- Molina Healthcare (Rochester, NY)
- JOB DESCRIPTION **Job Summary** Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory ... inquiries and projects. * Interprets and presents in-depth analysis of claims research findings and results to leadership and respective operations teams. *… more
- Molina Healthcare (Rochester, 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
- Molina Healthcare (Rochester, NY)
- …Responsible for accurate and timely auditing of critical information on claims databases. Maintains critical auditing and outcome information. Synchronizes data ... among operational and claims systems and application of business rules as they...review standards and methodology * Leads peer reviews * Research and review new audit tools and techniques and… more
- Molina Healthcare (Rochester, NY)
- … research , financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...basis using SQL, Excel, and other reporting software. * Research , develop, analyze and recommend cost savings opportunities in… more
- Molina Healthcare (Rochester, NY)
- … research , financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...basis using SQL, Excel, and other reporting software. + Research , develop, analyze and recommend cost savings opportunities in… more
- Molina Healthcare (Rochester, NY)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... and Identifying targeted Interventions and tracking outcome. Assist with research , development, and completion of special performance improvement projects.… more
- MVP Health Care (Rochester, NY)
- …accuracy of claims and supporting overall payment accuracy. + Perform research using "best practices" in auditing methodologies, remaining current in CPC coding, ... improvement. To achieve this, we're looking for an Overpayment Recovery and Monitoring Analyst to join #TeamMVP. If you have a passion for managing audits, medical… more
- Molina Healthcare (Rochester, NY)
- …emerging technologies. **KNOWLEDGE/SKILLS/ABILITIES** + With limited supervision, the Sr. Analyst , Data is responsible for data compilation, data management, data ... trends + Works with internal, external and enterprise individuals as needed to research , develop, and document new standard reports or processes + Consolidates data… more
- Molina Healthcare (Rochester, NY)
- …Procedures, Standard Operating Procedures and other internal guidelines. + Review, research , analyze and evaluate information to assess compliancy between a process ... compliance related. + Coordinate, facilitate and document audit walkthroughs. + Research , collect or generate requested documentation. Provide timely and accurate… more
- Molina Healthcare (Rochester, NY)
- …Candidates must be located in California and work PST hours. **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and ... of assigned reports, document reporting processes and procedures. + Assist with research , development and completion of special projects as requested by various… more