- Molina Healthcare (Louisville, KY)
- …Operations teams + Interprets, communicates, and presents, clear in-depth analysis of claims research results, root cause analysis, remediation plans and fixes, ... **Job Description** **Job Summary** Serves as claims subject matter expert. Assist the business teams...Molina. Identifies the root cause of processing errors through research and analysis, coordinates and engages with appropriate departments,… more
- Elevance Health (Louisville, KY)
- ** Claims Analyst III- Overpayment Prevention (Business Analyst III)** _Location: This position will work a hybrid model ( remote and office). The ideal ... incorporated into query design, completes and coordinates UAT testing on claims identified as potential overpayments. Completes all required documentation to support… 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. Designs ... to suport Molina's Prospective and Retrospective Interventions. Assist with research , development,and completion of special projects. **Knowledge/Skills/Abilities** + Assist… more
- Molina Healthcare (Louisville, KY)
- …tables through the user interface. + Apply previous experience and knowledge to research and resolve claim/encounter issues, pended claims and update system(s) ... accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes… more
- Elevance Health (Louisville, KY)
- **Title: Grievance/Appeals Analyst I** **Location:** This position will work a hybrid model ( remote and office). Ideal candidates will live within 50 miles of ... one of our PulsePoint locations. The **Grievance/Appeals Analyst I** is an entry level position in the Enterprise Grievance & Appeals Department that reviews,… more