- AvaSure (Grand Rapids, MI)
- …improvements? Do you learn quickly and want to help make a difference in the healthcare industry? Would you like to use your skills in a collaborative and fast-paced ... you as a potentially amazing fit! Position Purpose: The Customer Success Operations Analyst plays a critical role in managing and optimizing the tools and… more
- Molina Healthcare (Grand Rapids, MI)
- …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 (Grand Rapids, MI)
- …or equivalent combination of education and experience **Required Experience** 3-5 years data analyst experience ** Preferred Education** Bachelor's Degree or ... equivalent combination of education and experience ** Preferred Experience** 5-7 years data ...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
- Molina Healthcare (Grand Rapids, MI)
- …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 (Grand Rapids, MI)
- …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 (Grand Rapids, MI)
- …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 (Grand Rapids, MI)
- …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 (Grand Rapids, MI)
- …Director of Clinical Informatics for Analytics & Interfaces, the Clinical Informatics Data Analyst is responsible for the development, design, and maintenance ... to measure and monitor department initiatives. Additionally, the Clinical Informatics Data Analyst will actively participate in planning, developing, and… more
- Molina Healthcare (Grand Rapids, MI)
- …health, more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the... Education** Master's Degree ** Preferred Experience** + Preferred experience in healthcare medical economics and/or… more
- Molina Healthcare (Grand Rapids, MI)
- …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 (Grand Rapids, MI)
- **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 (Grand Rapids, MI)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare is seeking a seasoned Business Analyst to support cross-functional initiatives across all lines of ... data to identify gaps + Utilize researched data and IT/ Healthcare knowledge to recommend viable...with Agile methodologies and tools like Jira or SharePoint ** Preferred License, Certification, Association** + Six Sigma, CBAP, or… more
- Molina Healthcare (Grand Rapids, MI)
- 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… more
- Molina Healthcare (Grand Rapids, MI)
- …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 (Grand Rapids, MI)
- …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 (Grand Rapids, MI)
- …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 (Grand Rapids, MI)
- …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...or CA DOFR, DME, capitation, Physician pricing is highly preferred . + Must have knowledge on Medicare payment methods… more
- Molina Healthcare (Grand Rapids, MI)
- …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...+ Networx / Pricer and claims experience is highly preferred . + SQL is highly preferred . **JOB… more
- Molina Healthcare (Grand Rapids, MI)
- …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...Education** HS Diploma or GED **Required Experience** 0-3 years ** Preferred Education** Associate degree or equivalent combination of education… more
- Molina Healthcare (Grand Rapids, MI)
- …application development, business process re-engineering, enterprise integration, logical data modeling, project coordination, estimation, metrics generation, status ... 3-5 years experience supporting, designing and/or implementing application changes. ** Preferred Education** Master's Degree ** Preferred Experience** QNXT… more
