- Molina Healthcare (Des Moines, IA)
- …Effectively uses current and emerging technologies. This position will be focused on Medicare Stars requirements and data review. Please make sure to include ... Designs and implements processes and solutions associated with a wide variety of data sets used for data /text mining, analysis, modeling, and predicting to… more
- Molina Healthcare (Des Moines, IA)
- …coordination, and shared ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational ... lead level support as a highly capable business analyst who serves as a key strategic partner in...and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements… more
- Molina Healthcare (Des Moines, IA)
- **Job Summary** The Lead Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Reporting team. Designs and develops reporting ... solutions to assist HEDIS Outbound, Inbound extracts, Data Ingestions, Dashboards, Reports & Extracts for rate tracking...related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare /MMP * Develops custom health plan reports related to… more
- Elevance Health (West Des Moines, IA)
- …to: + Analyzes and develops SAS and SQL programming to support Medicaid and Medicare Advantage risk adjustment initiatives. + Performs data mining and data ... **Risk Adjustment Actuarial Analyst II - Advanced Analytics** **On-Site Requirement: Hybrid...to risk adjustment analytics in both the Medicaid and Medicare Advantage lines of business. **How You Will Make… more
- Molina Healthcare (Des Moines, IA)
- … mining, verification, scrubbing, and root cause analysis. + Do root cause analysis for business data issues as assigned by the team lead . + Analyze data ... **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will...users on how to use reports. + Assist Quality Data Analytics Leaders in Predictive Intervention Strategy Analytics along… more
- Trinity Health (Clive, IA)
- …potential financial impact on the member organizations of major changes in Medicare and Medicaid policies. Assists in related advocacy efforts regarding such ... adhere to federal, state and other third-party reimbursement regulations. Prepares Annual Medicare , Medicaid, Blue Cross and Tricare cost reporting for the Trinity… more