- Molina Healthcare (Lexington, KY)
- …**Job Summary** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization ... and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant… more
- Molina Healthcare (Lexington, KY)
- **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will support Molina's Risk Adjustment Analytics team. The job ... the numbers, assess business impacts, and make recommendations through use of healthcare analytics , predictive modeling, etc. + Analysis and forecasting of… more
- Molina Healthcare (Lexington, KY)
- …the numbers, assess business impacts, and make recommendations through use of healthcare analytics , predictive modeling, etc. + Analysis and forecasting of ... costs to provide analytic support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired… more
- Molina Healthcare (Lexington, KY)
- …look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics , etc. + Analysis of trends in medical costs to ... contract analytics is highly preferred. + Experience working on Managed care analytics and healthcare reimbursement models is required. + Must be able to… more
- Evolent (Frankfort, KY)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** **Senior Analyst , Healthcare Analytics Consultant** The Client Analytics team ... specialty programs and administrative platform. **Role Overview** The Senior Analyst role on Client Analytics will support...Health, or a related discipline). + 2+ years of analytics & reporting experience in healthcare… more
- Molina Healthcare (Lexington, KY)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... with various departments to capture and document requirements, build reporting solutions, and educate users on how to use...on how to use reports. + Assist Quality Data Analytics Leaders in Predictive Intervention Strategy Analytics … more
- Molina Healthcare (Lexington, KY)
- **Job Summary** The Lead Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Reporting team. Designs and develops ... with various departments to capture and document requirements, build reporting solutions, and educate users on how to use...on how to use reports. * Assist Quality Data Analytics Leaders in Predictive Intervention Strategy Analytics … more
- Molina Healthcare (Lexington, KY)
- …Health Plan project documentation. + Maintains reporting service level benchmarks for Healthcare Analytics team. + Represents Healthcare Analytics ... strategic analysis. **KNOWLEDGE/SKILLS/ABILITIES** Manages and provides direct oversight of Healthcare Analytics Team activities and personnel. Provides… more
- Molina Healthcare (Lexington, KY)
- …understand business problems. Uses advanced mathematical, statistical, querying, and reporting methods to develop solutions. Develops information tools, algorithms, ... new standard reports and/or processes. + Implements and uses the analytics software and systems to support department goals. **JOB QUALIFICATIONS** **Required… more
- Molina Healthcare (Lexington, KY)
- **Job Summary** Reporting to the Director of Clinical Informatics for Analytics & Interfaces, the Clinical Informatics Data Analyst is responsible for the ... and monitor department initiatives. Additionally, the Clinical Informatics Data Analyst will actively participate in planning, developing, and implementing new… more
- Molina Healthcare (Lexington, KY)
- …management activities + Partners with vendor and vendor management team with data analytics and reporting needs to support data driven decisions + Reviews ... **R** **I** **E** **N** **C** **E:** + 1-3 years of experience in Healthcare (payer experience), Vendor Management, Data Analytics , Contract Terms and… more
- Molina Healthcare (Lexington, KY)
- …that blends standard actuarial modeling, medical economics, and financial reporting and analytics . **KNOWLEDGE/SKILLS/ABILITIES** + Collaborate with Actuarial ... for assisting in establishing premium rates and conducting financial analysis and reporting . A key responsibility of this role is supporting the Molina Marketplace… more
- Datavant (Frankfort, KY)
- …professional, educational and life experiences to realize our bold vision for healthcare . The Business Intelligence & Analytics function within Datavant Product ... in health data exchange. Our vision is that every healthcare decision is powered by the right data, at...is actively seeking a detail-oriented and impact-driven data analyst to strengthen our Corporate Cross-Functional Reporting … more
- Molina Healthcare (Lexington, KY)
- …understand business problems. Uses advanced mathematical, statistical, querying, and reporting methods to develop solutions. Develops information tools, algorithms, ... experience in this qualifier on your resume. **Job Functions** * Leverage analytics and quantitative methods to inform and influence decision making * Responsible… more
- Prime Therapeutics (Frankfort, KY)
- …Systems Analyst is responsible for creating standard and custom reporting , improving report efficiencies and improving report workflow processes for current SAS ... clients with the interpretation and use + Act as a liaison between Reporting and Analytics , Information Management and other internal business partners regarding… more
- CVS Health (Frankfort, KY)
- …Experience in healthcare fraud, waste and abuse + Knowledge of Medicaid healthcare claims adjudication (QNXT) & regulatory reporting + Experience with data ... We are seeking a highly analytical and detail-oriented Data Analyst to join our Special Investigation Unit within a...skills in SQL and Python who can transform complex healthcare data into actionable insights to support fraud, waste,… more
- Prime Therapeutics (Frankfort, KY)
- …in detailed analytical work in financial, insurance, pharmacy benefits management, reporting & analytics , benefits consulting healthcare industries ... every decision we make. **Job Posting Title** Senior Forecast Analyst - REMOTE **Job Description** The Senior Forecast ...throughout Prime as well as for the Pricing and Analytics team. This role is responsible for creating and… more
- Baylor Scott & White Health (Frankfort, KY)
- …work experience above the minimum qualification- EXPERIENCE + 2 Years of Experience in Healthcare Analytics + 2 years working with ACA and Medical Claims, MMR, ... + **JOB SUMMARY** The Risk Adjustment Analyst Sr is responsible for monitoring and oversight...regulatory and health plan guidelines. + Performs analysis and reporting activities related to risk score calculation, claims/encounters data… more
- Highmark Health (Frankfort, KY)
- …and produced by this role is the foundation of a wide range of analytics and reporting associated with the organization's financial, operational, and/or clinical ... technical direction from and supporting the Lead Cost Accounting Analyst with respect to cost allocation rules and system...of experience in cost accounting or other relevant financial reporting experience + 3-7 years of experience in data… more
- Evolent (Frankfort, KY)
- …levels of the partner organization. **What You Will Be Doing:** + **Strategic Data Analytics & Insights** : Analyze healthcare claims and authorization data to ... clear, actionable ways for executive and client audiences. + ** Reporting & Compliance:** Ensure data accuracy and integrity of...areas of sensitivity + 2 years of Account Management healthcare experience To ensure a secure hiring process we… more