Health Plan Risk & Quality Reporting Specialist
Molina Healthcare, Inc.
Molina Healthcare is seeking a Health Plan Data Analyst to support risk and quality reporting for Medicaid, Medicare, Marketplace, and MMP. The role involves designing custom reports, educating users, and guiding intervention strategies to close gaps in HEDIS performance. The ideal candidate will have 2+ years of data cleansing experience related to HEDIS or risk adjustment, strong SQL and Power BI skills, and the ability to manage multiple priorities in a fast-paced healthcare environment. #J-18808-Ljbffr Molina Healthcare, Inc.
$132.8k - $166k
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$41.5k - $62.3k
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...practical solutions that reduce risk, simplify operations, and... ...Disability 401(k) Retirement Plan Paid Time Off Flexible Spending... ...Managed Services supports, manages, reports, and monitors our clients'... ...responses, etc. Manage clients’ health and create corrective steps as...RiskHealth InsuranceTemporary workWork experience placementLocal areaFlexible hours- ...remote-first homeowners insurer, seeks an entry-level Pricing & Risk Analyst to translate policy, quote, and claims data into practical... ...first year, you’ll develop state analyses, produce recurring reports, and contribute to profitability and growth while learning insurance...RiskRemote work
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$63k - $112k
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$141.97k - $227.2k
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...will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government... ...physicians, team members, Quality, Compliance, partners... ...provider education, analyzing reports, and identifying... ...CRC) OR Certified Coding Specialist (CCS) OR Registered...RiskHealth InsuranceFull timeFor contractorsWork at officeLocal areaRemote workFlexible hours- ..., coach teams, and guide pricing strategies for commercial auto risks. This remote role supports cross‑functional collaboration and client... ...business goals with staffing constraints, while driving high‑quality actuarial outputs and stakeholder #J-18808-Ljbffr CSAA...RiskRemote job
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$70k
...Insurance; we also offer a company-paid health care concierge service to help navigate our health plan to make the best decisions for... ...have significant complexity and risk (new client, new product, etc.)... ...-to-day account management and reporting In this exciting career...RiskHealth InsuranceFull timeContract workFor contractorsWork experience placementLocal areaRemote workFlexible hoursShift workNight shift- ...Company : Highmark Health Job Description : JOB... ...responsible for the successful planning, execution, and... ...budget, and to the required quality standards. This... ...resources, mitigating risks, and fostering effective... ...detailed RAID log. Reporting & Documentation: Prepare...RiskHealth InsuranceFull timeFor contractorsWork at officeLocal area
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$80.8k - $101k
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