senior analyst Jobs in detroit, mi

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Senior Analyst, Medical Economics - REMOTE

Molina Healthcare

Remote or Detroit, Michigan, 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

Senior Analyst, Medical Economics - REMOTE

Molina Healthcare

Remote or Warren, Michigan, 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

Senior Analyst, Risk & Quality Reporting (Remote)

Molina Healthcare

Remote or Detroit, Michigan, 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

Senior Analyst, Healthcare Analytics (Risk Adjustment) - REMOTE

Molina Healthcare

Remote or Detroit, Michigan, 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 Analyst, Risk & Quality Reporting (Remote)

Molina Healthcare

Remote or Warren, Michigan, 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

Senior Analyst, Healthcare Analytics (Risk Adjustment) - REMOTE

Molina Healthcare

Remote or Warren, Michigan, 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 Analyst, Medical Economics - REMOTE

Molina Healthcare

Remote or Sterling Heights, Michigan, 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

Senior Analyst, Risk & Quality Reporting (Remote)

Molina Healthcare

Remote or Sterling Heights, Michigan, 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

Senior Analyst, Healthcare Analytics (Risk Adjustment) - REMOTE

Molina Healthcare

Remote or Sterling Heights, Michigan, 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 Analyst, Medical Economics - REMOTE

Molina Healthcare

Remote or Rochester, Michigan, 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

Senior Analyst, Risk & Quality Reporting (Remote)

Molina Healthcare

Remote or Rochester, Michigan, 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

Senior Analyst, Healthcare Analytics (Risk Adjustment) - REMOTE

Molina Healthcare

Remote or Rochester, Michigan, 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 Analyst, Medical Economics - REMOTE

Molina Healthcare

Remote or Ann Arbor, Michigan, 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

Senior Analyst, Healthcare Analytics (Risk Adjustment) - REMOTE

Molina Healthcare

Remote or Ann Arbor, Michigan, 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 Analyst, Medical Economics - REMOTE

Molina Healthcare

Remote or Toledo, Ohio, 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

Senior Analyst, Risk & Quality Reporting (Remote)

Molina Healthcare

Remote or Toledo, Ohio, 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

Sr. Workday Functional Analyst

Randstad Digital

Troy, Michigan, USA

Full-time

job summary: The Sr Workday Functional Analyst role will be involved with administration, development and support of Workday. The role requires gathering of requirements, solving issues, system configuration, testing, developing and executing of enhancements. Workday functionality that this role will primarily support include: Core HCM, Benefits and Compensation location: Troy, Michigan job type: Permanent salary: $90,000 - 110,000 per year work hours: 9am to 5pm education: Bachelors r

Senior Analyst, Healthcare Analytics (Risk Adjustment) - REMOTE

Molina Healthcare

Remote or Toledo, Ohio, 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 Detroit, Michigan, 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 Warren, Michigan, 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