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Associate Program Manager (Provider Network)

Molina Healthcare

•

Phoenix, Arizona, USA

Full-time

Remote and must live in California Job Description Job Summary Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions'
Posted 1 hour ago

Senior Specialist, Provider Network Administration

Molina Healthcare

•

Scottsdale, Arizona, USA

Full-time

JOB DESCRIPTION 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 reports in support of Network Management and Operations
Posted 1 hour ago

Senior Specialist, Provider Network Administration

Molina Healthcare

•

Phoenix, Arizona, USA

Full-time

JOB DESCRIPTION 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 reports in support of Network Management and Operations
Posted 1 hour ago

Sr QNXT Analyst

Molina Healthcare

•

Mesa, Arizona, 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 moments ago

Sr QNXT Analyst

Molina Healthcare

•

Chandler, Arizona, 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 moments ago

Associate Program Manager (Provider Network)

Molina Healthcare

•

Mesa, Arizona, USA

Full-time

Remote and must live in California Job Description Job Summary Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions'
Posted 1 hour ago

Senior Specialist, Provider Network Administration

Molina Healthcare

•

Mesa, Arizona, USA

Full-time

JOB DESCRIPTION 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 reports in support of Network Management and Operations
Posted 1 hour ago

Associate Program Manager (Provider Network)

Molina Healthcare

•

Chandler, Arizona, USA

Full-time

Remote and must live in California Job Description Job Summary Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions'
Posted 1 hour ago

Senior Specialist, Provider Network Administration

Molina Healthcare

•

Chandler, Arizona, USA

Full-time

JOB DESCRIPTION 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 reports in support of Network Management and Operations
Posted 1 hour ago

Systems Administrator, Provider Network (Salesforce Admin)

Molina Healthcare

•

Phoenix, Arizona, 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 1 hour ago

Systems Administrator, Provider Network (Salesforce Admin)

Molina Healthcare

•

Scottsdale, Arizona, 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 1 hour ago

Senior Analyst, Risk & Quality Reporting (Remote)

Molina Healthcare

•

Remote or Glendale, Arizona, 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 1 hour ago

Senior Analyst, Risk & Quality Reporting (Remote)

Molina Healthcare

•

Remote or Phoenix, Arizona, 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 1 hour ago

Systems Administrator, Provider Network (Salesforce Admin)

Molina Healthcare

•

Mesa, Arizona, 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 1 hour ago

Systems Administrator, Provider Network (Salesforce Admin)

Molina Healthcare

•

Chandler, Arizona, 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 1 hour ago

Senior Analyst, Risk & Quality Reporting (Remote)

Molina Healthcare

•

Remote or Avondale, Arizona, 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 1 hour ago

Senior Analyst, Medical Economics - REMOTE

Molina Healthcare

•

Remote or Phoenix, Arizona, 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 moments ago

Senior Analyst, Medical Economics - REMOTE

Molina Healthcare

•

Remote or Scottsdale, Arizona, 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 1 hour ago

Senior Analyst, Risk & Quality Reporting (Remote)

Molina Healthcare

•

Remote or Gilbert, Arizona, 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 1 hour ago

Senior Analyst, Medical Economics - REMOTE

Molina Healthcare

•

Remote or Mesa, Arizona, 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 1 hour ago