Molina Work From Home Jobs Advisor Full Time
Industry: Private
Employment Type: Full Time
Work Hours: 8
Salary: £35 – £45Hour
Location: United Kingdom
Company: Molina Healthcare
Description:
Molina Work From Home Jobs Advisor Full Time
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.
Molina Work From Home Jobs Advisor Full Time
Knowledge/Skills/Abilities
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Directs Health Plan strategic analysis and planning coordinating across business units to meet data analysis and database development needs. Includes Utilization Management data needs, facilitating care coordination.
Mentors, coaches, and provides guidance regarding finance and analysis.
Identifies and sets departmental priorities in alignment with the operating plan, budget, and regulatory requirements.
Implements strategies to ensure service level benchmarks for report turn-around are met. Reporting includes Healthcare Analysis, Quality Analysis, Risk Adjustment,
Finance and other departments. Demonstrates best practices and collaboration on projects.
Reviews high priority analyses, reports, SQL programming and other Finance projects for accuracy, completeness, return on investment, and compliance with regulatory requirements.
Functions as subject matter expert on finance and healthcare analytics topics. Able to teach financial/technical information.
Reviews regulatory contract requirements and reporting requirements applicable to the Finance Department. Implements strategies and infrastructure to ensure compliance with regulatory requirements.
Molina Work From Home Jobs Advisor Full Time
Job Qualifications
Required Education
Bachelor’s Degree in Finance, Economics, Math, Computer Science, Information Systems or related field
Required Experience
5 years experience leading healthcare analytics function12 years work experience preferable in claims processing environment and/or healthcare environment
Strong knowledge of SQL 2005/2008 SSRS report development
Familiar with relational database concepts, and SDLC concepts
Preferred Education
Masters’ Degree in Finance, Economics, Math, Computer Science, Information Systems or related field.
Preferred Experience
5 – 7 years supervisory experience
Molina Work From Home Jobs Advisor Full Time
About the Molina Healthcare Company :
Molina Healthcare is a leading provider of managed healthcare services, primarily in the United States. However, as of my last update in January 2022, Molina Healthcare does not operate in the United Kingdom. It’s possible that there may have been developments or expansions beyond that time frame, but I don’t have information on any such changes.
Founded in 1980 by Dr. C. David Molina, Molina Healthcare has grown to become a Fortune 500 company, serving individuals and families eligible for government-sponsored healthcare programs such as Medicaid and Medicare. The company is known for its commitment to providing quality care to underserved populations, including low-income individuals and those with complex medical needs.
Molina Healthcare offers a range of health insurance products and services designed to improve access to healthcare and promote better health outcomes. These services typically include medical care, behavioral health services, long-term care, and other support services.
In the United States, Molina Healthcare operates in multiple states, serving millions of members through its network of healthcare providers and facilities. The company’s mission is to provide affordable, high-quality healthcare to those in need, with a focus on preventive care and wellness initiatives.
While Molina Healthcare has not historically operated in the United Kingdom, it’s worth noting that the healthcare landscape is constantly evolving, and companies may explore international expansion opportunities in the future. However, as of my last update, Molina Healthcare’s operations remain primarily focused in the United States.
Molina Work From Home Jobs Advisor Full Time
Molina Work From Home Jobs Advisor Full Time – SarkariVaccancy
