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Molina Healthcare
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Richmond, Kentucky
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Business Analysis Professional (CBAP), Certification from International Institute of Business Analysis ... data change requests by submitting them according to market-specific business rules, facilitating the
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Molina Healthcare
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Richmond, Kentucky
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Job Description
Job Summary
Business Strategy Leader managing relationships and providing process expertise with Molina health plan leadership, corporate leadership, business
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Molina Healthcare
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Richmond, Kentucky
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the business teams with reviewing claims to ensure regulatory requirements are appropriately applied ... and experience
REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:
1-3 years claims
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Molina Healthcare
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Richmond, Kentucky
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for health insurance products that support Molina’s successful business development and operational ... growth and business development solutioning activities.
Plans and directs schedules as well as
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Molina Healthcare
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Richmond, Kentucky
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technology expertise across multiple infrastructure and development disciplines.
Applies and promotes ... ensure a balance between tactical and strategic technology solutions. Considers business problems “end-to
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Molina Healthcare
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Richmond, Kentucky
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JOB DESCRIPTION
Job Summary
The Business Control Process Design and ... performing internal assessment projects as well as control design; especially in the business (Non-IT) areas
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Molina Healthcare
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Richmond, Kentucky
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, and queries to monitor and improve business performance.
**Knowledge/Skills/Abilities ... and/or management experience in Managed Care or Medicare related field.
3+ years in SQL
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Molina Healthcare
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Richmond, Kentucky
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Required Experience
3-5 Years of business analysis
4+ years managed care experience ... and experience
Preferred Experience
1-3 years formal training in Business Analysis
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Molina Healthcare
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Richmond, Kentucky
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the direction of the Manager, Encounters, collaborates with cross-functional teams to identify and ... .
Writes business requirements for system updates to resolve errors and optimize encounter performance
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Molina Healthcare
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Richmond, Kentucky
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the direction of the Manager, Encounters, collaborates with cross-functional teams to identify and ... .
Writes business requirements for system updates to resolve errors and optimize encounter performance
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Molina Healthcare
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Richmond, Kentucky
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/SKILLS/ABILITIES**
Develops software (hands on code development) to meet key business objectives ... balance between tactical and strategic technology solutions. Considers business problems “end-to-end
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Molina Healthcare
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Richmond, Kentucky
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Models for at least one line of business among Medicaid, Marketplace and Medicare/MMP.
3-5 Years of ... research, development,and completion of special projects.
**Knowledge/Skills/Abilities
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Molina Healthcare
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Richmond, Kentucky
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Required Experience
3-5 Years of business analysis
4+ years managed care experience ... and experience
Preferred Experience
1-3 years formal training in Business Analysis
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Molina Healthcare
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Richmond, Kentucky
...
Required Experience
3-5 Years of business analysis
4+ years managed care experience ... and experience
Preferred Experience
1-3 years formal training in Business Analysis
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Molina Healthcare
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Richmond, Kentucky
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change management, program management and other processes relative to the business.
Leads and manages team in planning and executing business programs.
Serves as the subject matter expert in the
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Molina Healthcare
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Richmond, Kentucky
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business requirements.
3. Analyze and interpret complex data to identify system needs.
Analyze ... meet the business needs of the organization. This role involves working closely with stakeholders in
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Molina Healthcare
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Richmond, Kentucky
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among multiple claims systems and 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
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Molina Healthcare
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Richmond, Kentucky
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collection activities. Responsibilities include responding to RFP(s) as needed, development of the HEDIS ... :**
• STARS improvement experience
• CAHPS improvement experience
• 3+ years health care
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Molina Healthcare
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Richmond, Kentucky
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, dashboards, and queries to monitor and improve business performance. Designs and implements processes and ... predicting to enable informed business decisions. Gains insight into key business problems and deliverables
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Molina Healthcare
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Richmond, Kentucky
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JOB DESCRIPTION
Job Summary
The Business Control Process Design and ... performing internal assessment projects as well as control design; especially in the business (Non-IT) areas
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