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Molina Healthcare
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United States
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business hours**
Job Summary
The Analyst, Encounters is responsible for monitoring ... .
Writes business requirements for system updates to resolve errors and optimize encounter performance
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Molina Healthcare
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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
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Molina Healthcare
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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
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Molina Healthcare
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United States
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**
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
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Molina Healthcare
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United States
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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
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Molina Healthcare
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United States
...
JOB DESCRIPTION
Job Summary
Analyzes complex business problems **(Appeals ... . Constructs forecasts, recommendations and strategic/tactical plans based on business data and market
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Molina Healthcare
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United States
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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
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Molina Healthcare
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United States
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, 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
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Molina Healthcare
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United States
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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
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Molina Healthcare
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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
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Molina Healthcare
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United States
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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
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Molina Healthcare
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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
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Molina Healthcare
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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
...
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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
...
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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
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Molina Healthcare
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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
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Molina Healthcare
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United States
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Job Description
This remote position will have standard PST business hours*
Job Summary
The Analyst, Encounters is responsible for monitoring inbound and outbound
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Molina Healthcare
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United States
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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
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Molina Healthcare
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United States
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assist in the management of G&A oversight of several business units, supporting the monthly close
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Molina Healthcare
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United States
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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
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Molina Healthcare
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United States
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, 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
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Molina Healthcare
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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
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Molina Healthcare
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United States
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, and queries to monitor and improve business performance. Uses Azure Databricks, Power BI, SSAS, SSIS
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Molina Healthcare
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United States
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years
Preferred Education
Bachelor's degree in Accounting and/or Business or equivalent
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Molina Healthcare
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United States
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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
...
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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
...
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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
...
-
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
...
-
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
...
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Molina Healthcare
-
United States
...
.
PREFERRED EDUCATION:
Master’s in Business Administration, Public Health, Healthcare Administration
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