Molina Healthcare
Sr. Analyst, Encounters (Edifecs) - REMOTE
This job is now closed
Job Description
- Req#: 2022870
Employer Industry: Healthcare Services
Why Consider this Job Opportunity:
- Salary up to $103,025.10
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment
- Chance to make a positive impact on operational performance
- Competitive benefits and compensation package
What to Expect (Job Responsibilities):
- Monitor inbound and outbound encounters submissions and responses, interpreting outcomes and taking swift action to remediate errors
- Analyze encounter pend and rejection inventory, working with various departments to ensure timely, accurate, and complete encounter submissions
- Own and maintain encounter submission criteria, compliance, and regulatory requirements
- Prepare materials for Monthly Governance and Operations Reviews
- Perform root cause analysis of claims and encounter data, developing recommendations for system changes
What is Required (Qualifications):
- High School Diploma or GED
- 5-7 years of experience in billing, claims, encounters, and data analysis
- 5 years or more of managed care experience
- Knowledge of advanced data analysis techniques
- Skilled with writing basic to advanced SQL queries
How to Stand Out (Preferred Qualifications):
- Bachelor’s Degree or equivalent work experience
- Claims processing, provider contacting, health data analysis and reporting, project management experience
- Managed care experience
- Certified Professional Coder (CPC)
#HealthcareServices #DataAnalysis #ManagedCareExperience #CareerGrowth #CompetitiveCompensation
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We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.About the company
Molina Healthcare is a managed care company headquartered in Long Beach, California, United States.
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