• The RCO Revenue Integrity Analyst is responsible for appropriate charge capture, assigned account, claim edits and/or charge edits for an assigned service line. • This position will support the maintenance of consistent charge capture or charge edits to ensure regulatory compliance and revenue optimization for assigned service line(s). • Analyzes data, develops reports, reviews trends and recommend enhancements as defined by the revenue practice leadership team. • Participates, researches and follows-up on topics presented at department and system-wide initiatives. • Monitors for positive or negative trends in coding, charge capture and/or editing processes to improve teams' performance. • Researches and stays current on CMS, federal and state regulations, payor guidelines, ensuring compliance and alignment with charge, coding and charge edits. • Provides education and guidance to revenue cycle and clinical operations on report development, charge capture accountability and revenue monitoring. • Performs extensive data mining, regulatory and payer policy review, abstracting of financial and clinical information from various sources

Job Summary A Client Data Protection Project Management Office Reports analyst will be responsible for tracking our overall Operation's KPIs, supporting quality reviews, maintaining process documentation, coordinating with stakeholders, and managing project tools, requiring 3-5 years of experience, proficiency in MS Office, data visualization tools, a relevant degree, and strong organizational and communication skills. Educational Requirement: Must have: - Minimum Bachelor’s Degree Skills and Work Experience Must Have: - 3 -5 years of experience in reporting - Data visualization tools experience (PowerBI & Excel & Macro) For internal: Okay to accommodate a candidate with Power BI experience and training, with intermediate Excel skills (macros, charting, and formulas). About Accenture Accenture is a leading global professional services company that helps the world’s leading businesses, governments and other organizations build their digital core, optimize their operations, accelerate revenue growth and enhance citizen services—creating tangible value at speed and scale. We are a talent- and innovation-led company with approximately 791,000 people serving clients in more than 120 countries. Technology is at the core of change today, and we are one of the world’s leaders in helping drive that change, with strong ecosystem relationships. We combine our strength in technology and leadership in cloud, data and AI with unmatched industry experience, functional expertise and global delivery capability. Our broad range of services, solutions and assets across Strategy & Consulting, Technology, Operations, Industry X and Song, together with our culture of shared success and commitment to creating 360° value, enable us to help our clients reinvent and build trusted, lasting relationships. We measure our success by the 360° value we create for our clients, each other, our shareholders, partners and communities.Visit us at www.accenture.com Equal Employment Opportunity Statement We believe that no one should be discriminated against because of their differences. All employment decisions shall be made without regard to age, race, creed, color, religion, sex, national origin, ancestry, disability status, military veteran status, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status or any other basis as protected by applicable law. Our rich diversity makes us more innovative, more competitive, and more creative, which helps us better serve our clients and our communities.

• Collaborate with passionate problem solvers, innovating as a team to help our customers achieve their goals. • Act with a drug development mindset, applying their years of experience and deep expertise to truly understand customer needs and represent those in the solutions we shape.

Senior Medical Economics Analyst - (REMOTE) Molina Healthcare Job ID 2036989 JOB DESCRIPTION Job Summary Provides senior level analyst support for medical economics analysis activities, including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities, and improve financial performance. Essential Job Duties • Extracts and compiles data and information from various systems to support executive decision-making. • Mines and manages information from large data sources. • Analyzes claims and other data sources to identify early signs of trends or other issues related to medical care costs. • Analyzes the financial performance, including cost, utilization and revenue of all Molina products - identifying favorable and unfavorable trends, developing recommendations to improve trends and communicating recommendations to leadership. • Draws actionable conclusions based on analyses performed, makes recommendations through use of health care analytics and predictive modeling, and communicates those conclusions effectively to audiences at various levels of the enterprise. • Performs pro forma sensitivity analyses in order to estimate the expected financial value of proposed medical cost improvement initiatives. • Collaborates with clinical, provider network and other teams to bring supplemental context/insight to data analyses, and design and perform studies related to the quantification of medical interventions. • Collaborates with business owners to track key performance indicators of medical interventions. • Proactively identifies and investigates complex suspect areas regarding medical cost issues, initiates in-depth analysis of suspect/problem areas and suggests corrective action plans. • Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends - with root causes identified, drives innovation through creation of tools to monitor trend drivers and provides recommendations to senior leaders for affordability opportunities. • Leads projects to completion by contributing to ad-hoc data analyses, development, and presentation of financial reports. • Serves as subject matter expert on developing financial models to evaluate the impact of provider reimbursement changes • Provides data driven analytics to finance, claims, medical management, network, and other departments to enable critical decision making. • Supports financial analysis projects related to medical cost reduction initiatives. • Supports medical management by assisting with return on investment (ROI) analyses for vendors to determine if financial and clinical performance is achieving desired results. • Keeps abreast of Medicaid and Medicare reforms and impact on the Molina business. • Supports scoreable action item (SAI) initiative tracking to performance. Required Qualifications • At least 3 years of health care analytics and/or medical economics experience, or equivalent combination of relevant education and experience. • Bachelor’s degree in statistics, mathematics, economics, computer science, health care management or related field. • Demonstrated understanding of Medicaid and Medicare programs or other health care plans. • Analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.) • Proficiency with retrieving specified information from data sources. • Experience with building dashboards in Excel, Power BI, and/or Tableau and data management. • Knowledge of health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) • Knowledge of health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form). • Demonstrated understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG’s), Ambulatory Patient Groups (APG’s), Ambulatory Payment Classifications (APC’s), and other payment mechanisms. • Understanding of value-based risk arrangements • Experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in health care. • Ability to mine and manage information from large data sources. • Demonstrated problem-solving skills. • Strong critical-thinking and attention to detail. • Ability to effectively collaborate with technical and non-technical stakeholders. • Strong time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. • Effective verbal and written communication skills. • Proficient in Microsoft Office suite products, key skills in Excel (VLOOKUPs and pivot tables)/applicable software program(s) proficiency. Preferred Qualifications • Proficiency with Power BI and/or Tableau for building dashboards. 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: $59,810.6 - $129,589.63 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Job Type Full Time