- Molina Healthcare (Roswell, 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 ... and shared ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational Ownership** + Assists… more
- Molina Healthcare (Roswell, NM)
- **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 (Roswell, NM)
- **Job Description** **Job Summary** The Lead Analyst , Advanced Provider Data Management is responsible for analyzing and understanding business processes, ... technical expertise, and the ability to mentor and support other analysts. The Lead Analyst often acts as a liaison between the business units and IT, ensuring that… more
- Molina Healthcare (Roswell, NM)
- …DESCRIPTION** **Job Summary** Molina Healthcare is seeking a seasoned Business Analyst to support cross-functional initiatives across all lines of business. This ... role will collaborate with teams in various departments (Claims, Enrollment, Provider Network, IT, Compliance, etc.) to analyze business needs, document requirements, and drive operational improvements. The ideal candidate will bring strong analytical skills,… more
- Molina Healthcare (Roswell, NM)
- …emerging technologies. **KNOWLEDGE/SKILLS/ABILITIES** + With limited supervision, the Sr. Analyst , Data is responsible for data compilation, data management, data ... analysis, and reporting + Extracts and compiles various sources of information and large data sets from various systems or applications + Set up process for monitoring, tracking and trending information and data using various systems or applications + Prepares… more
- Molina Healthcare (Roswell, NM)
- 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 actuarial team to complete incurred but not reported (IBNR) estimates and rate adequacy studies, and… more
- Molina Healthcare (Roswell, NM)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... analysis to ensure access to quality healthcare services for people receiving government assistance. Strengthens access to quality care with improved outcomes through better coordination and preventive care and develop payment strategies that give incentives… more
- Molina Healthcare (Roswell, NM)
- JOB DESCRIPTION Job Summary Provides entry level analyst support for clinical information systems activities. Responsible for provision of application technical ... support and design for clinical information systems - ensuring creation of workflows and enhancements that support process improvement and change management initiatives. Contributes to overarching strategy to provide quality and cost-effective member care.… more
- Molina Healthcare (Roswell, NM)
- JOB DESCRIPTION Job Summary Provides entry level analyst support for provider configuration activities including accurate and timely maintenance of critical provider ... information on all claims and provider databases. Synchronizes data within multiple claims systems and validates data stored within provider databases - ensuring adherence to business and system requirements as it pertains to contracting, network management… more
- Community Health Systems (Roswell, NM)
- **Job Summary** The HIM Analyst is responsible for supporting the management and accuracy of patient health information, auditing health records, and ensuring ... compliance with regulatory requirements. This role helps maintain the integrity of the electronic health record (EHR) system, collaborates with cross-functional teams, and provides data analysis to enhance health information processes. **What We Offer:** +… more
- Molina Healthcare (Roswell, NM)
- **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 and other outreach purposes. **ESSENTIAL JOB DUTIES:** *Mentors and leads 2-10 software engineers on multiple projects for project… more
- Molina Healthcare (Roswell, NM)
- …emerging technologies. **KNOWLEDGE/SKILLS/ABILITIES** + With limited supervision, the Sr. Analyst , Data is responsible for data compilation, data management, data ... analysis, and reporting + Extracts and compiles various sources of information and large data sets from various systems or applications + Set up process for monitoring, tracking and trending information and data using various systems or applications + Prepares… more
- Molina Healthcare (Roswell, NM)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... analysis to ensure access to quality healthcare services for people receiving government assistance. Strengthens access to quality care with improved outcomes through better coordination and preventive care and develop payment strategies that give incentives… more
- Molina Healthcare (Roswell, NM)
- …**Job Summary** 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 apply to each database. Validate accuracy of configuration and ensure adherence to business and system requirements of customers as it pertains to contracting,… more
- Molina Healthcare (Roswell, NM)
- …**Job Summary** Interfaces with internal and external customers in reviewing scope and developing requirements and plans for testing / quality assurance for ... enterprise projects of considerable complexity. Works with cross functional teams to prepare comprehensive test design specifications for functional, regression, performance and security testing. Performs analysis to identify dependency points and common areas… more
- Molina Healthcare (Roswell, NM)
- …**Job Summary** Provides senior level support for accurate and timely intake and interpretation of regulatory and/or functional requirements related to but not ... limited to coverage, reimbursement, and processing functions to support systems solutions development and maintenance. This role includes coordination with stakeholders and subject matter experts on partnering teams and supporting governance committees where… more
- Molina Healthcare (Roswell, NM)
- …**Job Summary** Serves as a subject matter expert on system capabilities, conducting research and root cause analysis to resolve complex business and technical ... issues. Ensures system configuration aligns with business rules, regulatory requirements, and operational needs. Supports upgrades, releases, and health plan implementations while validating data integrity and recommending improvements to enhance system… more
- Molina Healthcare (Roswell, NM)
- …**Job Summary** Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk adjustment model, ... estimate risk scores, and analyze impact. Extract, analyze, and synthesize data from various sources to identify risks. Additional leadership opportunities are available to lead national risk adjustment studies. Prior experience in Medicaid risk adjustment is… more
- Molina Healthcare (Roswell, NM)
- …**Job Summary** Responsible for estimating liabilities, establishing premium rates, financial analysis and reporting. Extracts, analyzes, and synthesizes data from ... various sources to identify risks. **KNOWLEDGE/SKILLS/ABILITIES** + Support the development of the IBNR estimates and rate adequacy studies. Document assumptions. + Analyze results to identify early signs of trends or other issues related to medical care… more
- Molina Healthcare (Roswell, NM)
- …**Required Education** Bachelor's Degree in Computer Science or related field or equivalent experience **Required Experience** 3-5 years experience supporting, ... designing and/or implementing application changes. **Preferred Education** Master's Degree **Preferred Experience** QNXT knowledge. SharePoint, MS Project experience. To all current Molina employees: If you are interested in applying for this position, please… more