• Lead Analyst - Medicaid

    Molina Healthcare (Covington, KY)
    …**Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment ... information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. **KNOWLEDGE/SKILLS/ABILITIES** + Develops, implements, and uses software and systems to support the… more
    Molina Healthcare (01/25/25)
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  • Payment Integrity Analyst III (ALD)

    LA Care Health Plan (Los Angeles, CA)
    Payment Integrity Analyst III (ALD) Job Category: Claims Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: ... safety net required to achieve that purpose. Job Summary The Payment Integrity Analyst III is responsible for leading or assisting in vendor implementations and… more
    LA Care Health Plan (02/05/25)
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