Job Description Analyzes, verifies, tracks and reports on department related databases and software. Serves as a liaison between department’s analytical needs and technical data storage systems and files; collaborates with stakeholders to document requirements for reporting. Develop analytic reports and dashboards utilizing various databases and third party data files. Job Responsibility - Analyzes, verifies, tracks and reports on department related databases and software. - Identifies strategies for evaluation of key performance indicators (KPI’s), quality metrics, outcomes evaluation, population management studies, etc. - Develops technical and functional specifications based on business requirements and analysis of technical workflows. - Identifies issues in data quality that would impact reporting (i.e. duplicate records, missing data, etc.). - Identifies methods of data visualization and presentation principles to ensure effective and impactful communication of projects to management. - Maintains trends and tracks various measures to fully utilize the capabilities of databases and data files. - Integrates add-on programs to eliminate or streamline back end processes. - Serves as a liaison between departments analytical needs and technical data storage systems and files. - Operates under general guidance and work assignments are varied and require interpretation and independent decisions on course of action. - Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Preferred Skills/Experience: - Insurance verification and authorization experience - Basic Excel and PowerPoint skills preferred Job Qualification - Bachelor's Degree required, or equivalent combination of education and related experience. - 1-3 years of relevant experience, required. This position will be remote, Monday-Friday 9-5. *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

JOB DESCRIPTION Job Summary Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk adjustment model, estimate risk scores, and analyze impact. Extract, analyze, and synthesize data from various sources to identify risks. Additional leadership opportunities are available to lead national risk adjustment studies. Prior experience in Medicaid risk adjustment is not required. KNOWLEDGE/SKILLS/ABILITIES - Analyze risk score results – calculate financial impact and identify trends or other issues related to risk scores. - Calibrate risk adjustment models based on state programs - Develop and lead actuarial studies related to risk scores and present findings to leadership - Generate and distribute routine reports to support risk adjustment calculations, pricing, and financial reporting - Identify opportunities for improvement in risk adjustment programs and develop advocacy accordingly JOB QUALIFICATIONS Required Education Bachelor's Degree in Mathematics, Statistics, or Economics Required Experience 1-2 Years Required License, Certification, Association Must have passed at least 2 actuarial exams. Preferred Experience 3-4 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. #PJCorp #LI-AC1

• Data Analyst for our Pre/PostPay Edit editing program. • This position will provide the technical component of our Pre/PostPay Edit editing program in development, implementation, production monitoring and maintenance of our internal PrePay edits. • Individual will work with our matrix partners to evaluate edit ideas and use business requirements to develop the technical processes to obtain desired results and support strategic initiatives aimed at improving claim accuracy and operational efficiency. • Act as technical analyst for Proactive Claim Intervention projects and daily tasks for all aspects of our Pre/PostPay Edit editing program. • Develop and maintain editing on regular and ad-hoc basis, primarily using SAS, Microsoft SQL Server and internally developed ARM rule-based claim editing platform. • Responsible for data mining activities and technology integration of Pre/PostPay Correction Program to support our Pre/PostPay Edit editing program. • Evaluates and appropriately utilizes various approaches to data mining to narrow in on trends and drivers that directly impact outcomes. • Makes well-thought-out decisions on complex or ambiguous IT architecture issues. • Participate in all phases of Pre/PostPay Edit program IT architecture process testing and implementation. • Ensures that system improvements are successfully implemented and monitored to increase efficiency. • Works closely with matrix business partners to define data needs, opportunities for improvement and effectively communicates results of analysis and solutions. • Acts as a resource for mentorship, training and guidance for junior staff.

Discover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health is committed to an environment where everyone has the chance to thrive and where your uniqueness is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt’s mission is to advance health and wellness through preeminent programs in patient care, education, and research. Organization: VEC AVA Job Summary: Will be responsible for utilizing various data loss prevention (DLP) solutions to prevent the transmission, or disclosure of sensitive data. The analyst will play a crucial role in identifying and consulting on mitigating data security risks, assisting in the response of breaches, and promoting a culture of data protection across the organization. Note: this role is available for remote work from most US locations. . KEY RESPONSIBILITIES - Collaborate with stakeholders to define data protection policies, standards, and procedures. - Configure, manage, and utilize DLP technologies to monitor and enforce data security policies. - Conduct regular assessments and audits of data security controls to identify gaps and vulnerabilities. - Investigate security incidents related to data loss or unauthorized data access and develop remediation plans. - Analyze data flows and usage patterns to identify potential data security risks and recommend preventive measures. - Develop and deliver training programs to raise awareness of data protection best practices among employees. - Stay current on emerging trends in data security and incorporate best practices into DLP strategies. - Prepare and present reports on data security incidents and trends to management. TECHNICAL CAPABILITIES - Utilize and configure DLP technologies (Novice) – Will be expected to utilize current DLP technologies to be able to monitor and identify potential DLP issues. Will be expected to be able to customize current technologies to find potential issues in non-standard formats. - Escalation/Troubleshooting (Novice) – Will be expected to be a technical resource for any issues that may arise from managing DLP products. They will be expected to report the issue to the necessary parties and follow through until the issue is resolved. - Consultation (Novice) – Will provide consulting services to VUMC support personnel as designated by VEC SOS leadership. They will operate in both a per directive and per request basis through approved methods. These include, but not limited to approved short-term and long-term initiatives. - Project Resource (Novice) – Will assist in cybersecurity centric projects for the institution. They will be expected to be assigned to multiple initiatives at the same time. They will be expected to operate in both an independent and team environment executing proper time and resource management skills. Regular reporting cadence with their director is expected. About the Department: VUMC Enterprise Cybersecurity (VEC) VUMC Enterprise Cybersecurity focuses on protecting Vanderbilt Health from the numerous cyberthreats that exist in today’s world. They work to identify and mitigate risks, create proactive solutions to manage these risks, and develop a strong culture of safety and security within the organization. Our professional administrative functions include critical supporting roles in information technology and informatics, finance, administration, legal and community affairs, human resources, communications and marketing, development, facilities, and many more. At our growing health system, we support each other and encourage excellence among all who are part of our workforce. High-achieving employees stay at Vanderbilt Health for professional growth, appreciation of benefits, and a sense of community and purpose. Core Accountabilities: Organizational Impact: Executes job responsibilities with the understanding of how output would affect and impact other areas related to own job area/team with occasional guidance. Problem Solving/ Complexity of work: Analyzes moderately complex problems using technical experience and judgment. Breadth of Knowledge: Has expanded knowledge gained through experience within a professional area. Team Interaction: Provides informal guidance and support to team members. Core Capabilities : Supporting Colleagues:- Develops Self and Others: Invests time, energy, and enthusiasm in developing self/others to help improve performance e and gain knowledge in new areas.- Builds and Maintains Relationships: Maintains regular contact with key colleagues and stakeholders using formal and informal opportunities to expand and strengthen relationships.- Communicates Effectively: Recognizes group interactions and modifies one's own communication style to suit different situations and audiences. Delivering Excellent Services:- Serves Others with Compassion: Seeks to understand current and future needs of relevant stakeholders and customizes services to better address them.- Solves Complex Problems: Approaches problems from different angles; Identifies new possibilities to interpret opportunities and develop concrete solutions.- Offers Meaningful Advice and Support: Provides ongoing support and coaching in a constructive manner to increase employees' effectiveness. Ensuring High Quality: - Performs Excellent Work: Engages regularly in formal and informal dialogue about quality; directly addresses quality issues promptly.- Ensures Continuous Improvement: Applies various learning experiences by looking beyond symptoms to uncover underlying causes of problems and identifies ways to resolve them. - Fulfills Safety and Regulatory Requirements: Understands all aspects of providing a safe environment and performs routine safety checks to prevent safety hazards from occurring. Managing Resources Effectively: - Demonstrates Accountability: Demonstrates a sense of ownership, focusing on and driving critical issues to closure.- Stewards Organizational Resources: Applies understanding of the departmental work to effectively manage resources for a department/area.- Makes Data Driven Decisions: Demonstrates strong understanding of the information or data to identify and elevate opportunities. Fostering Innovation:- Generates New Ideas: Proactively identifies new ideas/opportunities from multiple sources or methods to improve processes beyond conventional approaches.- Applies Technology: Demonstrates an enthusiasm for learning new technologies, tools, and procedures to address short-term challenges.- Adapts to Change: Views difficult situations and/or problems as opportunities for improvement; actively embraces change instead of emphasizing negative elements. Position Qualifications: Responsibilities: Certifications: Work Experience: Relevant Work Experience Experience Level: 2 years Education: Bachelor's Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE/Vets/Disabled.