- Molina Healthcare (Caldwell, ID)
- …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. Collaborates across departments and with… more
- Molina Healthcare (Caldwell, ID)
- …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 (Caldwell, ID)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... and educate users on how to use reports. + Assist Quality Data Analytics Leaders in Predictive Intervention Strategy Analytics along with corresponding tracking… more
- Molina Healthcare (Caldwell, ID)
- **Job Summary** The Lead Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Reporting team. Designs and develops reporting ... solutions to assist HEDIS Outbound, Inbound extracts, Data Ingestions, Dashboards, Reports & Extracts for rate tracking and other outreach purposes. **ESSENTIAL JOB… more
- Elevance Health (Meridian, ID)
- **Business Analyst II - AmeriBen** **Location** : This role requires associates to be in-office **1-2** days per week, fostering collaboration and connectivity, ... administrator (TPA) of medical benefits, including medical management. The **Business Analyst II** is responsible for translating basic business needs into… more
- Molina Healthcare (Caldwell, ID)
- …reporting work is well-organized, clearly defined, and delivered accurately. The Senior Analyst helps bring structure to reporting efforts and serves as a liaison ... and reviews SQL queries and database stored procedures + Supports data validation, troubleshooting, and quality assurance activities + Develops and maintains… more
- Molina Healthcare (Caldwell, ID)
- **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 (Caldwell, ID)
- **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 (Caldwell, ID)
- JOB DESCRIPTION **Job Summary** Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory requirements ... claims-related regulatory and contractual requirements. * Tailors existing reports and/or available data to meet the needs of claims projects. * Evaluates claims… more
- St. Luke's Health System (Meridian, ID)
- **Overview** Under limited supervision, the Business Systems Analyst Senior provides strategic business analysis services to the business partners. This position ... of documents (850,855,856,810) -Identify, analyze, and resolve EDI errors, rejections, and data discrepancies in a timely manner -Onboard, test, and maintain EDI… more
- Molina Healthcare (Caldwell, ID)
- JOB DESCRIPTION Job Summary Provides analyst support for actuarial function activities including extracting, analyzing, and synthesizing data from various ... sources to identify risks. Estimates liabilities, establishes premium rates, and supports financial analysis and reporting. **Essential Job Duties** * Collaborates with actuarial team to complete incurred but not reported (IBNR) estimates and rate adequacy… more
- Molina Healthcare (Caldwell, ID)
- …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. Collaborates across departments and with… more
- Molina Healthcare (Caldwell, ID)
- …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 to business and system requirements of customers as it pertains to… more
- Molina Healthcare (Caldwell, ID)
- …use. + Assist manager with preparation of submission of Sarbanes-Oxley (SOX) audit data to internal and external auditors. + Assist with complex enrollment issues ... concerning member eligibility. **Job Qualifications** **Required Education** Associate's Degree or equivalent combination of education and experience **Required Experience** 1-3 years **Preferred Education** Bachelor's degree in Accounting and/or Business or… more
- Molina Healthcare (Caldwell, ID)
- …large and complex requirements. + Ability to organize and maintain regulatory data including real-time policy changes. + Self-motivated and ability to take ... initiative, identify, communicate, and resolve potential problems. + Ability to work independently in a remote environment. + Ability to work with those in other time zones than your own. **JOB QUALIFICATIONS** **Required Qualifications** + At least 4 years of… more
- Molina Healthcare (Caldwell, ID)
- …estimate risk scores, and analyze impact. Extract, analyze, and synthesize data from various sources to identify risks. Additional leadership opportunities are ... available to lead national risk adjustment studies. Prior experience in Medicaid risk adjustment is not required. **KNOWLEDGE/SKILLS/ABILITIES** + Analyze risk score results - calculate financial impact and identify trends or other issues related to risk… more
- Molina Healthcare (Caldwell, ID)
- …application development, business process re-engineering, enterprise integration, logical data modeling, project coordination, estimation, metrics generation, status ... reporting. Provides thought leadership or hands-on expertise for problem resolution, application enhancements, user training and documentation of business processes. Strong application delivery methodology or SDLC background, functional domain or software… more
- Molina Healthcare (Caldwell, ID)
- …for subject matter experts' consideration, and working with our graphic artist and data analyst to create charts / illustrations. Supports the proposal ... management team with communications, various deliverables, and proposal related activities. May support proposal capture and strategy activities to develop pre-proposal content. Interns are assigned special projects and various other duties that are intended… more