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Senior Actuarial Analyst (Medicare Risk Adjustment) - REMOTE

Molina Healthcare

Remote or Albuquerque, New Mexico, 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, Ohio, 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

Software Engineer 4

V-Soft Consulting Group, Inc

Catawba, North Carolina, USA

Contract

Software Engineer 4 Primary Location: Catawba, North Carolina Hybrid position V-Soft Consulting is currently hiring for a Software Engineer 4 for our premier client in Catawba, North Carolina. Education and Experience BS in Computer Science or related field Must Have: C# Experience. SQL. Rest Experience. Full Stack Experience. Experienced Software Engineer. Experienced Engineer- little hand holding. WHAT YOULL DO: Job Responsibilities: Day to Day: Working through some developmental, contract

Architect - Expert ISO Policy Change Development

V-Soft Consulting Group, Inc

Remote

Contract

Architect - Expert ISO Policy Change Development (Remote) Primary Location: Remote V-Soft Consulting is currently hiring for an Architect - Expert ISO Policy Change Development (Remote) for our premier client. WHAT YOULL NEED: Technical Requirements and Certifications ITIL (formerly Information Technology Infrastructure Library) certification. SABSA or TOGAF certification. CISSP information security certification. Education and Experience Progressive advanced experience as an IT information

Helpdesk Analyst 2nd Shift

V-Soft Consulting Group, Inc

Remote

Contract

Helpdesk Analyst 2nd Shift (Remote) Primary Location: Remote V-Soft Consulting is currently hiring for a Helpdesk Analyst 2nd Shift (Remote) for our premier client. WHAT YOULL NEED: Technical Requirements and Certifications Epic certification in one or more modules (e.g., EpicCare, Ambulatory, Security, or Service Desk). Education and Experience Minimum of 2 years providing Epic technical support in a healthcare or clinical environment.: 2 Years. Proficient with ServiceNow or other enterpris

Senior Process Consultant (Medicare) - REMOTE

Molina Healthcare

Remote or Macon, Georgia, 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 Orem, 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 Athens, Georgia, 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 Alpharetta, Georgia, 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 Decatur, Georgia, 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 Lawrenceville, Georgia, 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 Ann Arbor, Michigan, 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 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 Yonkers, New York, 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 Chandler, 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 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 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 Clearfield, 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 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