- Molina Healthcare (Provo, UT)
- **JOB DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to ... influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and… more
- Molina Healthcare (Provo, UT)
- **JOB DESCRIPTION** **Job Summary** Provides senior level support for accurate and timely intake and interpretation of regulatory and/or functional requirements ... in areas to ensure alignment to regulatory baseline requirements and any health plan/product team developed requirements. + Monitors regulatory sources to ensure all… more
- Molina Healthcare (Provo, UT)
- …verbal communication skills required to present analytical results and findings to health plans' senior management team and key stakeholder meetings (PowerPoint) ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...incentives to providers and healthcare systems that deliver better health , more affordably. Performs research, financial modeling, and analysis… 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 ... that give incentives to providers and healthcare systems that deliver better health , more affordably. Performs research, financial modeling, and analysis of complex… more
- Molina Healthcare (Provo, UT)
- …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 to business and system requirements of customers as it pertains...in the implementation and conversion of new and existing health plans. + Executes retroactive claims reports + Runs… more
- Molina Healthcare (Provo, UT)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... intervention outcome and for overall markets and LOB. + Work in an agile business environment to derive meaningful information out of complex as well as large… more
- Molina Healthcare (Provo, UT)
- …capabilities, conducting research and root cause analysis to resolve complex business and technical issues. Ensures system configuration aligns with business ... regulatory requirements, and operational needs. Supports upgrades, releases, and health plan implementations while validating data integrity and recommending… more
- Molina Healthcare (Provo, UT)
- …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 to business and system requirements of customers as it pertains...in the implementation and conversion of new and existing health plans. + Must have experience in Contracts configuration… more
- Molina Healthcare (Provo, UT)
- **JOB DESCRIPTION** **Job Summary** Provides senior level support for accurate and timely intake and interpretation of regulatory and/or functional requirements ... in areas to ensure alignment to regulatory baseline requirements and any health plan/product team developed requirements. + Monitors regulatory sources to ensure all… more