- Molina Healthcare (Vancouver, WA)
- **JOB DESCRIPTION** **JOB DESCRIPTION** **Job Summary** The ** Senior Analyst , Utilization Management ** plays a critical role in supporting clinical and ... business needs into technical solutions. This role works closely with clinicians, utilization management teams, and business stakeholders to gather requirements… more
- Providence (Portland, OR)
- …** Senior Actuarial Analyst \*Remote The Senior Actuarial Analyst will support key savings initiatives, cost management strategies, and predictive ... operational teams to evaluate the financial impact of cost management strategies. + Perform cost and utilization ...cost management strategies. + Perform cost and utilization trend analyses across medical, pharmacy, and ancillary services.… more
- Molina Healthcare (Vancouver, WA)
- …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...Experience** + 5-7 years increasingly complex database and data management responsibilities + 5-7 years of increasingly complex experience… more
- Molina Healthcare (Vancouver, WA)
- …support executive decision-making. + Research and develop reports and analysis for senior management ; effectively communicate results. + Assist in the ... forecasting, and accrual processes. The candidate will summarize and analyze claim and utilization in support of these processes. This is a non-traditional role that… more