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Sr QNXT Analyst

Molina Healthcare

•

Fort Lauderdale, Florida, USA

Full-time

JOB DESCRIPTION Job Summary Responsible for accurate and timely implementation and maintenance of critical information 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 contracting, benefits, prior authorizations, fee schedules,
Posted 11 hours ago | Updated 10 hours ago

Senior Analyst, Risk & Quality Reporting (Remote)

Molina Healthcare

•

Remote or Miami Beach, Florida, USA

Full-time

Job Description Job Summary The Sr Analyst, Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom health plan reports to support local interventions, provider outreach, and tracks outcomes of the initiatives. Educates users on how to use reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. Assists with research, development, and completion of special performance improvement projects including root cause
Posted 11 hours ago | Updated 11 hours ago

Senior Specialist, Provider Network Admin (Required Exp. - Communications & Training)

Molina Healthcare

•

Fort Lauderdale, Florida, USA

Full-time

JOB DESCRIPTION Required Experience: Communications and Training Job Summary Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. KNOWLEDGE/SKILLS/ABILITIES Generates and prepares provider-related data and repor
Posted 11 hours ago | Updated 10 hours ago

Senior Analyst, Medical Economics - REMOTE

Molina Healthcare

•

Remote or Miami, Florida, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to
Posted 11 hours ago | Updated 10 hours ago

Systems Administrator, Provider Network (Salesforce Admin)

Molina Healthcare

•

Fort Lauderdale, Florida, USA

Full-time

Job Description Job Summary Provider Network Business Systems Administrator will work to help businesses improve efficiencies by using computer systems. It involves programming, networking, database management i.e. Salesforce, Conga Contract Lifecycle Management, Virsys 12 or other provider network administration applications as applicable. This role will require a comprehensive knowledge of computer information systems along with the skills necessary for effective decision making in a business
Posted 11 hours ago | Updated 10 hours ago

Sr Data Scientist - ML/AI/Databricks - Remote

Molina Healthcare

•

Remote or Miami Beach, Florida, USA

Full-time

Job Description Job Summary Perform data and error analysis to improve models, and clean and validate data for uniformity and accuracy. Execute data science and statistical analytical experiments methodically to help solve various problems and make a true impact across various healthcare domains. Developing and deploying advanced machine learning models and AI solutions that enhance our products and services. Leverage their expertise in data science, machine learning, and AI technologies to der
Posted 11 hours ago | Updated 10 hours ago

Principal Data Scientist - Generative AI, Machine Learning, Python, R - Remote

Molina Healthcare

•

Remote or Miami, Florida, USA

Full-time

Job Description Job Summary Responsible for overseeing data science projects, managing and mentoring a team, and aligning data initiatives with business goals. Lead the development and implementation of data models, collaborate with cross-functional teams, and stay updated on industry trends. Ensure ethical data use and communicate complex technical concepts to non-technical stakeholders. Lead initiatives on model governance and model ops to align with regulatory and security requirements. This
Posted 1 hour ago

Senior Analyst, Risk & Quality Reporting (Remote)

Molina Healthcare

•

Remote or Fort Lauderdale, Florida, USA

Full-time

Job Description Job Summary The Sr Analyst, Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom health plan reports to support local interventions, provider outreach, and tracks outcomes of the initiatives. Educates users on how to use reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. Assists with research, development, and completion of special performance improvement projects including root cause
Posted 11 hours ago | Updated 11 hours ago

Senior Analyst, Medical Economics - REMOTE

Molina Healthcare

•

Remote or Fort Lauderdale, Florida, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to
Posted 11 hours ago | Updated 10 hours ago

Sr Data Scientist - ML/AI/Databricks - Remote

Molina Healthcare

•

Remote or Fort Lauderdale, Florida, USA

Full-time

Job Description Job Summary Perform data and error analysis to improve models, and clean and validate data for uniformity and accuracy. Execute data science and statistical analytical experiments methodically to help solve various problems and make a true impact across various healthcare domains. Developing and deploying advanced machine learning models and AI solutions that enhance our products and services. Leverage their expertise in data science, machine learning, and AI technologies to der
Posted 11 hours ago | Updated 10 hours ago

Principal Data Scientist - Generative AI, Machine Learning, Python, R - Remote

Molina Healthcare

•

Remote or Fort Lauderdale, Florida, USA

Full-time

Job Description Job Summary Responsible for overseeing data science projects, managing and mentoring a team, and aligning data initiatives with business goals. Lead the development and implementation of data models, collaborate with cross-functional teams, and stay updated on industry trends. Ensure ethical data use and communicate complex technical concepts to non-technical stakeholders. Lead initiatives on model governance and model ops to align with regulatory and security requirements. This
Posted 1 hour ago

Computer Vision Engineer - Optical Modeling

SGS Consulting

•

Remote

Contract

Responsibilities: Develop and validate optical models as part of an imaging simulation pipeline to enable novel camera HW explorations, data generation, and product architecture validation.Partner with the internal optics and camera team to understand modeling requirements and to improve fidelity and efficiency.Liaison with software partners like Synopsis and Ansys to understand their implementations, limitations and find out solutions.Collaborate with developers of other pipeline components suc
Easy Apply
Posted 9 days ago | Updated 4 hours ago

ServiceNow HRSD Architect 100% Offer

V-Soft Consulting Group, Inc

•

Remote

Contract

ServiceNow Architect (100% Remote) Primary Location: 100% Remote V-Soft Consulting is currently hiring for a ServiceNow Architect (100% Remote) for our premier client. Education and Experience Must have with HRSD, CMDB configuration and data management. Knowledge of ServiceNow performance tuning and optimization practices. External Client consulting experience highly preferred Experience working in an Agile development environment is strongly preferred Experience leading and directing multipl
Easy Apply
Posted 10 days ago | Updated 5 hours ago

ServiceNow HRSD Architect 100% Offer

V-Soft Consulting Group, Inc

•

Remote

Contract

ServiceNow Architect (100% Remote) Primary Location: 100% Remote V-Soft Consulting is currently hiring for a ServiceNow Architect (100% Remote) for our premier client. Education and Experience Must have with HRSD, CMDB configuration and data management. Knowledge of ServiceNow performance tuning and optimization practices. External Client consulting experience highly preferred Experience working in an Agile development environment is strongly preferred Experience leading and directing multipl
Easy Apply
Posted 10 days ago | Updated 4 hours ago

Data Scientist (Remote)

Progressive Leasing

•

Georgia, USA

Full-time

Progressive Leasing is a leading provider of in-store and e-commerce lease-to-own solutions. As an almost 20+ year old FinTech company that has gone from start-up to industry leader, we know how to innovate, simplify, and value all people. We are a company founded on our grit and we are constantly looking to the future. As an ever-evolving group of entrepreneurs and technologists, we strive to do the right thing period in all aspects of our work. We are a subsidiary of PROG Holdings (NYSE: PRG),
Posted 9 hours ago

Data Scientist (Remote)

Progressive Leasing

•

Texas, USA

Full-time

Progressive Leasing is a leading provider of in-store and e-commerce lease-to-own solutions. As an almost 20+ year old FinTech company that has gone from start-up to industry leader, we know how to innovate, simplify, and value all people. We are a company founded on our grit and we are constantly looking to the future. As an ever-evolving group of entrepreneurs and technologists, we strive to do the right thing period in all aspects of our work. We are a subsidiary of PROG Holdings (NYSE: PRG),
Posted 9 hours ago

Data Scientist (Remote)

Progressive Leasing

•

Michigan, USA

Full-time

Progressive Leasing is a leading provider of in-store and e-commerce lease-to-own solutions. As an almost 20+ year old FinTech company that has gone from start-up to industry leader, we know how to innovate, simplify, and value all people. We are a company founded on our grit and we are constantly looking to the future. As an ever-evolving group of entrepreneurs and technologists, we strive to do the right thing period in all aspects of our work. We are a subsidiary of PROG Holdings (NYSE: PRG),
Posted 9 hours ago

Data Scientist (Remote)

Progressive Leasing

•

Arizona, USA

Full-time

Progressive Leasing is a leading provider of in-store and e-commerce lease-to-own solutions. As an almost 20+ year old FinTech company that has gone from start-up to industry leader, we know how to innovate, simplify, and value all people. We are a company founded on our grit and we are constantly looking to the future. As an ever-evolving group of entrepreneurs and technologists, we strive to do the right thing period in all aspects of our work. We are a subsidiary of PROG Holdings (NYSE: PRG),
Posted 9 hours ago

Data Scientist (Remote)

Progressive Leasing

•

Utah, USA

Full-time

Progressive Leasing is a leading provider of in-store and e-commerce lease-to-own solutions. As an almost 20+ year old FinTech company that has gone from start-up to industry leader, we know how to innovate, simplify, and value all people. We are a company founded on our grit and we are constantly looking to the future. As an ever-evolving group of entrepreneurs and technologists, we strive to do the right thing period in all aspects of our work. We are a subsidiary of PROG Holdings (NYSE: PRG),
Posted 9 hours ago

SAP S/4 Manufacturing Functional lead/ Sr. Consultant (Buffalo, NY + Remote)

Apex 2000

•

Remote or Buffalo, New York, USA

Contract

SAP S/4 Manufacturing Functional lead/ Sr. Consultant Location: Buffalo, NY + Remote Duration: 9-12 Month Implementng Client: Infosys JD: Skills required: i. 8-10+ years of SAP implementation experience ii. 2-3+ SAP S/4 end to end implementation experience . Played the role of a Lead or a Sr. Consultant on implementation programs iv. SAP S/4 PP (Production Planning), SAP Quality Management v. Well versed with manufacturing processes, supply chain processes, integration with upstream and dow
Easy Apply
Posted 20 days ago