- Molina Healthcare (Lexington, KY)
- …Degree or equivalent combination of education and experience **Preferred Experience** 5-7 years data analyst experience SQL and PowerBI experience. To all ... emerging technologies. **KNOWLEDGE/SKILLS/ABILITIES** + With limited supervision, the Sr. Analyst , Data is responsible for data...Data is responsible for data compilation, data management, data analysis ( SQL ),… more
- Molina Healthcare (Lexington, KY)
- …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... analysis tools and techniques, such as Excel or SQL + Excellent communication, presentation, and interpersonal skills, with… more
- Molina Healthcare (Lexington, KY)
- …current and emerging technologies. **KNOWLEDGE/SKILLS/ABILITIES** + With limited supervision, the Sr. Analyst , Data is responsible for data compilation, ... processes and solutions associated with a wide variety of data sets used for data /text mining, analysis,...primarily fraud, waste and abuse. + Experience working on SQL , PowerBI, databricks. + Experience on ETL , healthcare… more
- CVS Health (Frankfort, KY)
- …has an exciting opportunity to join our PBM Finance Enablement group as a Senior Reporting Analyst within our PBM Customer Reporting team. CVS Health strives ... regulatory Prompt Pay and Pharmacy Payment Compliance reporting using SQL and SAS. You will continuously improve quality controls...team is highly collaborative. You will report to the Senior Reporting Manager within the PBM Finance Data… more
- Molina Healthcare (Lexington, KY)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial… more
- Molina Healthcare (Lexington, KY)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial… more
- Molina Healthcare (Lexington, KY)
- …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...submission mailbox, submit RFCs in iServe, and notify the Analyst of completion. + Researches and reviews MRDT issues… more
- Molina Healthcare (Lexington, KY)
- **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
- CVS Health (Frankfort, KY)
- …with heart, each and every day. **Position Summary** As a Healthcare Encounter Senior Analyst for claim reconciliation in the State Medicaid Encounters ... identify trends or issues with the integrity of the data within those files. Many innovative solutions are driven...Experience with Medicaid. - Experience working with SAS or SQL . **Education** - Bachelor's degree, or high school diploma… more
- Molina Healthcare (Lexington, KY)
- …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...of education and experience **Required Experience** 5-7 years in SQL , Medicare, Networx, QNXT, claims processing and hospital claims… more
- Molina Healthcare (Lexington, KY)
- …Script, XML, HTML, DHTML, SharePoint server, BizTalk Server 2004/6, Microsoft SQL Server 2000/5, DTS/SSIS/SSRS on windows platform. *Drives Joint Applications ... as application development, business process re-engineering, enterprise integration, logical data modeling, project coordination, estimation, metrics generation, status reporting.… more