- Molina Healthcare (Provo, UT)
- …archives. + Demonstrate Healthcare experience in contract modeling, analyzing relevant Financial and Utilization Metrics of Healthcare. + Must be able to ... Contracting as well as other external teams. + Must have experience in Financial modeling, identifying Utilization mgmt. trends and monitor pair mix. + Experience… more
- Molina Healthcare (Provo, UT)
- **Job 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 performance. This role focuses on identifying and executing...shared ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational Ownership**… more
- Molina Healthcare (Provo, UT)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... healthcare systems that deliver better health, more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical,… more
- Molina Healthcare (Provo, UT)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... healthcare systems that deliver better health, more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical,… more
- Molina Healthcare (Provo, UT)
- JOB DESCRIPTION Job Summary Provides analyst support for actuarial function activities including extracting, analyzing, and synthesizing data from various sources to ... identify risks. Estimates liabilities, establishes premium rates, and supports financial analysis and reporting. **Essential Job Duties** * Collaborates with… more
- Molina Healthcare (Provo, UT)
- **Job Summary** The Lead Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Reporting team. Designs and develops reporting ... with increasingly complex data problems in quantifying, measuring, and analyzing financial /performance management and utilization metrics. * 5+ Years of experience… more
- Molina Healthcare (Provo, UT)
- JOB DESCRIPTION Job Summary Provides entry level analyst support for provider configuration activities including accurate and timely maintenance of critical provider ... and contract assignment. * Audits loaded provider records for quality and financial accuracy, and provides documented feedback. * Ensures that provider information… more
- Molina Healthcare (Provo, UT)
- …is not required. **KNOWLEDGE/SKILLS/ABILITIES** + Analyze risk score results - calculate financial impact and identify trends or other issues related to risk scores. ... distribute routine reports to support risk adjustment calculations, pricing, and financial reporting + Identify opportunities for improvement in risk adjustment… more
- Molina Healthcare (Provo, UT)
- …**Job Summary** Responsible for estimating liabilities, establishing premium rates, financial analysis and reporting. Extracts, analyzes, and synthesizes data from ... Generate and distribute routine reports to support IBNR calculations, pricing, and financial reporting. + Extract and compile information from various systems to… more
- Kimley-Horn (Lehi, UT)
- …Personal leave, flexible scheduling, floating holidays, and half-day Fridays. + Financial Wellness: Student loan matching in our 401(k), and performance-based ... and childcare resources. Share this job with a friend (https://careers-kimley-horn.icims.com/jobs/19843/civil-engineering- analyst /job?mode=apply&apply=yes&in\_iframe=1&hashed=-1834442239) Share on social media _Applications are being accepted… more
- Molina Healthcare (Provo, UT)
- …Contracts configuration in QNXT or Networx + Experience in DOFR (division of financial responsibility) or CA DOFR, DME, capitation, Physician pricing is required. + ... Must have knowledge on Medicare payment methods + Experience on Hospital payment methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule knowledge is required + Medicaid and Duals… more
- Molina Healthcare (Provo, UT)
- …ideal candidate will have at least two years of experience as an analyst at an investment bank or similar firm. **Knowledge/Skills/Abilities** * Develop financial ... or related fields **REQUIRED EXPERIENCE:** + Minimum 5 years' experience in financial modeling and analysis + Ability to synthesize complex ideas and translate… more
- Molina Healthcare (Provo, UT)
- …Department staff for mentoring, coaching, and analysis questions. + Reviews Pharmacy analyst work products to ensure accuracy and clarity. + Reviews regulatory ... reporting needs. + Creates reporting for strategic analysis, profitability, financial analysis, utilization patterns and medical management. + Interfaces and… more