial functions Healthcare Analyst I or Financial/Accounting Analyst I ...
  • CAP Analyst (Healthcare)

    Molina Healthcare - United States
    ... health plans. Reporting to the Compliance Manager of CAP Oversight, the CAP Analyst is responsible ... of each issue. Coordinate meetings with key stakeholders (business areas, compliance officers et ...
  • Clinical Informatics Analyst (Power BI & SQL Required) - REMOTE

    Molina Healthcare - United States
    ... & Interfaces, the Clinical Informatics Data Analyst is responsible for the development, design, and maintenance of critical business reports based on data stored in multiple sources. This role will involve ...
  • Sr Analyst, Tech Config Info Mgmt

    Molina Healthcare - United States
    ... claims databases. Synchronizes data among operational and claims systems and application of business ... business and system requirements of customers as it pertains to contracting, benefits, prior authorizations ...
  • Sr Analyst, HEDIS/Quality Reporting - Perinatal Programs/Disparity Calculations/SQL - Remote in Michigan

    Molina Healthcare - United States
    ... /SKILLS/ABILITIES** In collaboration with Quality Improvement (QI) management, the Senior Analyst ... /analytics for the quality team. Acts as a lead analyst to provide project-, program-, and / or ...
  • Sr Analyst, Healthcare Analytics (Remote)

    Molina Healthcare - United States
    ... , assess business impacts, and make recommendations through use of healthcare analytics, predictive ... finance, pricing and actuarial functions Healthcare Analyst I or Financial/Accounting Analyst I ...
  • Analyst, Encounters

    Molina Healthcare - United States
    ... Job Description Job Summary The Analyst, Encounters is responsible for ... . Writes business requirements for system updates to resolve errors and optimize encounter performance ...
  • Sr Analyst, Data

    Molina Healthcare - United States
    ... enable informed business decisions. Gains insight into key business problems and deliverables by applying ... . Collaborates across departments and with customers to define requirements and understand business problems ...
  • Sr. Analyst, Risk Adjustment-Pre Analyst - REMOTE

    Molina Healthcare - United States
    ... Job Description Job Summary The Sr Analyst, Risk Adjustment - Predicitve ... outcome and for overall markets and LOB. Work in an agile business environment to derive meaningful ...
  • Analyst, Encounters (PST hours)

    Molina Healthcare - United States
    ... Job Description This remote position will have standard PST business hours* Job Summary The Analyst, Encounters is responsible for monitoring inbound and outbound ...
  • Delegation Oversight Nurse-Must be licensed in CA

    Molina Healthcare - United States
    ... State, CMS, and NCQA requirements, as well as Molina Healthcare business needs. In addition, the ... requirement as needed. Works with Delegation Oversight Analyst on monitoring of performance reports from ...
  • Sr Analyst, Finance

    Molina Healthcare - United States
    ... assist in the management of G&A oversight of several business units, supporting the monthly close ...
  • Assoc Analyst, Provider Config - Remote

    Molina Healthcare - United States
    ... application of business rules as they apply to each database. Validate data to be housed on provider databases and ensure adherence to business and system requirements of customers as it pertains to contracting ...
  • Sr Finance Analyst (Remote EST or CST)

    Molina Healthcare - United States
    ... , trend, and opportunities. Includes evaluation of and recommendations relating to business opportunities ... and other areas of business; Creating financial models for future business planning decisions in areas ...
  • Analyst, Finance & Analytics (Advanced SQL/Excel) - REMOTE

    Molina Healthcare - United States
    ... enable informed business decisions. Gains insight into key business problems and deliverables by applying ... . Collaborates across departments and with customers to define requirements and understand business problems ...
  • Mgr, Healthcare Analytics- Healthcare Operations/Azure Databricks/Power BI/SQL - Remote

    Molina Healthcare - United States
    ... , and queries to monitor and improve business performance. Uses Azure Databricks, Power BI, SSAS, SSIS ...
  • Analyst, Enrollment - Remote

    Molina Healthcare - United States
    ... years Preferred Education Bachelor's degree in Accounting and/or Business or equivalent ...
  • Lead Analyst, Config Info Mgmt - QNXT - Remote

    Molina Healthcare - United States
    ... claims databases. Synchronizes data among operational and claims systems and application of business ... business and system requirements of customers as it pertains to contracting, benefits, prior authorizations ...
  • Lead Analyst, Config Info Mgmt - Medicare/QNXT/NetworX Pricer - Remote

    Molina Healthcare - United States
    ... claims databases. Synchronizes data among operational and claims systems and application of business ... business and system requirements of customers as it pertains to contracting, benefits, prior authorizations ...
  • Assoc Analyst, Provider Config

    Molina Healthcare - United States
    ... application of business rules as they apply to each database. Validate data to be housed on provider databases and ensure adherence to business and system requirements of customers as it pertains to contracting ...
  • Sr Analyst, Finance (Remote)

    Molina Healthcare - United States
    ... , trend, and opportunities. Includes evaluation of and recommendations relating to business opportunities ... and other areas of business; Creating financial models for future business planning decisions in areas ...
  • Sr Analyst, Config Info Mgmt - QNXT/NetworX Pricer - Remote

    Molina Healthcare - United States
    ... claims databases. Synchronizes data among operational and claims systems and application of business ... business and system requirements of customers as it pertains to contracting, benefits, prior authorizations ...
  • Medical Director (Remote-Must have licenses in TX, WA, FL, NM, AZ)

    Molina Healthcare - United States
    ... . PREFERRED EDUCATION: Master’s in Business Administration, Public Health, Healthcare Administration ...
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