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Senior Process Consultant (Medicare) - REMOTE

Molina Healthcare

Remote or Scottsdale, Arizona, USA

Full-time

JOB DESCRIPTION Job Summary Leads business process improvement initiatives that result in operational efficiencies and/or an increase in customer satisfaction. Assists in development of MHI's business process improvement methodology and in the implementation of a business process improvement capability. KNOWLEDGE/SKILLS/ABILITIES Responsible for most complex process analysis, design, and simulation. Requires highest level understanding of organization's business and industry requirements. Focus

Senior Process Consultant (Medicare) - REMOTE

Molina Healthcare

Remote or Lehi, Utah, USA

Full-time

JOB DESCRIPTION Job Summary Leads business process improvement initiatives that result in operational efficiencies and/or an increase in customer satisfaction. Assists in development of MHI's business process improvement methodology and in the implementation of a business process improvement capability. KNOWLEDGE/SKILLS/ABILITIES Responsible for most complex process analysis, design, and simulation. Requires highest level understanding of organization's business and industry requirements. Focus

Senior Process Consultant (Medicare) - REMOTE

Molina Healthcare

Remote or St. George, Utah, USA

Full-time

JOB DESCRIPTION Job Summary Leads business process improvement initiatives that result in operational efficiencies and/or an increase in customer satisfaction. Assists in development of MHI's business process improvement methodology and in the implementation of a business process improvement capability. KNOWLEDGE/SKILLS/ABILITIES Responsible for most complex process analysis, design, and simulation. Requires highest level understanding of organization's business and industry requirements. Focus

Senior Process Consultant (Medicare) - REMOTE

Molina Healthcare

Remote or Ogden, Utah, USA

Full-time

JOB DESCRIPTION Job Summary Leads business process improvement initiatives that result in operational efficiencies and/or an increase in customer satisfaction. Assists in development of MHI's business process improvement methodology and in the implementation of a business process improvement capability. KNOWLEDGE/SKILLS/ABILITIES Responsible for most complex process analysis, design, and simulation. Requires highest level understanding of organization's business and industry requirements. Focus

Senior Process Consultant (Medicare) - REMOTE

Molina Healthcare

Remote or Rexburg, Idaho, USA

Full-time

JOB DESCRIPTION Job Summary Leads business process improvement initiatives that result in operational efficiencies and/or an increase in customer satisfaction. Assists in development of MHI's business process improvement methodology and in the implementation of a business process improvement capability. KNOWLEDGE/SKILLS/ABILITIES Responsible for most complex process analysis, design, and simulation. Requires highest level understanding of organization's business and industry requirements. Focus

Senior Process Consultant (Medicare) - REMOTE

Molina Healthcare

Remote or Post Falls, Idaho, USA

Full-time

JOB DESCRIPTION Job Summary Leads business process improvement initiatives that result in operational efficiencies and/or an increase in customer satisfaction. Assists in development of MHI's business process improvement methodology and in the implementation of a business process improvement capability. KNOWLEDGE/SKILLS/ABILITIES Responsible for most complex process analysis, design, and simulation. Requires highest level understanding of organization's business and industry requirements. Focus

Senior Analyst, Healthcare Analytics (Risk Adjustment) - REMOTE

Molina Healthcare

Remote or Augusta, Georgia, USA

Full-time

JOB DESCRIPTION Job Summary This Sr. Analyst, Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment Actuarial team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data to evaluate healthcare intervention program performance. Develops and presents Risk Adjustment intervention ROI, incremental conditions captured, and other program performance

Senior Actuarial Analyst (Medicare Risk Adjustment) - REMOTE

Molina Healthcare

Remote or Decatur, Georgia, USA

Full-time

JOB DESCRIPTION Job Summary Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks. Maintain/update SQL model(s), estimate risk scores, and analyze impact. KNOWLEDGE/SKILLS/ABILITIES Collaborate with Actuarial staff to calculate risk adjustment payment estimates. Document assumptions. Analyze results to identify early signs of trends or other issues

Senior Process Consultant (Medicare) - REMOTE

Molina Healthcare

Remote or Fort Lauderdale, Florida, USA

Full-time

JOB DESCRIPTION Job Summary Leads business process improvement initiatives that result in operational efficiencies and/or an increase in customer satisfaction. Assists in development of MHI's business process improvement methodology and in the implementation of a business process improvement capability. KNOWLEDGE/SKILLS/ABILITIES Responsible for most complex process analysis, design, and simulation. Requires highest level understanding of organization's business and industry requirements. Focus

Senior Actuarial Analyst (Medicare Risk Adjustment) - REMOTE

Molina Healthcare

Remote or Savannah, Georgia, USA

Full-time

JOB DESCRIPTION Job Summary Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks. Maintain/update SQL model(s), estimate risk scores, and analyze impact. KNOWLEDGE/SKILLS/ABILITIES Collaborate with Actuarial staff to calculate risk adjustment payment estimates. Document assumptions. Analyze results to identify early signs of trends or other issues

Senior Actuarial Analyst (Medicare Risk Adjustment) - REMOTE

Molina Healthcare

Remote or Athens, Georgia, USA

Full-time

JOB DESCRIPTION Job Summary Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks. Maintain/update SQL model(s), estimate risk scores, and analyze impact. KNOWLEDGE/SKILLS/ABILITIES Collaborate with Actuarial staff to calculate risk adjustment payment estimates. Document assumptions. Analyze results to identify early signs of trends or other issues

Senior Actuarial Analyst (Medicare Risk Adjustment) - REMOTE

Molina Healthcare

Remote or Alpharetta, Georgia, USA

Full-time

JOB DESCRIPTION Job Summary Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks. Maintain/update SQL model(s), estimate risk scores, and analyze impact. KNOWLEDGE/SKILLS/ABILITIES Collaborate with Actuarial staff to calculate risk adjustment payment estimates. Document assumptions. Analyze results to identify early signs of trends or other issues

Senior Actuarial Analyst (Medicare Risk Adjustment) - REMOTE

Molina Healthcare

Remote or Lawrenceville, Georgia, USA

Full-time

JOB DESCRIPTION Job Summary Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks. Maintain/update SQL model(s), estimate risk scores, and analyze impact. KNOWLEDGE/SKILLS/ABILITIES Collaborate with Actuarial staff to calculate risk adjustment payment estimates. Document assumptions. Analyze results to identify early signs of trends or other issues

Senior Actuarial Analyst (Medicare Risk Adjustment) - REMOTE

Molina Healthcare

Remote or Columbus, Georgia, USA

Full-time

JOB DESCRIPTION Job Summary Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks. Maintain/update SQL model(s), estimate risk scores, and analyze impact. KNOWLEDGE/SKILLS/ABILITIES Collaborate with Actuarial staff to calculate risk adjustment payment estimates. Document assumptions. Analyze results to identify early signs of trends or other issues

Senior Process Consultant (Medicare) - REMOTE

Molina Healthcare

Remote or Fort Worth, Texas, USA

Full-time

JOB DESCRIPTION Job Summary Leads business process improvement initiatives that result in operational efficiencies and/or an increase in customer satisfaction. Assists in development of MHI's business process improvement methodology and in the implementation of a business process improvement capability. KNOWLEDGE/SKILLS/ABILITIES Responsible for most complex process analysis, design, and simulation. Requires highest level understanding of organization's business and industry requirements. Focus

Senior Analyst, Healthcare Analytics (Risk Adjustment) - REMOTE

Molina Healthcare

Remote or Savannah, Georgia, USA

Full-time

JOB DESCRIPTION Job Summary This Sr. Analyst, Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment Actuarial team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data to evaluate healthcare intervention program performance. Develops and presents Risk Adjustment intervention ROI, incremental conditions captured, and other program performance

Senior Process Consultant (Medicare) - REMOTE

Molina Healthcare

Remote or Jacksonville, Florida, USA

Full-time

JOB DESCRIPTION Job Summary Leads business process improvement initiatives that result in operational efficiencies and/or an increase in customer satisfaction. Assists in development of MHI's business process improvement methodology and in the implementation of a business process improvement capability. KNOWLEDGE/SKILLS/ABILITIES Responsible for most complex process analysis, design, and simulation. Requires highest level understanding of organization's business and industry requirements. Focus

Senior Actuarial Analyst (Medicare Risk Adjustment) - REMOTE

Molina Healthcare

Remote or Chandler, Arizona, USA

Full-time

JOB DESCRIPTION Job Summary Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks. Maintain/update SQL model(s), estimate risk scores, and analyze impact. KNOWLEDGE/SKILLS/ABILITIES Collaborate with Actuarial staff to calculate risk adjustment payment estimates. Document assumptions. Analyze results to identify early signs of trends or other issues

Identity Integration Specialist - Workday/Active Directory Integration (100% Remote)

Prohires

Remote

Contract

Job TitleIdentity Integration Specialist - Workday/Active Directory Integration (100% Remote)Project LocationRemote, WHDuration6 months /Contract Skills Required and Job Description: Interview: Phone & Video Visa: No H1B 100% Remote Position Summary: We need a skilled specialist to resolve integration challenges between our new Workday HCM system and existing AD/Entra ID infrastructure across two organizational units. This role establishes Workday as our authoritative identity source while ma

Senior Analyst, Healthcare Analytics (Risk Adjustment) - REMOTE

Molina Healthcare

Remote or Orem, Utah, USA

Full-time

JOB DESCRIPTION Job Summary This Sr. Analyst, Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment Actuarial team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data to evaluate healthcare intervention program performance. Develops and presents Risk Adjustment intervention ROI, incremental conditions captured, and other program performance