- Molina Healthcare (Las Cruces, NM)
- …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 ... complex business challenges that impact cost containment and regulatory compliance . The position requires strong business judgment, cross-functional coordination,… more
- City of Las Cruces, NM (Las Cruces, NM)
- Management Analyst I Print (https://www.governmentjobs.com/careers/lascruces/jobs/newprint/5100531) Apply Management Analyst I Salary $53,723.80 - $76,425.70 ... the Public Works Department, but may be used to fill other Management Analyst I positions in other City Departments. Meeting or exceeding the minimum qualifications… more
- City of Las Cruces, NM (Las Cruces, NM)
- Budget Analyst I Print (https://www.governmentjobs.com/careers/lascruces/jobs/newprint/4954010) Apply Budget Analyst I Salary $53,723.90 - $76,425.65 Annually ... changes; assists Budget Manager with policy development, implementation, and compliance with governing regulations. + Coordinates budget development with Department… more
- Molina Healthcare (Las Cruces, NM)
- **Job Description** **Job Summary** The Sr Analyst , Encounters is responsible for monitoring inbound and outbound encounter processes and ensuring timely, accurate, ... submission criteria, maintains submission schedule, central documentation of market nuances, compliance , and regulatory requirements for primary market or state +… more
- Molina Healthcare (Las Cruces, NM)
- **Job Description** **Job Summary** Provides entry level analyst support for claims research activities. This role plays a pivotal role in ensuring the timely and ... with process improvement methodologies. + Knowledge of industry regulations and compliance standards. + Familiarity with systems used to manage claims inquiries… more
- Molina Healthcare (Las Cruces, NM)
- …requirements into overall functional architecture for complex s/w solutions in compliance with industry regulations. * Provides subject matter expertise and reviews ... defines and plans software engineering process improvements and verifies compliance . * Mentors and trains systems/programmer analysts on software applications,… more
- Molina Healthcare (Las Cruces, NM)
- …+ 5 + years of experience with oversight, auditing, government regulations/ compliance , operations + Must have strong understanding of QNXT claims processes ... + Must be able to identify and troubleshoot claim discrepancies by utilizing benefit and provider contracts, regulatory requirements and various claims related resources + Strong experience using Microsoft Office applications such as Excel, Word, Outlook,… more
- Molina Healthcare (Las Cruces, NM)
- …statistics. + Facilitating and coordination of meeting materials with Health Plan Compliance and Operations VPs for multiple states. + Subject Matter Expert in ... E2E enrollment processes for multiple states. + Assist with projects as assigned by Director, Enrollment concerning trending analysis, inventory, or other enrollment-related areas. + Quality review and submission of deliverables to Molina Healthcare Government… more