What Jobs are available for Healthcare Professionals in Louisville?
Showing 13 Healthcare Professionals jobs in Louisville
Client Partner (HealthCare Payer)
40287 Louisville, Kentucky
Capgemini
Posted today
Job Viewed
Job Description
Sogeti Is looking for a Client Partner in our Louisville Kentucky Region with Health Care Payer / Insurance experience.
**About the job:**
The Client Partner is responsible for his/her
account-s delivery portfolio of engagements as well as new
business opportunities identification. The CDP ensures long
term relationship value creation and profitable growth for
a key account from the lens of a delivery professional.
He/she is the CIO/s operational, and technology trusted
advisor. The CDP has an EM background with added
responsibilities in account development and delivery oversight
on the account portfolio.
**Life at Sogeti** - Sogeti supports all aspects of your well-being throughout the changing stages of your life and career. For eligible employees, we offer:
+ Flexible work options
+ 401(k) with 150% match up to 6%
+ Employee Share Ownership Plan
+ Medical, Prescription, Dental & Vision Insurance
+ Life Insurance
+ 100% Company-Paid Mobile Phone Plan
+ 3 Weeks PTO + 7 Paid Holidays
+ Paid Parental Leave
+ Adoption, Surrogacy & Cryopreservation Assistance
+ Subsidized Back-up Child/Elder Care & Tutoring
+ Career Planning & Coaching
+ $5,250 Tuition Reimbursement & 20,000+ Online Courses
+ Employee Resource Groups
+ Counseling & Support for Physical, Financial, Emotional & Spiritual Well-being
+ Disaster Relief Programs
**About Sogeti**
Part of the Capgemini Group, Sogeti makes business value through technology for organizations that need to implement innovation at speed and want a local partner with global scale. With a hands-on culture and close proximity to its clients, Sogeti implements solutions that will help organizations work faster, better, and smarter. By combining its agility and speed of implementation through a DevOps approach, Sogeti delivers innovative solutions in quality engineering, cloud and application development, all driven by AI, data and automation.
**Become Your Best** | is an Equal Opportunity Employer encouraging diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race, national origin, gender identity/expression, age, religion, disability, sexual orientation, genetics, veteran status, marital status or any other characteristic protected by law.
This is a general description of the Duties, Responsibilities and Qualifications required for this position. Physical, mental, sensory or environmental demands may be referenced in an attempt to communicate the manner in which this position traditionally is performed. Whenever necessary to provide individuals with disabilities an equal employment opportunity, Capgemini will consider reasonable accommodations that might involve varying job requirements and/or changing the way this job is performed, provided that such accommodations do not pose an undue hardship.
Capgemini is committed to providing reasonable accommodation during our recruitment process. If you need assistance or accommodation, please reach out to your recruiting contact.
Please be aware that Capgemini may capture your image (video or screenshot) during the interview process and that image may be used for verification, including during the hiring and onboarding process.
Click the following link for more information on your rights as an Applicant for employment in the US must have valid work authorization that does not now and/or will not in the future require sponsorship of a visa for employment authorization in the US by Capgemini.
Capgemini discloses salary range information in compliance with state and local pay transparency obligations. The disclosed range represents the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting, although we may ultimately pay more or less than the disclosed range, and the range may be modified in the future. The disclosed range takes into account the wide range of factors that are considered in making compensation decisions including, but not limited to, geographic location, relevant education, qualifications, certifications, experience, skills, seniority, performance, sales or revenue-based metrics, and business or organizational needs. At Capgemini, it is not typical for an individual to be hired at or near the top of the range for their role. The base salary range for the tagged location is 140 to 160k plus bonus.
This role may be eligible for other compensation including variable compensation, bonus, or commission. Full time regular employees are eligible for paid time off, medical/dental/vision insurance, 401(k), and any other benefits to eligible employees.
Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company-s sole discretion, consistent with the law.
Sogeti is an Equal Opportunity Employer encouraging diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race, national origin, gender identity/expression, age, religion, disability, sexual orientation, genetics, veteran status, marital status or any other characteristic protected by law.
**About the job:**
The Client Partner is responsible for his/her
account-s delivery portfolio of engagements as well as new
business opportunities identification. The CDP ensures long
term relationship value creation and profitable growth for
a key account from the lens of a delivery professional.
He/she is the CIO/s operational, and technology trusted
advisor. The CDP has an EM background with added
responsibilities in account development and delivery oversight
on the account portfolio.
**Life at Sogeti** - Sogeti supports all aspects of your well-being throughout the changing stages of your life and career. For eligible employees, we offer:
+ Flexible work options
+ 401(k) with 150% match up to 6%
+ Employee Share Ownership Plan
+ Medical, Prescription, Dental & Vision Insurance
+ Life Insurance
+ 100% Company-Paid Mobile Phone Plan
+ 3 Weeks PTO + 7 Paid Holidays
+ Paid Parental Leave
+ Adoption, Surrogacy & Cryopreservation Assistance
+ Subsidized Back-up Child/Elder Care & Tutoring
+ Career Planning & Coaching
+ $5,250 Tuition Reimbursement & 20,000+ Online Courses
+ Employee Resource Groups
+ Counseling & Support for Physical, Financial, Emotional & Spiritual Well-being
+ Disaster Relief Programs
**About Sogeti**
Part of the Capgemini Group, Sogeti makes business value through technology for organizations that need to implement innovation at speed and want a local partner with global scale. With a hands-on culture and close proximity to its clients, Sogeti implements solutions that will help organizations work faster, better, and smarter. By combining its agility and speed of implementation through a DevOps approach, Sogeti delivers innovative solutions in quality engineering, cloud and application development, all driven by AI, data and automation.
**Become Your Best** | is an Equal Opportunity Employer encouraging diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race, national origin, gender identity/expression, age, religion, disability, sexual orientation, genetics, veteran status, marital status or any other characteristic protected by law.
This is a general description of the Duties, Responsibilities and Qualifications required for this position. Physical, mental, sensory or environmental demands may be referenced in an attempt to communicate the manner in which this position traditionally is performed. Whenever necessary to provide individuals with disabilities an equal employment opportunity, Capgemini will consider reasonable accommodations that might involve varying job requirements and/or changing the way this job is performed, provided that such accommodations do not pose an undue hardship.
Capgemini is committed to providing reasonable accommodation during our recruitment process. If you need assistance or accommodation, please reach out to your recruiting contact.
Please be aware that Capgemini may capture your image (video or screenshot) during the interview process and that image may be used for verification, including during the hiring and onboarding process.
Click the following link for more information on your rights as an Applicant for employment in the US must have valid work authorization that does not now and/or will not in the future require sponsorship of a visa for employment authorization in the US by Capgemini.
Capgemini discloses salary range information in compliance with state and local pay transparency obligations. The disclosed range represents the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting, although we may ultimately pay more or less than the disclosed range, and the range may be modified in the future. The disclosed range takes into account the wide range of factors that are considered in making compensation decisions including, but not limited to, geographic location, relevant education, qualifications, certifications, experience, skills, seniority, performance, sales or revenue-based metrics, and business or organizational needs. At Capgemini, it is not typical for an individual to be hired at or near the top of the range for their role. The base salary range for the tagged location is 140 to 160k plus bonus.
This role may be eligible for other compensation including variable compensation, bonus, or commission. Full time regular employees are eligible for paid time off, medical/dental/vision insurance, 401(k), and any other benefits to eligible employees.
Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company-s sole discretion, consistent with the law.
Sogeti is an Equal Opportunity Employer encouraging diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race, national origin, gender identity/expression, age, religion, disability, sexual orientation, genetics, veteran status, marital status or any other characteristic protected by law.
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0
IT Project Manager - Healthcare
40287 Louisville, Kentucky
NTT DATA North America
Posted today
Job Viewed
Job Description
At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees have been key factors in our company's growth and market presence. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here.
For more than 25 years, NTT DATA Services have focused on impacting the core of your business operations with industry-leading outsourcing services and automation. With our industry-specific platforms, we deliver continuous value addition, and innovation that will improve your business outcomes. Outsourcing is not just a method of gaining a one-time cost advantage, but an effective strategy for gaining and maintaining competitive advantages when executed as part of an overall sourcing strategy.
NTT DATA Services currently seeks a **IT Project Manager** to join our team in **Remote, USA.**
**Role Responsibilities**
+ The IT Project Manager assembles a project team, identifies appropriate resources needed, and develops schedules to ensure timely completion of project.
+ Often actively manages stakeholder partnerships and mitigates risks.
+ Familiar with the system scope and project objectives, as well as the role and function of each team member, in order to effectively coordinate the activities of the team.
+ When managing programs, oversees the interdependencies and integration of interrelated projects, and sets strategies and program execution to deliver longer term business value.
+ Can possess specialized knowledge of Software Development Life Cycle (SDLC) and Information Technology Infrastructure Library (ITIL) frameworks used to manage risks and issues unique to technology projects.
+ Understands own work area professional concepts/standards, regulations, strategies and operating standards.
+ Makes decisions regarding own work approach/priorities and follows direction.
+ Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation.
**Required Skills/Experience :**
+ Bachelor's degree in Business, Information Technology or a related field
+ 8+ years of Demonstrated experience in technical product selection, technical design and practical implementation of IT solutions
+ 4+ years working knowledge of Oracle and IBM Relational Database Management Systems, executive information systems and statistical software packages
+ 4+ years Comprehensive knowledge of development languages, tools, and utilities, including Cobol, CICS, DB, ASP, COM, .Net and SQL
+ Six Sigma and/or Project Management Institute certification
**Preferences**
+ Must be passionate about contributing to an organization focused on continuously improving consumer experiences
+ Longevity working in data warehouse, decision support and reporting system environments
+ Experience in the health solutions industry
+ Master's Degree in Business Administration preferred
About NTT DATA Services:
NTT DATA Services is a recognized leader in IT and business services, including cloud, data and applications, headquartered in Texas. As part of NTT DATA, a $30 billion trusted global innovator with a combined global reach of over 80 countries, we help clients transform through business and technology consulting, industry and digital solutions, applications development and management, managed edge-to-cloud infrastructure services, BPO, systems integration and global data centers. We are committed to our clients' long-term success. Visit nttdata.com or LinkedIn to learn more.
NTT DATA Services is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team.
Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting hourly range for this remote role is **($8.30- 48.30/hourly )** . This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on several factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications.
This position is eligible for company benefits that will depend on the nature of the role offered. Company benefits may include medical, dental, and vision insurance, flexible spending or health savings account, life, and AD&D insurance, short-and long-term disability coverage, paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally required benefits.
For more than 25 years, NTT DATA Services have focused on impacting the core of your business operations with industry-leading outsourcing services and automation. With our industry-specific platforms, we deliver continuous value addition, and innovation that will improve your business outcomes. Outsourcing is not just a method of gaining a one-time cost advantage, but an effective strategy for gaining and maintaining competitive advantages when executed as part of an overall sourcing strategy.
NTT DATA Services currently seeks a **IT Project Manager** to join our team in **Remote, USA.**
**Role Responsibilities**
+ The IT Project Manager assembles a project team, identifies appropriate resources needed, and develops schedules to ensure timely completion of project.
+ Often actively manages stakeholder partnerships and mitigates risks.
+ Familiar with the system scope and project objectives, as well as the role and function of each team member, in order to effectively coordinate the activities of the team.
+ When managing programs, oversees the interdependencies and integration of interrelated projects, and sets strategies and program execution to deliver longer term business value.
+ Can possess specialized knowledge of Software Development Life Cycle (SDLC) and Information Technology Infrastructure Library (ITIL) frameworks used to manage risks and issues unique to technology projects.
+ Understands own work area professional concepts/standards, regulations, strategies and operating standards.
+ Makes decisions regarding own work approach/priorities and follows direction.
+ Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation.
**Required Skills/Experience :**
+ Bachelor's degree in Business, Information Technology or a related field
+ 8+ years of Demonstrated experience in technical product selection, technical design and practical implementation of IT solutions
+ 4+ years working knowledge of Oracle and IBM Relational Database Management Systems, executive information systems and statistical software packages
+ 4+ years Comprehensive knowledge of development languages, tools, and utilities, including Cobol, CICS, DB, ASP, COM, .Net and SQL
+ Six Sigma and/or Project Management Institute certification
**Preferences**
+ Must be passionate about contributing to an organization focused on continuously improving consumer experiences
+ Longevity working in data warehouse, decision support and reporting system environments
+ Experience in the health solutions industry
+ Master's Degree in Business Administration preferred
About NTT DATA Services:
NTT DATA Services is a recognized leader in IT and business services, including cloud, data and applications, headquartered in Texas. As part of NTT DATA, a $30 billion trusted global innovator with a combined global reach of over 80 countries, we help clients transform through business and technology consulting, industry and digital solutions, applications development and management, managed edge-to-cloud infrastructure services, BPO, systems integration and global data centers. We are committed to our clients' long-term success. Visit nttdata.com or LinkedIn to learn more.
NTT DATA Services is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team.
Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting hourly range for this remote role is **($8.30- 48.30/hourly )** . This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on several factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications.
This position is eligible for company benefits that will depend on the nature of the role offered. Company benefits may include medical, dental, and vision insurance, flexible spending or health savings account, life, and AD&D insurance, short-and long-term disability coverage, paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally required benefits.
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1
Data Analyst (Healthcare Preferred) - Remote
40287 Louisville, Kentucky
Molina Healthcare
Posted today
Job Viewed
Job Description
**Job Summary**
Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Identifies and interprets trends and patterns in datasets to locate influences and provides recommendations and strategic/tactical plans based on findings. Collaborates within Care Connections and across departments to define requirements and understand business problems. Uses advanced mathematical, statistical, querying, and reporting methods to develop solutions. Develops information tools, algorithms, dashboards, and queries to monitor and improve business performance. Creates specifications for reports and analysis based on business needs and required or available data elements and works with Clinical Informatics to design. Creates solutions from initial concept to fully tested production products and communicates results to a broad range of audiences.
Effectively uses current and emerging technologies.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Extracts and compiles various sources of information and large data sets from various systems to identify and analyze data.
+ Sets up process for monitoring, tracking, and trending department data, including quality measures, effectiveness of communications, and process improvements.
+ Works with internal, external and enterprise stakeholders, as needed, to research, develop, and document new standard reports and/or processes.
+ Implements and uses the analytics software and systems to support department goals.
**JOB QUALIFICATIONS**
**Required Education**
Associate's Degree or equivalent combination of education and experience
**Required Experience**
1-3 years
**Preferred Education**
Bachelor's Degree or equivalent combination of education and experience
**Preferred Experience**
3-5 year
Quality and/or Medicare Stars knowledge highly preferred
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $77,969 - $116,835 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Identifies and interprets trends and patterns in datasets to locate influences and provides recommendations and strategic/tactical plans based on findings. Collaborates within Care Connections and across departments to define requirements and understand business problems. Uses advanced mathematical, statistical, querying, and reporting methods to develop solutions. Develops information tools, algorithms, dashboards, and queries to monitor and improve business performance. Creates specifications for reports and analysis based on business needs and required or available data elements and works with Clinical Informatics to design. Creates solutions from initial concept to fully tested production products and communicates results to a broad range of audiences.
Effectively uses current and emerging technologies.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Extracts and compiles various sources of information and large data sets from various systems to identify and analyze data.
+ Sets up process for monitoring, tracking, and trending department data, including quality measures, effectiveness of communications, and process improvements.
+ Works with internal, external and enterprise stakeholders, as needed, to research, develop, and document new standard reports and/or processes.
+ Implements and uses the analytics software and systems to support department goals.
**JOB QUALIFICATIONS**
**Required Education**
Associate's Degree or equivalent combination of education and experience
**Required Experience**
1-3 years
**Preferred Education**
Bachelor's Degree or equivalent combination of education and experience
**Preferred Experience**
3-5 year
Quality and/or Medicare Stars knowledge highly preferred
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $77,969 - $116,835 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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2
Healthcare Operations Intern (Reporting & Analytics) - REMOTE
40287 Louisville, Kentucky
Molina Healthcare
Posted today
Job Viewed
Job Description
**JOB DESCRIPTION**
**Job Summary**
The Molina Healthcare Internship Program shares an objective to create a steppingstone for students who aim to be professionals and future leaders in the healthcare business profession. Interns are assigned special projects and various other duties that are intended to provide them with valuable professional work experience and industry insight. The purpose of an internship is to develop talent by providing students with experiential learning, formal training and opportunities to interact with healthcare professionals and community leaders. Interns will perform meaningful work alongside talented professionals, gaining insight to Molina's culture, Mission and Values.
**KNOWLEDGE, SKILLS & ABILITIES**
**Implementation Support:** Works to support management and teams through following job duties for implementation support:
+ Provides support with analytical, problem solving, including definition and documentation, business workflow analysis, specifications, requirements definition and documentation.
+ Supports documentation and changes to existing business processes. Helps to identify new opportunities for process developments and improvements.
+ Supports team on work plans and other deliverables for assigned areas utilizing approved templates and practices to ensure consistent content and format is maintained across department.
**Data Analytics:** Reviews data extracts from multiple sources of information and large data sets from a variety of systems to identify and analyze outliers.
+ Supports the work related to monitoring, tracking, and trending department data.
+ Supports preparation of state mandated reports and analysis.
**Preferred Experience**
+ Must possess clear and professional written, verbal and interpersonal communication skills.
+ Strong work ethic, self-motivated and ability to develop relationships.
+ Good time management, organizational and interpersonal skills required
+ Computer and data analysis experience including MS Word, Excel, Outlook and PowerPoint and experience with internet research.
+ Excellent critical thinking/problem solving skills
+ Ability to handle confidential information
+ Ability to maintain confidentiality and to comply with Health Insurance Portability and Accountability Act (HIPAA)
**REQUIRED EDUCATION:**
+ Must be currently enrolled in an undergraduate or graduate program
+ Should be a freshman sophomore or junior
+ Minimum GPA of 3.0 or higher
+ Pursuing a degree in - Data Analytics, Healthcare or related field
+ Must have unrestricted authorization to work in the United States
+ Able to commit to the full-time, 10-week internship program from June 1st - August 7, 2026.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $21.16 - $21.66 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
**Job Summary**
The Molina Healthcare Internship Program shares an objective to create a steppingstone for students who aim to be professionals and future leaders in the healthcare business profession. Interns are assigned special projects and various other duties that are intended to provide them with valuable professional work experience and industry insight. The purpose of an internship is to develop talent by providing students with experiential learning, formal training and opportunities to interact with healthcare professionals and community leaders. Interns will perform meaningful work alongside talented professionals, gaining insight to Molina's culture, Mission and Values.
**KNOWLEDGE, SKILLS & ABILITIES**
**Implementation Support:** Works to support management and teams through following job duties for implementation support:
+ Provides support with analytical, problem solving, including definition and documentation, business workflow analysis, specifications, requirements definition and documentation.
+ Supports documentation and changes to existing business processes. Helps to identify new opportunities for process developments and improvements.
+ Supports team on work plans and other deliverables for assigned areas utilizing approved templates and practices to ensure consistent content and format is maintained across department.
**Data Analytics:** Reviews data extracts from multiple sources of information and large data sets from a variety of systems to identify and analyze outliers.
+ Supports the work related to monitoring, tracking, and trending department data.
+ Supports preparation of state mandated reports and analysis.
**Preferred Experience**
+ Must possess clear and professional written, verbal and interpersonal communication skills.
+ Strong work ethic, self-motivated and ability to develop relationships.
+ Good time management, organizational and interpersonal skills required
+ Computer and data analysis experience including MS Word, Excel, Outlook and PowerPoint and experience with internet research.
+ Excellent critical thinking/problem solving skills
+ Ability to handle confidential information
+ Ability to maintain confidentiality and to comply with Health Insurance Portability and Accountability Act (HIPAA)
**REQUIRED EDUCATION:**
+ Must be currently enrolled in an undergraduate or graduate program
+ Should be a freshman sophomore or junior
+ Minimum GPA of 3.0 or higher
+ Pursuing a degree in - Data Analytics, Healthcare or related field
+ Must have unrestricted authorization to work in the United States
+ Able to commit to the full-time, 10-week internship program from June 1st - August 7, 2026.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $21.16 - $21.66 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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3
Healthcare Business Admin Intern (Operations) - REMOTE
40287 Louisville, Kentucky
Molina Healthcare
Posted today
Job Viewed
Job Description
**JOB DESCRIPTION**
**Job Summary**
The Molina Healthcare Internship Program shares an objective to create a steppingstone for students and alumni who aim to be professionals and future leaders in the healthcare business profession. We aim to develop talent by providing students and alumni with experiential learning, formal training, and opportunities to interact with healthcare business professionals who will act as intern managers along the way.
**KNOWLEDGE/SKILLS/ABILITIES**
· Assist in gathering and organizing operational data from various sources, including internal systems and reports.
· Conduct quantitative and qualitative analysis to identify trends, inefficiencies, and opportunities for improvement.
· Support the creation of dashboards, visualizations, and regular performance reports for leadership and operational teams.
· Collaborate with leadership and cross-functional teams to understand business processes and contribute to process optimization projects.
· Participate in meetings and present findings to team members and stakeholders.
· Help document processes, methodologies, and recommendations for future reference.
**Qualifications**
· Strong analytical and problem-solving skills, with attention to detail.
· Proficiency in Microsoft Excel; familiarity with data visualization tools (e.g., Power BI) is a plus.
· Excellent written and verbal communication skills.
· Ability to work independently and as part of a team in a fast-paced environment.
· Interest in business operations, process improvement, and data-driven decision making.
** REQUIRED EDUCATION:**
Must be currently enrolled in an undergraduate or graduate program
Should be a freshman sophomore or junior
Minimum GPA of 3.0 or higher
Pursuing a degree in Business/Information Systems, Actuarial Sciences, Industrial Engineering or a related field
Must have unrestricted authorization to work in the United States
Able to commit to the full-time, 10-week internship program from June 1 - August 7, 2026
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $21.16 - $21.66 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
**Job Summary**
The Molina Healthcare Internship Program shares an objective to create a steppingstone for students and alumni who aim to be professionals and future leaders in the healthcare business profession. We aim to develop talent by providing students and alumni with experiential learning, formal training, and opportunities to interact with healthcare business professionals who will act as intern managers along the way.
**KNOWLEDGE/SKILLS/ABILITIES**
· Assist in gathering and organizing operational data from various sources, including internal systems and reports.
· Conduct quantitative and qualitative analysis to identify trends, inefficiencies, and opportunities for improvement.
· Support the creation of dashboards, visualizations, and regular performance reports for leadership and operational teams.
· Collaborate with leadership and cross-functional teams to understand business processes and contribute to process optimization projects.
· Participate in meetings and present findings to team members and stakeholders.
· Help document processes, methodologies, and recommendations for future reference.
**Qualifications**
· Strong analytical and problem-solving skills, with attention to detail.
· Proficiency in Microsoft Excel; familiarity with data visualization tools (e.g., Power BI) is a plus.
· Excellent written and verbal communication skills.
· Ability to work independently and as part of a team in a fast-paced environment.
· Interest in business operations, process improvement, and data-driven decision making.
** REQUIRED EDUCATION:**
Must be currently enrolled in an undergraduate or graduate program
Should be a freshman sophomore or junior
Minimum GPA of 3.0 or higher
Pursuing a degree in Business/Information Systems, Actuarial Sciences, Industrial Engineering or a related field
Must have unrestricted authorization to work in the United States
Able to commit to the full-time, 10-week internship program from June 1 - August 7, 2026
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $21.16 - $21.66 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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4
Program Manager, Healthcare Services - Clinical Systems
40287 Louisville, Kentucky
Molina Healthcare
Posted today
Job Viewed
Job Description
**Job Summary**
Provides subject matter expertise and leadership to healthcare services function - providing support for project/program/process design, execution, evaluation and support, and ensuring compliance with regulatory and internal standards, practices, policies and contractual commitments. Contributes to overarching strategy to provide quality and cost-effective member care.
**Essential Job Duties**
+ Collaboratively plans and executes internal healthcare services projects and programs involving department or cross-functional teams of subject matter experts - delivering products from the design process to completion.
+ Provides ongoing communication related to program goals, evaluation and support to ensure compliance with standardized protocols and processes.
+ May engage and oversee the work of external vendors.
+ Focuses on process improvement, organizational change management, program management and other processes relative to business needs.
+ Serves as a subject matter expert and leads healthcare services programs to meet critical needs.
+ Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements.
+ Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality initiatives within the department as appropriate.
+ Creates business requirements documents (BRDs), test plans, requirements traceability matrix (RTMs), user training materials and other related business documents.
**Required Qualifications**
+ At least 5 years of health care experience, including experience in clinical operations, and at least 3 or more years in one or more of the following areas: utilization management, care management, care transitions, behavioral health, or equivalent combination of relevant education and experience.
+ Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC) or Licensed Marriage and Family Therapist (LMFT). Clinical licensure and/or certification required ONLY if required by state contract, regulation or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
+ Strong analytical and problem-solving skills.
+ Strong organizational and time-management skills.
+ Ability to work in a cross-functional, professional environment.
+ Experience working within applicable state, federal, and third-party regulations.
+ Strong verbal and written communication skills.
+ Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases.
**Preferred Qualifications**
+ Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), or other health care or management certification.
+ Leadership experience.
+ Medicaid/Medicare population experience.
+ Six sigma certification
+ Experience with Agile Methodology
+ Experience with Epic
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $77,969 - $171,058 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Provides subject matter expertise and leadership to healthcare services function - providing support for project/program/process design, execution, evaluation and support, and ensuring compliance with regulatory and internal standards, practices, policies and contractual commitments. Contributes to overarching strategy to provide quality and cost-effective member care.
**Essential Job Duties**
+ Collaboratively plans and executes internal healthcare services projects and programs involving department or cross-functional teams of subject matter experts - delivering products from the design process to completion.
+ Provides ongoing communication related to program goals, evaluation and support to ensure compliance with standardized protocols and processes.
+ May engage and oversee the work of external vendors.
+ Focuses on process improvement, organizational change management, program management and other processes relative to business needs.
+ Serves as a subject matter expert and leads healthcare services programs to meet critical needs.
+ Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements.
+ Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality initiatives within the department as appropriate.
+ Creates business requirements documents (BRDs), test plans, requirements traceability matrix (RTMs), user training materials and other related business documents.
**Required Qualifications**
+ At least 5 years of health care experience, including experience in clinical operations, and at least 3 or more years in one or more of the following areas: utilization management, care management, care transitions, behavioral health, or equivalent combination of relevant education and experience.
+ Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC) or Licensed Marriage and Family Therapist (LMFT). Clinical licensure and/or certification required ONLY if required by state contract, regulation or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
+ Strong analytical and problem-solving skills.
+ Strong organizational and time-management skills.
+ Ability to work in a cross-functional, professional environment.
+ Experience working within applicable state, federal, and third-party regulations.
+ Strong verbal and written communication skills.
+ Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases.
**Preferred Qualifications**
+ Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), or other health care or management certification.
+ Leadership experience.
+ Medicaid/Medicare population experience.
+ Six sigma certification
+ Experience with Agile Methodology
+ Experience with Epic
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $77,969 - $171,058 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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5
Analyst, Healthcare Reporting & Analytics - Utilization Mgmt.
40287 Louisville, Kentucky
Molina Healthcare
Posted today
Job Viewed
Job Description
**JOB DESCRIPTION**
**Job Summary**
**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**
+ Provides healthcare analysis including quantification and analysis of health care costs, development and maintenance of databases and other sources of information for quality initiatives, accreditation efforts, and regulatory mandates, and claims data coordination.
+ Manages small to large scale projects initiated by both health plan and Corporate Parent.
+ Designs and develops solutions to support business needs using various technologies.
+ Analyzes all in bound requests and determines appropriate technology solution for an effective and efficient delivery.
+ Quality oversight mechanisms to include reconciliation guidelines, mentoring guidance and new employee training.
+ Provides Administrator level support for share point and reporting services.
+ Accomplishes the goals and objectives of the Finance, Research and Analytics team.
+ Responsible for prioritization and timely completion of all tasks and report requests as assigned thru the share point request system.
+ Ideal candidate will have experience working with the clinical departments including utilization management/authorizations
+ Experience working with Managed Care/Payer or Hospital/other medical systems data is required.
+ Understanding of ICD-10 codes, CPT/HCPCS codes, and membership files preferred
+ Must have experience managing recurring and ad-hoc reports including independently developing build/code for ad-hoc reports.
+ Utilizes excellent process documentation skills and understands version control.
+ Possesses a firm understanding of claims and membership data, and is familiar with querying data from claims and membership tables, along with other data sources.
+ Experience in data analysis, data validation and reporting using SQL(advanced level) , MS Excel (advanced level), PowerBI is required.
+ Soft skills include but not limited to: Excellent communication, stakeholder management, documentation, self-starter, Presentation skills.
**Required Education**
Associate degree or equivalent combination of education and experience
**Required Experience**
1-3 years
**Preferred Education**
Bachelor's Degree or equivalent combination of education and experience
**Preferred Experience**
3-5 years
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $18.85 - $38.69 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
**Job Summary**
**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**
+ Provides healthcare analysis including quantification and analysis of health care costs, development and maintenance of databases and other sources of information for quality initiatives, accreditation efforts, and regulatory mandates, and claims data coordination.
+ Manages small to large scale projects initiated by both health plan and Corporate Parent.
+ Designs and develops solutions to support business needs using various technologies.
+ Analyzes all in bound requests and determines appropriate technology solution for an effective and efficient delivery.
+ Quality oversight mechanisms to include reconciliation guidelines, mentoring guidance and new employee training.
+ Provides Administrator level support for share point and reporting services.
+ Accomplishes the goals and objectives of the Finance, Research and Analytics team.
+ Responsible for prioritization and timely completion of all tasks and report requests as assigned thru the share point request system.
+ Ideal candidate will have experience working with the clinical departments including utilization management/authorizations
+ Experience working with Managed Care/Payer or Hospital/other medical systems data is required.
+ Understanding of ICD-10 codes, CPT/HCPCS codes, and membership files preferred
+ Must have experience managing recurring and ad-hoc reports including independently developing build/code for ad-hoc reports.
+ Utilizes excellent process documentation skills and understands version control.
+ Possesses a firm understanding of claims and membership data, and is familiar with querying data from claims and membership tables, along with other data sources.
+ Experience in data analysis, data validation and reporting using SQL(advanced level) , MS Excel (advanced level), PowerBI is required.
+ Soft skills include but not limited to: Excellent communication, stakeholder management, documentation, self-starter, Presentation skills.
**Required Education**
Associate degree or equivalent combination of education and experience
**Required Experience**
1-3 years
**Preferred Education**
Bachelor's Degree or equivalent combination of education and experience
**Preferred Experience**
3-5 years
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $18.85 - $38.69 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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6
Specialist, Config Oversight (healthcare Medical claim audits)
40287 Louisville, Kentucky
Molina Healthcare
Posted today
Job Viewed
Job Description
**Job Description**
**Work hours will be 7am-3:30pm PST M-F**
**Job Summary**
Responsible for conducting various healthcare Healthcare claim audits including, but not limited to; vendor, focal, audit the auditor. Confirm that documentation is clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains to contracting (benefit and provider), network management, credentialing, prior authorizations, fee schedules, and other business requirements critical to claim accuracy. Maintain audit records, and provide counsel regarding coverage amount and benefit interpretation within the audit process. Provide clear and concise results and comments to leaders about focal audits. Contributes to completion of audits as needed to ensure audits are conducted in a timely fashion and in accordance with audit standards.
**Job Duties**
- Reviews documentation regarding updates/changes to member enrollment, provider contract, provider demographic information, and/or claim processing guidelines. Evaluates the accuracy of these updates/changes as applied to the appropriate modules within the core processing system (QNXT).
- Conducts focal healthcare Medical claim audits on samples of processed transactions impacted by these updates/changes. Determines that all outcomes are aligned to the original documentation and allow appropriate processing.
- Conducts audits of vendor audits and verifies accuracy of their published outcomes are aligned to the documentation, various sources of truth and being assessed appropriately.
- Clearly documents the focal audit results and makes recommendations as necessary.
- Researches and tracks the status of unresolved errors issued on daily transactional audits and communicates with Core Operations Functional Business Partners to ensure resolution within 30 days of error issuance.
- Evaluates the adjudication of claims using standard principles and state specific policies and regulations in order to identify incorrect coding, abuse and fraudulent billing practices, waste, overpayments, and processing errors of claims. ( _Use for claims specific positions only_ )
- Prepares, tracks and provides audit findings reports according to designated timelines
- Presents audit findings and makes recommendations to management for improvements based on audit results.
**Job Qualifications**
**REQUIRED EDUCATION:**
Associate's Degree or equivalent combination of education and experience
**REQUIRED EXPERIENCE, SKILLS & ABILIITIES:**
+ Minimum 2 years as an operational auditor for at least one core operations function
+ Previous examiner/processing experience in at least one core operations functional area
+ Strong attention to detail
+ Knowledge of using Microsoft applications to include; Excel, Word, Outlook, Powerpoint and Teams
+ Ability to effectively communicate written and verbal
+ Knowledge of verifying documentation related to updates/changes within claims processing system .
+ Experience using claims processing system (QNXT).
**PREFERRED EDUCATION:**
Bachelor's Degree or equivalent combination of education and experience
**PREFERRED EXPERIENCE:**
3+ years healthcare Medical claims auditing
**PHYSICAL DEMANDS:**
Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $21.16 - $42.2 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
**Work hours will be 7am-3:30pm PST M-F**
**Job Summary**
Responsible for conducting various healthcare Healthcare claim audits including, but not limited to; vendor, focal, audit the auditor. Confirm that documentation is clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains to contracting (benefit and provider), network management, credentialing, prior authorizations, fee schedules, and other business requirements critical to claim accuracy. Maintain audit records, and provide counsel regarding coverage amount and benefit interpretation within the audit process. Provide clear and concise results and comments to leaders about focal audits. Contributes to completion of audits as needed to ensure audits are conducted in a timely fashion and in accordance with audit standards.
**Job Duties**
- Reviews documentation regarding updates/changes to member enrollment, provider contract, provider demographic information, and/or claim processing guidelines. Evaluates the accuracy of these updates/changes as applied to the appropriate modules within the core processing system (QNXT).
- Conducts focal healthcare Medical claim audits on samples of processed transactions impacted by these updates/changes. Determines that all outcomes are aligned to the original documentation and allow appropriate processing.
- Conducts audits of vendor audits and verifies accuracy of their published outcomes are aligned to the documentation, various sources of truth and being assessed appropriately.
- Clearly documents the focal audit results and makes recommendations as necessary.
- Researches and tracks the status of unresolved errors issued on daily transactional audits and communicates with Core Operations Functional Business Partners to ensure resolution within 30 days of error issuance.
- Evaluates the adjudication of claims using standard principles and state specific policies and regulations in order to identify incorrect coding, abuse and fraudulent billing practices, waste, overpayments, and processing errors of claims. ( _Use for claims specific positions only_ )
- Prepares, tracks and provides audit findings reports according to designated timelines
- Presents audit findings and makes recommendations to management for improvements based on audit results.
**Job Qualifications**
**REQUIRED EDUCATION:**
Associate's Degree or equivalent combination of education and experience
**REQUIRED EXPERIENCE, SKILLS & ABILIITIES:**
+ Minimum 2 years as an operational auditor for at least one core operations function
+ Previous examiner/processing experience in at least one core operations functional area
+ Strong attention to detail
+ Knowledge of using Microsoft applications to include; Excel, Word, Outlook, Powerpoint and Teams
+ Ability to effectively communicate written and verbal
+ Knowledge of verifying documentation related to updates/changes within claims processing system .
+ Experience using claims processing system (QNXT).
**PREFERRED EDUCATION:**
Bachelor's Degree or equivalent combination of education and experience
**PREFERRED EXPERIENCE:**
3+ years healthcare Medical claims auditing
**PHYSICAL DEMANDS:**
Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $21.16 - $42.2 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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7
Internship Program - National Healthcare Group 2025 - 2026
40287 Louisville, Kentucky
The Walsh Group
Posted today
Job Viewed
Job Description
**OVERVIEW**
We are currently seeking **Interns for our** **Chicago Building: Private Healthcare** *** **Group.**
Our internship program will prepare you for leadership positions both on and off the jobsite. Our program allows you to travel across the United States and through operational divisions to gain hands-on experience in project engineering and field management. We carefully match you with positions related to your academic and career goals, setting you up for the right career path after graduation. Our interns work on jobsites or in the office helping with pursuits in our estimating and preconstruction departments.
**RESPONSIBILITIES**
Interns will learn about multiple career paths in our company, and will be trained to become a full-time employee after college graduation. Some duties and responsibilities include:
+ Assisting project manager or field supervision staff with project coordination
+ Estimating cost for change orders
+ Soliciting bidders and coordinate subcontractor activity
+ Scheduling of various contracts and materials
+ Document control
+ Coordination of subcontractors
+ Safety management
+ Participation in team meetings
+ Writing RFIs, submittals, and assisting in change orders
**QUALIFICATIONS**
+ Seeking a bachelor's degree is preferred
+ The ability to work a 12-week work schedule is preferred
+ Specific roles may require relocation
**Intern Benefits Include:**
+ Medical Insurance
+ Paid US Holidays
+ Company 401(k) Matching Contributions
+ Employee Assistance Program (EAP)
**Job Category:** Intern & Co-op
**Job Type:** FTE
The Walsh Group, Ltd. Is committed to providing equal opportunity to qualified applicants with disabilities to compete for jobs. To request a reasonable accommodation in completing this application, please contact the Human Resources Department at or
An Equal Opportunity Employer, Disability/Veteran
We are currently seeking **Interns for our** **Chicago Building: Private Healthcare** *** **Group.**
Our internship program will prepare you for leadership positions both on and off the jobsite. Our program allows you to travel across the United States and through operational divisions to gain hands-on experience in project engineering and field management. We carefully match you with positions related to your academic and career goals, setting you up for the right career path after graduation. Our interns work on jobsites or in the office helping with pursuits in our estimating and preconstruction departments.
**RESPONSIBILITIES**
Interns will learn about multiple career paths in our company, and will be trained to become a full-time employee after college graduation. Some duties and responsibilities include:
+ Assisting project manager or field supervision staff with project coordination
+ Estimating cost for change orders
+ Soliciting bidders and coordinate subcontractor activity
+ Scheduling of various contracts and materials
+ Document control
+ Coordination of subcontractors
+ Safety management
+ Participation in team meetings
+ Writing RFIs, submittals, and assisting in change orders
**QUALIFICATIONS**
+ Seeking a bachelor's degree is preferred
+ The ability to work a 12-week work schedule is preferred
+ Specific roles may require relocation
**Intern Benefits Include:**
+ Medical Insurance
+ Paid US Holidays
+ Company 401(k) Matching Contributions
+ Employee Assistance Program (EAP)
**Job Category:** Intern & Co-op
**Job Type:** FTE
The Walsh Group, Ltd. Is committed to providing equal opportunity to qualified applicants with disabilities to compete for jobs. To request a reasonable accommodation in completing this application, please contact the Human Resources Department at or
An Equal Opportunity Employer, Disability/Veteran
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8
Manager, Healthcare Analytics - Health Plan Integration - Remote
40287 Louisville, Kentucky
Molina Healthcare
Posted today
Job Viewed
Job Description
**JOB DESCRIPTION**
**Job Summary**
Collects, validates, analyzes, and organizes data into meaningful reports for management decision making as well as designing, developing, testing, and deploying reports to provider networks and other end users for operational and strategic analysis.
**KNOWLEDGE/SKILLS/ABILITIES**
Manages and provides direct oversight of Healthcare Analytics Team activities and personnel. Provides technical expertise, manages relationships with operational leaders and staff. Directs staff assigned to their projects, maintains internal work plans as well as project work plans to meet reporting needs of the Health Plan. Resource to HCS staff for mentoring, coaching, and analysis questions. Responsible for staff time keeping, performance coaching, development, and career paths.
+ Daily management of Healthcare Analytics team.
+ Allocate new report/project requests (workload distribution).
+ Coordinates with Health Plan departments to meet data analysis and database development needs.
+ Reviews, evaluates, and improved Company business logic and data sources.
+ Resource to Health Plan staff for mentoring, coaching, and analysis questions.
+ Reviews Health Plan analyst work products to ensure accuracy and clarity.
+ Reviews regulatory reporting requirements and Health Plan project documentation.
+ Maintains reporting service level benchmarks for Healthcare Analytics team.
+ Represents Healthcare Analytics department in cross-departmental and operational meetings.
+ Serves as liaison between Corporate IT and Health Plan regarding reporting needs.
+ Creates reporting for strategic analysis, profitability, financial analysis, utilization patterns and medical management.
+ Interfaces and maintains positive interactions with Health Plan and Corporate personnel.
+ Management Health Plan Encounter workflow process.
**JOB QUALIFICATIONS**
**Required Education**
Bachelor's Degree in Finance, Economics, Math, Computer Science, Information Systems, or related field
**Required Experience**
+ 3 years management or team leadership experience
+ 10 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**
3 - 5 years supervisory experience
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $88,453 - $206,981 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
**Job Summary**
Collects, validates, analyzes, and organizes data into meaningful reports for management decision making as well as designing, developing, testing, and deploying reports to provider networks and other end users for operational and strategic analysis.
**KNOWLEDGE/SKILLS/ABILITIES**
Manages and provides direct oversight of Healthcare Analytics Team activities and personnel. Provides technical expertise, manages relationships with operational leaders and staff. Directs staff assigned to their projects, maintains internal work plans as well as project work plans to meet reporting needs of the Health Plan. Resource to HCS staff for mentoring, coaching, and analysis questions. Responsible for staff time keeping, performance coaching, development, and career paths.
+ Daily management of Healthcare Analytics team.
+ Allocate new report/project requests (workload distribution).
+ Coordinates with Health Plan departments to meet data analysis and database development needs.
+ Reviews, evaluates, and improved Company business logic and data sources.
+ Resource to Health Plan staff for mentoring, coaching, and analysis questions.
+ Reviews Health Plan analyst work products to ensure accuracy and clarity.
+ Reviews regulatory reporting requirements and Health Plan project documentation.
+ Maintains reporting service level benchmarks for Healthcare Analytics team.
+ Represents Healthcare Analytics department in cross-departmental and operational meetings.
+ Serves as liaison between Corporate IT and Health Plan regarding reporting needs.
+ Creates reporting for strategic analysis, profitability, financial analysis, utilization patterns and medical management.
+ Interfaces and maintains positive interactions with Health Plan and Corporate personnel.
+ Management Health Plan Encounter workflow process.
**JOB QUALIFICATIONS**
**Required Education**
Bachelor's Degree in Finance, Economics, Math, Computer Science, Information Systems, or related field
**Required Experience**
+ 3 years management or team leadership experience
+ 10 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**
3 - 5 years supervisory experience
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $88,453 - $206,981 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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9