- Molina Healthcare (Syracuse, NY)
- …Designs and implements processes and solutions associated with a wide variety of data sets used for data /text mining, analysis, modeling, and predicting to ... by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Identifies and interprets trends and… more
- Molina Healthcare (Syracuse, NY)
- …pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data systems and models + BI tools ... DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data , pharmacy data ,...Quantifying, Measuring and Analyzing Financial and Utilization Metrics of Healthcare + Basic knowledge of SQL + Preferred… more
- Molina Healthcare (Syracuse, NY)
- …translate them into comprehensive business and functional specifications. * Analyze complex healthcare data sets to identify trends and patterns. Communicate ... **Job Description** **Job Summary** The Lead Analyst , Advanced Provider Data Management is...ability to interact effectively with stakeholders at all levels ** PREFERRED EDUCATION:** Bachelor's degree in business administration, healthcare… more
- Molina Healthcare (Syracuse, NY)
- …in California and work PST hours. **Job Summary** Performs research and analysis of complex healthcare claims data , pharmacy data , and lab data regarding ... provides guidance to team members in their analysis of data sets and trends using statistical tools and techniques... systems and models + BI tools (Power BI) ** Preferred License, Certification, Association** QNXT or similar healthcare… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- **Overview** **Scope of Responsibilities:** **The Data Solutions Analyst ** will partner cross functionally to understand underlying business issues and will ... reporting to create tools/processes to create efficiencies. As a Data Solutions Analyst , you will be responsible...or higher in Business or Computer Science **Experience:** + Preferred : 3-5 or more years previous experience in related… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- **Overview** **Scope of Responsibilities:** **The Data Solutions Analyst ** will partner cross functionally to understand underlying business issues and will ... reporting to create tools/processes to create efficiencies. As a Data Solutions Analyst , you will be responsible...or higher in Business or Computer Science **Experience:** + Preferred : 2-3 or more years previous experience in related… more
- Molina Healthcare (Syracuse, NY)
- …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...QUALIFICATIONS** **Required Education** + Bachelor's Degree in business administration, healthcare management, or a related field; or equivalent combination… more
- Molina Healthcare (Syracuse, NY)
- …coordination, and shared ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational ... 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… more
- Molina Healthcare (Syracuse, NY)
- …Director of Clinical Informatics for Analytics & Interfaces, the Clinical Informatics Data Analyst is responsible for the development, design, and maintenance ... to measure and monitor department initiatives. Additionally, the Clinical Informatics Data Analyst will actively participate in planning, developing, and… more
- Molina Healthcare (Syracuse, NY)
- …health, more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the... Education** Master's Degree ** Preferred Experience** * Preferred experience in healthcare medical economics and/or… more
- Molina Healthcare (Syracuse, NY)
- …Microsoft Azure, AWS or Hadoop. * 3-5 Years of experience with predictive modeling in healthcare quality data . * 5+ Years of experience in Analysis related to ... **Job Summary** The Lead Analyst , Quality Analytics and Performance Improvement role will...develops reporting solutions to assist HEDIS Outbound, Inbound extracts, Data Ingestions, Dashboards, Reports & Extracts for rate tracking… more
- Molina Healthcare (Syracuse, NY)
- **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
- Molina Healthcare (Syracuse, NY)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare is seeking a seasoned Business Analyst to support cross-functional initiatives across all lines of ... data to identify gaps + Utilize researched data and IT/ Healthcare knowledge to recommend viable...with Agile methodologies and tools like Jira or SharePoint ** Preferred License, Certification, Association** + Six Sigma, CBAP, or… more
- Molina Healthcare (Syracuse, NY)
- **Job Description** **Job Summary** The Lead Analyst , Reimbursement is responsible for administering complex provider reimbursement methodologies timely and ... existing lines of business and expansion into new states. The Lead Analyst , Reimbursement will be primarily responsible for implementation, maintenance, and support… more
- Helio Health Inc. (Syracuse, NY)
- … healthcare issues. To support the mission of Helio Health, Inc., theClinical Data Analyst & Project Evaluatorwill collect and input program data ... the above. + Proficiency with SQL and Excel required. + Experience in behavioral healthcare and electronic medical records preferred . + Ability to carry out… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …the company financials, budget, forecasts, and long-range plans. This senior finance analyst will support the preparation and analysis of key performance indicators ... reflected in monthly forecasts and performance projections + Identify data sources and drivers that result in productivity and...Minimum: BS Degree or higher in a related field Preferred : **Experience:** + Minimum: 3-5 years previous experience in… more
- Molina Healthcare (Syracuse, NY)
- …equivalent combination of education and experience **Required Experience** 5-7 years Healthcare analytical experience ** Preferred Education** Graduate Degree or ... equivalent combination of education and experience ** Preferred Experience** 7-9 years healthcare analytical experience SQL, PowerBI, and Excel QNXT To all… more
- Molina Healthcare (Syracuse, NY)
- …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 (Syracuse, NY)
- …with complex enrollment issues concerning member eligibility. + QNXT + Healthcare experience + SQL- preferred **Job Qualifications** **Required Education** ... enrollment-related areas. + Quality review and submission of deliverables to Molina Healthcare Government Contract and to State Medicaid Agencies. + Tracking all… more
- Molina Healthcare (Syracuse, NY)
- …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...or CA DOFR, DME, capitation, Physician pricing is highly preferred . + Must have knowledge on Medicare payment methods… more