Top 49 Medicare customer service / data analyst Jobs in California

Analyst, Delegation Oversight (Remote)
Molina Healthcare —California
- $22.81 - $44.49 an hour
- Full-time
- Remote
- HIPAA
- Mid-level
- Analysis skills
- Health insurance
Complaint Appeals, Senior Coordinator - Fully Remote
CVS Health —California
- $18.50 - $38.82 an hour
- Weekends as needed
- Remote
- Research
- High school diploma or GED
- Mentoring
- Health insurance
- Dental insurance
1d
Charge Description Analyst
UCLA Health —Los Angeles, CA
- $83,800 - $179,400 a year
- Finance
- 8 years
- Analysis skills
Medicare Customer Service / Data Analyst
Donald W Tapert Insurance Agency —Sierra Madre, CA
- Full-time
- Spanish
- English
- Analysis skills
Managed Care Analyst II
Sutter Health —Sacramento, CA
- $38.55 - $57.83 an hour
- 8 hour shift
- Customer service
- Writing skills
- Mid-level
6d
RCM Analysts
Los Angeles Cancer Network —Glendale, CA
- $90,000 - $110,000 a year
- Full-time
- Customer service
- 3 years
- Finance
Quick Apply
WORKERS' COMPENSATION ANALYST
LA Metro —Los Angeles, CA
- $67,329.60 - $100,942.40 a year
- Temporary
- Writing skills
- English
- Mid-level
- Paid jury duty
- AD&D insurance
ANALYST II
Department of Public Health —San Bernardino County, CA
- $6,031 - $7,547 a month
- Online Application
- Hybrid work
- Mid-level
- Office
- Travel
10d
Reimbursement HC Analyst 4
UC Davis Health —Sacramento, CA
- $3,375.48 - $6,210.73 a month
- 8 hour shift
- Hybrid work
- Background check
- 5 years
- Writing skills
- Continuing education credits
- Paid holidays
1d
Revenue Cycle Management (RCM) Analysts
Los Angeles Cancer Network —Glendale, CA
- $90,000 - $110,000 a year
- Full-time
- Customer service
- Mid-level
- 3 years
Quick Apply
Medical Informatics Analyst, Consultant
Blue Shield of California —Oakland, CA
- $123,090 - $184,800 a year
- Full-time
- Hybrid work
- Background check
- 5 years
- Pass drug screening
- Work from home
Senior Business Analyst - SCAN Temp
SCAN Health Plan —Lakewood, CA
- $38.61 - $55.86 an hour
- Full-time
- Hybrid work
- Background check
- Microsoft Excel
- 6 years
- Health insurance
- Paid sick time
Quick Apply
5d
Grievance and Appeals Analyst
COMMUNITY HEALTH GROUP —Chula Vista, CA
- $70,340.68 - $82,650.30 a year
- Overtime
- Writing skills
- HIPAA
- Research
Quick Apply
Grievance & Appeal Analyst
Verda Healthcare Inc —Huntington Beach, CA
- $27 - $31 an hour
- Weekends as needed
- Research
- Mid-level
- Office
- Paid holidays
- Health insurance
Quick Apply
Actuarial Analyst II
Imperial Management Administrators Services Inc —Pasadena, CA
- $87,000 - $102,000 a year
- HIPAA
- English
- Mid-level
Quick Apply
Charge Master Analyst - Revenue Integrity - FT Days
University of California, Irvine —Irvine, CA
- $71,600 - $127,400 a year
- Full-time
- Remote
- Background check
- Customer service
- English
- Health insurance
- Retirement plan
Accounting Reimbursement Analyst I
Ensign Services —Irvine, CA
- $26 - $32 an hour
- Full-time
- Hybrid work
- Microsoft Outlook
- Office
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
TEMPORARY NETWORK SUPPORT ANALYST (INFORMATION TECHNOLOGY SERVICES)
LA Metro —Los Angeles, CA
- $32.37 - $48.53 an hour
- Temporary
- Microsoft Outlook
- Computer Science
- Writing skills
- Paid jury duty
- AD&D insurance
8d
Actuarial Analyst III
Imperial Management Administrators Services Inc —Pasadena, CA
- $108,000 - $124,000 a year
- HIPAA
- English
- Mid-level
Quick Apply
Senior Compliance Analyst and SIU Investigator
COMMUNITY HEALTH GROUP —Chula Vista, CA
- $79,056.81 - $90,915.33 a year
- Full-time
- Customer service
- Bachelor's degree
- Driving
Quick Apply

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medicare customer service / data analyst jobs near california

Analyst, Delegation Oversight (Remote)

Molina Healthcare -
California

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Job Details

Full-time
$22.81 - $44.49 an hour

Benefits

Health insurance

Qualifications

Power BI
HIPAA compliance
Spreadsheets
HIPAA
Employee relationship building
Data management
Healthcare privacy protection
SharePoint
Productivity software
Data analysis software

Full Job Description

JOB DESCRIPTION Job SummaryProvides analyst support for delegation oversight activities including monitoring delegation oversight to ensure compliance with state, federal, National Committee for Quality Assurance (NCQA), and Molina requirements. Responsible for gathering, coordinating, analyzing, and processing compliance data from the provider network delegates, and providing support for quality assurance compliance measure requirements and delegation oversight committee meetings.

Essential Job Duties

Monitors delegated activities to ensure compliance with state health plan and National Committee for Quality Assurance (NCQA) requirements to include: tracking receipts of monthly reports from delegated entities, monitoring monthly reports for continued compliance with delegated responsibilities, meeting with delegation oversight auditors monthly to review reports and identify need for corrective action measures, and producing summary reports presented at delegation oversight committee meetings.
Reports on delegated entity performance using web-based compliance tool, including performance metrics and remediation efforts when performance falls below acceptable standards.
Participates in planning meetings and communicates to delegation oversight team and provider network team, delegate needs during development of new software platforms.
Develops new and maintains existing department reporting tools to ensure reporting of performance and compliance with all NCQA, Centers for Medicare and Medicaid Services (CMS), and applicable state standards.
Supports the delegation oversight committee meeting, including agenda and document preparation, distribution of meeting materials, minute taking and scheduling of follow-up meetings as necessary.
Maintains list of delegated entities including functions delegated, auditors responsible, and delegation exceptions.
Provides administrative delegation oversight-related support including training, department SharePoint site maintenance, and updates to the monthly sanction list tracking tool.
Maintains member/provider confidentiality and professionalism in all communications.

Required Qualifications

At least 2 years of experience data management experience in a professional setting, preferably in health care, or equivalent combination of relevant education and experience.
Data processing/analysis experience.
Ability to interpret error reports and identify remediation steps.
Ability to function independently and autonomously.
Attention to detail, critical-thinking and problem-solving/analytical abilities.
Experience with SharePoint and PowerBI.
Ability to maintain attendance to support required quality and quantity of work.
Ability to maintain confidentiality and comply with the Health Insurance Portability and Accountability Act (HIPAA).
Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers.
Effective interpersonal and verbal/written communication skills.
Microsoft Office suite proficiency (including Excel), and ability to learn/navigate new software programs.

Preferred Qualifications

Delegation oversight experience.

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: $22.81 - $44.49 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Apply Now

Refine Your Search

medicare customer service / data analyst jobs in california

Analyst, Delegation Oversight (Remote)

Complaint Appeals, Senior Coordinator - Fully Remote

Charge Description Analyst

Medicare Customer Service / Data Analyst

Managed Care Analyst II

RCM Analysts

WORKERS' COMPENSATION ANALYST

ANALYST II

Reimbursement HC Analyst 4

Revenue Cycle Management (RCM) Analysts

Medical Informatics Analyst, Consultant

Senior Business Analyst - SCAN Temp

Grievance and Appeals Analyst

Grievance & Appeal Analyst

Actuarial Analyst II

Charge Master Analyst - Revenue Integrity - FT Days

Accounting Reimbursement Analyst I

TEMPORARY NETWORK SUPPORT ANALYST (INFORMATION TECHNOLOGY SERVICES)

Actuarial Analyst III

Senior Compliance Analyst and SIU Investigator

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