- Molina Healthcare (Tucson, AZ)
- …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 (Tucson, AZ)
- …score reporting with Databricks and Power BI, organizing and managing large and varied data sets, analyzing healthcare data for decision support, and ... analysis. Performs research and deep-dive analysis of complex healthcare claims data , CMS return files, and...analytic support for finance, pricing and actuarial functions. + Healthcare Analyst I experience desired. + PowerBI,… more
- Molina Healthcare (Tucson, AZ)
- …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 (Tucson, AZ)
- …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
- Molina Healthcare (Tucson, AZ)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data , pharmacy data , and lab data regarding network ... utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on… more
- Molina Healthcare (Tucson, AZ)
- …Candidate must reside in Georgia **Job Summary** Performs research and analysis of complex healthcare claims data , pharmacy data , and lab data ... + Helps to oversee development, organization, and ongoing maintenance of data representing a wide range of healthcare information. +… more
- Molina Healthcare (Tucson, AZ)
- …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. Collaborates across departments and with… more
- Molina Healthcare (Tucson, AZ)
- …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 (Tucson, AZ)
- …related field ** PREFERRED EXPERIENCE:** 7-9 years of experience as a Business Analyst ; healthcare industry strongly preferred To all current Molina ... **Job Description** **Job Summary** The Sr. Analyst , Advanced Provider Data Management is...into comprehensive business and functional specifications. * Analyze complex healthcare data sets to identify trends, patterns… more
- Molina Healthcare (Tucson, AZ)
- …& ABILITIES:** 4+ years experience in health care industry in related field ** PREFERRED EDUCATION:** Bachelor's degree in healthcare related field ** PREFERRED ... to the Health Care environment **Job Duties** The Operational/Regulatory Oversight Sr. Analyst works with health plans and operations departments to assess, oversee,… more
- Molina Healthcare (Tucson, AZ)
- …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 (Tucson, AZ)
- …solutions. * Write advanced SQL queries to extract, validate, and analyze healthcare data , including claims, authorization, pharmacy, and lab datasets. * ... in clinical and business operations. * Maintain fluency in healthcare data types (eg, ICD/CPT codes, HEDIS...collaboration skills to work with clinical and business stakeholders ** Preferred Experience** + 4+ years in a healthcare… more
- Molina Healthcare (Tucson, AZ)
- …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 (Tucson, AZ)
- …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 (Tucson, AZ)
- **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 (Tucson, AZ)
- **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 (Tucson, AZ)
- …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 (Tucson, AZ)
- …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 (Tucson, AZ)
- …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 (Tucson, AZ)
- …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...+ GA Medicaid claims/ reimbursement/ coding experience is highly preferred **JOB QUALIFICATIONS** **Required Education** Associate degree or equivalent… more