- Molina Healthcare (Macon, GA)
- …credentialing. **KNOWLEDGE/SKILLS/ABILITIES** + Generates data to support continuous quality of provider data and developing SOPs and/or BRDs. + Develops and ... critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules… more
- Molina Healthcare (Macon, GA)
- **Job Description** **Job Summary** The Sr. Analyst , Advanced Provider Data Management is responsible for analyzing and understanding business processes, ... identifying areas for improvement, and developing solutions to optimize performance. The Sr. Analyst often acts as a liaison between the business units and IT,… more
- Molina Healthcare (Macon, GA)
- …departments for error resolution, follow up, and performance monitoring. + Understands provider , member, and, inbound claims data compliance in relation to ... **Job Description** **Job Summary** The Sr Analyst , Encounters is responsible for monitoring inbound and...and facilitating calls with cross-functional teams + Claims processing, provider contacting, health data analysis and reporting,… more
- Molina Healthcare (Macon, GA)
- …finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data systems and models + BI ... Summary** Performs research and analysis of complex healthcare claims data , pharmacy data , and lab data...to predict future trends in cost, utilization and performance. Provide executive summary of findings to requestors. + Create… more
- Molina Healthcare (Macon, GA)
- **JOB DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to ... Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and analysis… more