- Molina Healthcare (Spokane, WA)
- …current and emerging technologies. **KNOWLEDGE/SKILLS/ABILITIES** + With limited supervision, the Sr. Analyst , Data is responsible for data compilation, ... claims data + Prior experience working as a Business or Data or Systems Analyst is preferred. + Experience working on SQL, PowerBI, automate Powerapps, … more
- Molina Healthcare (Spokane, WA)
- …Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as ... they apply to each database. Validate data to be housed on provider databases and ensure...to contracting, network management and credentialing. **KNOWLEDGE/SKILLS/ABILITIES** + Generates data to support continuous quality of provider data… more
- Molina Healthcare (Spokane, WA)
- **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 (Spokane, WA)
- …to the Health Care environment **Job Duties** The Operational/Regulatory Oversight Sr. Analyst works with health plans and operations departments to assess, oversee, ... and compliance with State and Federal regulatory guidelines. The Sr. Analyst develops and performs audits and oversight functions involving business-critical… more
- Molina Healthcare (Spokane, WA)
- **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will support Molina's Risk Adjustment Analytics team. The job responsibilities ... reporting with Databricks and Power BI, organizing and managing large and varied data sets, analyzing healthcare data for decision support, and communicating… more
- Molina Healthcare (Spokane, WA)
- …finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data systems and models + BI ... **Job Summary** Performs research and analysis of complex healthcare claims data , pharmacy data , and lab data regarding network utilization and cost… more
- Molina Healthcare (Spokane, WA)
- **Job Description** **Job Summary** The Sr Analyst , Encounters is responsible for monitoring inbound and outbound encounter processes and ensuring timely, accurate, ... encounter submissions for moderate- to high-complexity markets or states. Performs data analysis using internal and external sources, analyzes processes and provides… more
- Providence (Spokane, WA)
- …inspire and retain the best people, we must empower them.** **Providence is calling a Senior Financial Analyst , Accounting who will:** + Serve as a member of the ... clinician compensation systems + Collect, research, and organize financial and operational data to create and report monthly financial trends and variances + Ensure… more
- Molina Healthcare (Spokane, WA)
- …premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks. Maintain/update SQL model(s), ... support executive decision-making. + Research and develop reports and analysis for senior management; effectively communicate results. + Assist in the preparation of… more
- Molina Healthcare (Spokane, WA)
- …DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. ... Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and analysis… more
- Molina Healthcare (Spokane, WA)
- …on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules ... as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to… more
- Molina Healthcare (Spokane, WA)
- …needs. Supports upgrades, releases, and health plan implementations while validating data integrity and recommending improvements to enhance system efficiency and ... quality. **KNOWLEDGE/SKILLS/ABILITIES** + Serves as a subject matter expert (SME) on QNXT system capabilities, leveraging system knowledge to evaluate configuration options and recommend optimal solutions + Conducts in-depth research and analysis to identify… more
- Molina Healthcare (Spokane, WA)
- …estimate risk scores, and analyze impact. Extract, analyze, and synthesize data from various sources to identify risks. Additional leadership opportunities are ... available to lead national risk adjustment studies. Prior experience in Medicaid risk adjustment is not required. **KNOWLEDGE/SKILLS/ABILITIES** + Analyze risk score results - calculate financial impact and identify trends or other issues related to risk… more