Dir, Healthcare Analytics

Job Summary Manages the activities of the Data Analytics and Operations team. 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 reports and makes recommendations based on relevant findings. Uses advanced mathematical,...

Job DescriptionJOB DESCRIPTIONJob SummaryPerforms 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 relevant...

Job DescriptionJOB DESCRIPTIONJob SummaryPerforms 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 relevant...

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 relevant findings. KNOWLEDGE/SKILLS/ABILITIES Develop ad-hoc reports...

Job DescriptionJOB DESCRIPTIONJob SummaryPerforms 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 relevant...

Job DescriptionJOB DESCRIPTIONJob SummaryPerforms 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 relevant...

Job DescriptionJOB DESCRIPTIONJob SummaryAnalyst, 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...

Job Summary The position will oversee and manage the Vendor Management team responsible of managing and coordinating the vendor activities between contracted entities and Molina Healthcare to support enrollment, claims, contact center, appeals and grievances, risk adjustment, medical records, quality, Provider and/or other functions under operations across...

Job DescriptionJOB DESCRIPTION****Employee for this role will work standard EST business hours******Job Summary Designs and implements processes and solutions associated with a wide variety of healthcare data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and...

Job DescriptionJob Description Job Summary Responsible for collecting, storing, processing, and analyzing large sets of data. The primary focus will be on choosing optimal solutions to use for these purposes, then maintaining, implementing, and monitoring them. He/she will also be responsible to follow architecture and best practices used across the...

Position Overview: We are seeking a detail-oriented and motivated individual to join our team as an Epic HomeHealth Analyst. In this role, you will be responsible for supporting the configuration, testing, and optimization of the Epic HomeHealth module, which facilitates the management of home health services and patient care in a home setting. The...

Overview: CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our...

Overview: CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our...

Job DescriptionJOB DESCRIPTIONJob SummaryAnalyst, 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...

Looking for a Mainframe lead responsible for diagnosing problem areas, designing innovative solutions, facilitating deployment and defining and automating the processesBenefitsMedical insurance, Flex Spending Account (FSA)CultureAt The Next Innings, we're more than just an upskilling platform. We're a beacon of empowerment, guiding individuals and businesses...

Job DescriptionJob Description Job SummaryThe Sr Analyst, Risk Adjustment - Predicitve Analytics role supports Molina's Risk Adjustment Predictive Analytics team. Designs and develops Suspect, Targeting, and Tracking System to suport Molina's Prospective and Retrospective Interventions. Assist with research, development,and completion of special...

Job DescriptionJob DescriptionJob Summary The Sr Analyst, Risk Adjustment - Predicitve Analytics role supports Molina's Risk Adjustment Predictive Analytics team. Designs and develops Suspect, Targeting, and Tracking System to suport Molina's Prospective and Retrospective Interventions. Assist with research, development,and completion of special projects....

Job DescriptionJOB DESCRIPTIONJob Summary Designs, develops, and executes objectives of the corporate FP&A group. Manager role, responsible for leading a team that develops financial analytics of internal and external data, variance analysis, drivers analysis, scenarios analysis, modeling and forecasting & budgeting. KNOWLEDGE/SKILLS/ABILITIES Manages...

Job Description Job Summary Job Duties Serves as the primary contact to State agencies for all Risk and Quality matters. Leads the local Quality committees. Prepares, in collaboration and support with MHI Quality, required documentation for state Performance Improvement Projects. Aligns with Enterprise the design, implementation, and monitoring the...

Job DescriptionJOB DESCRIPTIONJob SummaryThis role is on the Corporate Financial Planning and Analysis team primarily supporting G&A submissions. The successful candidate in this position will assist in the management of G&A oversight of several business units, supporting the monthly close function, forecasting / budgeting, headcount / vendor tracking and...