- Molina Healthcare (San Diego, CA)
- **JOB DESCRIPTION** **JOB SUMMARY:** The Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. This position designs and ... to use reports related to Risk and Quality/HEDIS for Medicaid , Marketplace and Medicare/MMP. **ESSENTIAL JOB DUTIES:** + Work...reports related to managed care data like Medical Claims, Pharmacy , Lab and HEDIS rates + Assists and collaborates… more
- Prime Therapeutics (San Diego, CA)
- …and drives every decision we make. **Job Posting Title** Senior Compliance Analyst - Remote in the California market **Job Description** The Senior Compliance ... Analyst assists in the implementation of Prime's compliance programs...to validate regulatory reporting requirements are met and that business operations are aligned with expectations of applicable regulatory… more
- CVS Health (Sacramento, CA)
- …and for Sales/Clients for all CVS Health adjudication platforms and lines of business (Medicare Part D, Commercial, Medicaid , etc.). Our Analysts make high ... multiple requests/priorities, and produce/develop custom reports for multiple lines of business and specific clients regarding retail pharmacy network… more
- LA Care Health Plan (Los Angeles, CA)
- Senior Health Care Audit Analyst Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... storage, maintenance and reporting of AB1455 Claims data by line of business submitted by Plan Partners (PP), Preferred Provider Groups (PPG), Specialty Health… more