- Molina Healthcare (Louisville, KY)
- …the numbers, assess business impacts, and make recommendations through use of healthcare analytics , predictive modeling, etc. + Analysis and forecasting of ... **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and… more
- Molina Healthcare (Louisville, KY)
- **Job Description** **Job Summary** The Sr Analyst , Risk Adjustment - Predicitve Analytics role supports Molina's Risk Adjustment Predictive Analytics team. ... of special projects. **Knowledge/Skills/Abilities** + Assist Risk Adjustment Data Analytics Leaders in Prospective and Retrospective Intervention Strategy … more
- Molina Healthcare (Louisville, KY)
- **Job Description** **Job Summary** The Sr. Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs ... on how to use reports. + Assist Quality Data Analytics Leaders in Predictive Intervention Strategy Analytics ...for business data issues as assigned by the team lead . + Analyze data sets and trends for anomalies,… more
- Molina Healthcare (Louisville, KY)
- …learned, release notes, DDI documents. + Performs other duties as assigned by the Team Lead and Analytics Manager. + Provides peer review and unit test reports. ... + Successfully completes training courses set forth by Analytics team manager. + Maintains SharePoint sites. **JOB QUALIFICATIONS** **Required Education** Bachelor's… more
- Molina Healthcare (Louisville, KY)
- **Job Description** **Job Summary** The Lead Analyst , Advanced Provider Data Management is responsible for analyzing and understanding business processes, ... the ability to mentor and support other analysts. The Lead Analyst often acts as a liaison...into comprehensive business and functional specifications. * Analyze complex healthcare data sets to identify trends and patterns. Communicate… more
- Molina Healthcare (Louisville, KY)
- …conclusions based on analyses performed, make recommendations through use of healthcare analytics , predictive modeling, and communicate those conclusions ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to...related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health… more
- Molina Healthcare (Louisville, KY)
- …education is acceptable. **REQUIRED EXPERIENCE:** + 1-3 years of experience in Healthcare (payer experience), Vendor Management, Data Analytics , Contract Terms ... management activities + Partners with vendor and vendor management team with data analytics and reporting needs to support data driven decisions + Reviews and… more
- Molina Healthcare (Louisville, KY)
- …regulatory filing documents, and addressing regulatory objections. The candidate may lead multiple projects of varying scale and complexity with limited direct ... expertise in at least one actuarial function (pricing, reserving, risk adjustment, analytics , modeling, etc.) + Leads an analytical project from beginning to end… more
- Elevance Health (Louisville, KY)
- **Business Analyst II** **Location:** This position will work a hybrid model (remote & office). The ideal candidate will live within 50 miles of one of our Elevance ... Health PulsePoint office locations. The **Business Analyst II** is responsible for configurating pharmacy benefits in our coding systems against business criteria.… more
- Molina Healthcare (Louisville, KY)
- …Services Operations Center (PSOC), you will be a member of Molina Healthcare 's Protection Services Operations Center, reporting to the Director. This role will ... services to the enterprise. The candidate should be an experienced hands-on analyst that will help implement, support and maintain our business applications. You… more
- BrightSpring Health Services (Louisville, KY)
- …and ensuring the organization's financial health and sustainability. Responsibilities + Lead the entire finance function for Hospice and Home Health business ... lines , including pricing model and analyses, forecast, budget, analytics , financial reviews, management reporting, and strategic initiatives, and ensure a tight… more
- BrightSpring Health Services (Louisville, KY)
- …with a matrixed reporting relationship to the President of Pharmacy. Responsibilities + Lead the entire finance function for the LTC and Hospice Pharmacy business, ... including pricing model and analyses, forecast, budget, analytics , financial reviews, management reporting, and strategic initiatives, and ensure a tight alignment… more