- Sedgwick (Moline, IL)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Complex Claims Analyst **PRIMARY PURPOSE** **:** To analyze mid- and ... higher-level general auto claims to determine scope of damages; to ensure ongoing...unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see**… more
- Molina Healthcare (Davenport, IA)
- …Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan financial ... operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to...strategy, and act as a trusted voice in resolving complex business challenges that impact cost containment and regulatory… more
- Molina Healthcare (Davenport, IA)
- …Responsible for accurate and timely auditing of critical information on claims databases. Maintains critical auditing and outcome information. Synchronizes data ... among operational and claims systems and application of business rules as they...on configurations accuracy results and/or audit findings. * Writes complex ad-hoc reports * Interprets and validates accuracy of… more
- Molina Healthcare (Davenport, IA)
- …better health, more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...* Serves as a key resource on the more complex pricing and analysis issues * Reviews work performed… more
- Molina Healthcare (Davenport, IA)
- …better health, more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...+ Serves as a key resource on the more complex pricing and analysis issues + Reviews work performed… more
- Molina Healthcare (Davenport, IA)
- **Job Summary** The Lead Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Reporting team. Designs and develops reporting ... plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates * Assists and...agile business environment to derive meaningful information out of complex and large organizational data sets through data analysis,… more
- Molina Healthcare (Davenport, IA)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality...agile business environment to derive meaningful information out of complex as well as large organizational data sets through… more
- Molina Healthcare (Davenport, IA)
- …DESCRIPTION** **Job Summary** Molina Healthcare is seeking a seasoned Business Analyst to support cross-functional initiatives across all lines of business. This ... role will collaborate with teams in various departments ( Claims , Enrollment, Provider Network, IT, Compliance, etc.) to analyze business needs, document… more
- Molina Healthcare (Davenport, IA)
- …in California and work PST hours. **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network ... and Strong Knowledge of Performance Indicators: + Proactively identify and investigate complex suspect areas regarding contract rate and related medical costs +… more