It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda ... Analyze claims and encounters to identify high utilization members that would benefit from higher ...
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42 Moda Health Data Analyst Jobs Hiring Near You
It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda ... Analyze claims and encounters to identify high utilization members that would benefit from higher ...
It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda ... Basic understanding of data integrity and quality assurance practices. * Ability to follow ...
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It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda ... Basic understanding of data integrity and quality assurance practices. * Ability to follow ...
About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to ... Excellent analytic, problem solving, and personal time/task management skills. * Excellent memory ...
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About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to ... Excellent analytic, problem solving, and personal time/task management skills. * Excellent memory ...
It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda ... Analyst. Experience with data teams or data warehouses and familiarity with health insurance ...
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It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda ... Analyst. Experience with data teams or data warehouses and familiarity with health insurance ...
Medical Claims Support I
Milwaukie, OR · On-site
It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda ... Strong analytical, problem solving, decision making and detail-oriented skills with ability to ...
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Medical Claims Support I
Milwaukie, OR · On-site
It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda ... Strong analytical, problem solving, decision making and detail-oriented skills with ability to ...
It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda ... Evaluates provider set up and works with Provider Data Maintenance team to assure that pricing and ...
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It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda ... Evaluates provider set up and works with Provider Data Maintenance team to assure that pricing and ...
Provider Correspond Coord I
Milwaukie, OR · On-site
Job Summary: Moda Health is seeking a Provider Correspondence Coordinator in our Medical Claims ... Good analytical, problem solving, decision making and organizational skills. * 10 key proficiency ...
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Provider Correspond Coord I
Milwaukie, OR · On-site
Job Summary: Moda Health is seeking a Provider Correspondence Coordinator in our Medical Claims ... Good analytical, problem solving, decision making and organizational skills. * 10 key proficiency ...
Data Engineer I, II
Portland, OR · On-site
It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda ... Demonstrated analytical skills and ability to contribute to data driven solutions that address real ...
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Data Engineer I, II
Portland, OR · On-site
It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda ... Demonstrated analytical skills and ability to contribute to data driven solutions that address real ...
It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda ... Analyze claims and encounters according to the limits of authorization, benefit plan and provider ...
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It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda ... Analyze claims and encounters according to the limits of authorization, benefit plan and provider ...
... Moda Health administrative policies, products, and business lines. * Demonstrated strong reading, verbal, written and interpersonal communication skills. * Demonstrated initiative, analytical ...
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... Moda Health administrative policies, products, and business lines. * Demonstrated strong reading, verbal, written and interpersonal communication skills. * Demonstrated initiative, analytical ...
It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda ... Experience conducting data analysis and ad-hoc reporting preferred. * Must show ability to learn ...
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It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda ... Experience conducting data analysis and ad-hoc reporting preferred. * Must show ability to learn ...
... Moda Health administrative policies, products, and business lines. * Demonstrated strong reading, verbal, written and interpersonal communication skills. * Demonstrated initiative, analytical ...
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... Moda Health administrative policies, products, and business lines. * Demonstrated strong reading, verbal, written and interpersonal communication skills. * Demonstrated initiative, analytical ...
It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda ... Good analytical, problem solving, decision making and detail-oriented skills with ability to shift ...
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It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda ... Good analytical, problem solving, decision making and detail-oriented skills with ability to shift ...
Medical Claims Clerk I
Milwaukie, OR · On-site
Analyze provider types and recurring issues and identify claim processing trends and patterns ... the Moda Health operating system and ensure completeness and data integrity. * Manage assigned ...
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Medical Claims Clerk I
Milwaukie, OR · On-site
Analyze provider types and recurring issues and identify claim processing trends and patterns ... the Moda Health operating system and ensure completeness and data integrity. * Manage assigned ...
It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda ... Facilitate production controls and system configuration data codification. * Monitor and review ...
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It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda ... Facilitate production controls and system configuration data codification. * Monitor and review ...
Membership Acct Qual Analyst
Portland, OR · On-site
It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda ... Good analytical, problem solving, decision making and organizational, and detail-oriented skills ...
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Membership Acct Qual Analyst
Portland, OR · On-site
It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda ... Good analytical, problem solving, decision making and organizational, and detail-oriented skills ...
About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to ... Strong statistical, analytical, and problem-solving skills. * Excellent oral, written, and ...
New
Quick apply
About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to ... Strong statistical, analytical, and problem-solving skills. * Excellent oral, written, and ...
New
It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda ... Analytical, problem solving and organizational skills. * Ability to work well under pressure.
Quick apply
It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda ... Analytical, problem solving and organizational skills. * Ability to work well under pressure.
It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda ... Ability to analyze and validate provider claims and payment data. * Experience in manual processing ...
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It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda ... Ability to analyze and validate provider claims and payment data. * Experience in manual processing ...
It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda ... Strong analytical and problem solving skills, including understanding of T-Accounts, and ability to ...
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It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda ... Strong analytical and problem solving skills, including understanding of T-Accounts, and ability to ...
Moda Health Jobs Information
What is it like to work at Moda Health?
Moda Health is a values-driven organization that prioritizes collaboration, innovation, and a commitment to improving the health and well-being of its members and the communities it serves.
The company operates with a team-based structure, fostering an open and supportive work environment where employees can share ideas and work together to achieve common goals. Moda Health's mission is to provide high-quality, affordable healthcare solutions that meet the unique needs of its members.
Working at Moda Health may appeal to individuals who are passionate about healthcare and are looking for a dynamic and collaborative work environment where they can make a meaningful contribution to improving the lives of others.
The company operates with a team-based structure, fostering an open and supportive work environment where employees can share ideas and work together to achieve common goals. Moda Health's mission is to provide high-quality, affordable healthcare solutions that meet the unique needs of its members.
Working at Moda Health may appeal to individuals who are passionate about healthcare and are looking for a dynamic and collaborative work environment where they can make a meaningful contribution to improving the lives of others.
Do workers at Moda Health get paid breaks?
Yes. Most people get paid breaks.
100% of people say they get paid breaks.
Based on data from 13 people who took the Breakroom Quiz between December 2024 and April 2026.
100% of people say they get paid breaks.
Based on data from 13 people who took the Breakroom Quiz between December 2024 and April 2026.
Does Moda Health pay people when they’re sick?
Yes. Most people get paid when they’re sick.
78% of people say they would get paid if they were sick but scheduled to work.
Based on data from 18 people who took the Breakroom Quiz between December 2024 and April 2026.
78% of people say they would get paid if they were sick but scheduled to work.
Based on data from 18 people who took the Breakroom Quiz between December 2024 and April 2026.
At Moda Health, are sick days and vacation days separate paid time off?
Sick days and vacation days are used from the same paid time off.
90% of people say they have to use vacation days when they’re out sick.
Based on data from 10 people who took the Breakroom Quiz between June 2025 and April 2026.
90% of people say they have to use vacation days when they’re out sick.
Based on data from 10 people who took the Breakroom Quiz between June 2025 and April 2026.
Is the health insurance from Moda Health affordable enough for their workers?
Most people say the health insurance costs are okay.
85% of people say the health insurance costs are okay
Based on data from 13 people who took the Breakroom Quiz between March 2025 and April 2026.
85% of people say the health insurance costs are okay
Based on data from 13 people who took the Breakroom Quiz between March 2025 and April 2026.
Do people get paid time off at Moda Health?
Most people get paid time off work.
100% of people say they get paid time off.
Based on data from 10 people who took the Breakroom Quiz between June 2025 and April 2026.
100% of people say they get paid time off.
Based on data from 10 people who took the Breakroom Quiz between June 2025 and April 2026.
Do workers at Moda Health worry about hours?
Most people don’t worry about getting enough hours.
90% of people report they don’t worry about getting enough hours.
Based on data from 10 people who took the Breakroom Quiz between December 2024 and April 2026.
90% of people report they don’t worry about getting enough hours.
Based on data from 10 people who took the Breakroom Quiz between December 2024 and April 2026.
How easy is it to get time off at Moda Health?
Most people find it easy to get time off.
80% of people report it’s easy to get time off.
Based on data from 15 people who took the Breakroom Quiz between December 2024 and March 2026.
80% of people report it’s easy to get time off.
Based on data from 15 people who took the Breakroom Quiz between December 2024 and March 2026.
Do Moda Health managers change schedules at the last minute?
Most managers don’t change people’s schedules at the last minute.
92% of people say their manager doesn’t change their shift schedule at the last minute.
Based on data from 13 people who took the Breakroom Quiz between December 2024 and April 2026.
92% of people say their manager doesn’t change their shift schedule at the last minute.
Based on data from 13 people who took the Breakroom Quiz between December 2024 and April 2026.
Do jobs at Moda Health spill into time workers aren’t paid for?
Rarely. The job doesn't usually spill into unpaid time.
23% of people report that their job takes up time that they don’t get paid for.
Based on data from 13 people who took the Breakroom Quiz between December 2024 and April 2026.
23% of people report that their job takes up time that they don’t get paid for.
Based on data from 13 people who took the Breakroom Quiz between December 2024 and April 2026.
How easy is it to take sick days at Moda Health?
Most people find it easy to take sick days.
89% of people report that it’s easy to take time off if they are sick.
Based on data from 19 people who took the Breakroom Quiz between December 2024 and March 2026.
89% of people report that it’s easy to take time off if they are sick.
Based on data from 19 people who took the Breakroom Quiz between December 2024 and March 2026.
Is working at Moda Health good if you’re a parent or caregiver?
Most parents and caregivers say this is a good place to work.
100% of people who care for a child or other relative report this is a good place to work.
Based on data from 10 people who took the Breakroom Quiz between January 2025 and March 2026.
100% of people who care for a child or other relative report this is a good place to work.
Based on data from 10 people who took the Breakroom Quiz between January 2025 and March 2026.
Do people at Moda Health feel treated with respect by their managers?
Most people feel treated with respect by their managers.
95% of people say they’re treated with respect by their managers.
Based on data from 20 people who took the Breakroom Quiz between December 2024 and April 2026.
95% of people say they’re treated with respect by their managers.
Based on data from 20 people who took the Breakroom Quiz between December 2024 and April 2026.
Do people at Moda Health get to take their breaks without interruption?
Most people get breaks without interruption.
89% of people report that they get to take their breaks without interruption.
Based on data from 18 people who took the Breakroom Quiz between December 2024 and April 2026.
89% of people report that they get to take their breaks without interruption.
Based on data from 18 people who took the Breakroom Quiz between December 2024 and April 2026.
Is it stressful to work at Moda Health?
Some people feel stressed out here.
47% of people say they often feel stressed out at work.
Based on data from 17 people who took the Breakroom Quiz between December 2024 and March 2026.
47% of people say they often feel stressed out at work.
Based on data from 17 people who took the Breakroom Quiz between December 2024 and March 2026.
Do people at Moda Health enjoy their jobs?
Most people enjoy their job.
83% of people report they enjoy their job.
Based on data from 18 people who took the Breakroom Quiz between December 2024 and March 2026.
83% of people report they enjoy their job.
Based on data from 18 people who took the Breakroom Quiz between December 2024 and March 2026.
Do people at Moda Health recommend working with their team?
Only some people recommend working with their team.
35% of people report that they wouldn’t recommend working with their immediate team to a friend.
Based on data from 20 people who took the Breakroom Quiz between December 2024 and April 2026.
35% of people report that they wouldn’t recommend working with their immediate team to a friend.
Based on data from 20 people who took the Breakroom Quiz between December 2024 and April 2026.
Do people get enough training when they start at Moda Health?
Most people got enough training when they started.
78% of people report they got enough training when they started working here.
Based on data from 18 people who took the Breakroom Quiz between December 2024 and March 2026.
78% of people report they got enough training when they started working here.
Based on data from 18 people who took the Breakroom Quiz between December 2024 and March 2026.
Do people get support to advance at Moda Health?
Most people are given support to advance their career here.
In the last year, 90% of people report being given support to advance their career here.
Based on data from 20 people who took the Breakroom Quiz between December 2024 and April 2026.
In the last year, 90% of people report being given support to advance their career here.
Based on data from 20 people who took the Breakroom Quiz between December 2024 and April 2026.
Do people think Moda Health’s headquarters understands what’s happening where they work?
Some people think headquarters doesn’t understand what’s happening where they work.
65% of people think that this employer’s headquarters or owners don’t have a good understanding of what’s really happening where they work.
Based on data from 20 people who took the Breakroom Quiz between December 2024 and April 2026.
65% of people think that this employer’s headquarters or owners don’t have a good understanding of what’s really happening where they work.
Based on data from 20 people who took the Breakroom Quiz between December 2024 and April 2026.
Do workers feel well informed about how Moda Health is doing?
Only some people feel well informed about how the company is doing.
39% of people feel that they aren’t kept well informed about how the company is doing as a whole.
Based on data from 18 people who took the Breakroom Quiz between December 2024 and March 2026.
39% of people feel that they aren’t kept well informed about how the company is doing as a whole.
Based on data from 18 people who took the Breakroom Quiz between December 2024 and March 2026.
What other companies are hiring for Data Analyst jobs?
What are the most popular jobs at Moda Health?
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 28 days ago
Moda Health rating
8.7
Based on 20 frontline employees who took The Breakroom Quiz
63rd of 261 rated insurance
Job description
Let’s do great things, together!
About Moda
Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together.
Job Summary:
Provide support to the Healthcare Services Case Management team by assisting in the monitoring and review of all tiers of care coordination. Supports the Moda Clinical Care Team by assisting in member engagement through outreach campaigns, collecting member-specific health data, documenting member outreach/engagement, and data entry. The coordinator utilizes their clinical healthcare experience to navigate member needs and develop care plans directed towards improving member health outcomes. Completes reviews of annual and periodic health risk assessment surveys on members and provides reportable information to the supervisor for yearly reporting as appropriate.
This is a FT WFH position.
Pay Range
$23.34 - $26.26 hourly (depending on experience).
*Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range.
Please fill out an application on our company page, linked below, to be considered for this position.
https://j.brt.mv/jb.do?reqGK=27778124&refresh=true
Benefits:
- Medical, Dental, Vision, Pharmacy, Life, & Disability
- 401K- Matching
- FSA
- Employee Assistance Program
- PTO and Company Paid Holidays
Primary Functions:
- Initiates mailing campaigns to encourage case management engagement.
- Research social determinants of health and equity needs that affect members and develop processes to enroll these members in case management services.
- Reviews related referral and care plans monthly to meet compliance requirements.
- Coordinate and initiate referrals to appropriate services and programs utilizing a large network of resources to assist member needs
- Assists with triage of Health-Related Services funds requests
- Collect information about a member’s social, clinical, and functional status to identify individual and case management needs.
- Create, enter, and complete Health Risk Assessments and initiate appropriate care plans within the members health record.
- Collaborate with RN Case Managers to initiate referrals, communicate specific member needs, and to assist in care planning.
- Communicate effectively with other Medical Management support staff.
- Analyze claims and encounters to identify high utilization members that would benefit from higher care coordination services.
- Effectively uses the Moda Health systems to accurately determine eligibility, benefit plan, and physician networks associated with the member’s plan.
- Utilizes the Moda Health systems for documentation of contact with providers and members.
- Performs outreach calls to inform patients about care coordination services and start case workflows.
- Ensure adherence of Health Insurance Portability and Accountability Act (HIPPA) and other regulatory guidelines including privacy and security.
- Identifies member needs and research alternative solutions.
- Completes other duties and special projects as assigned by the CM Supervisor and/or the HCS Manager.
Required Skills & Experience:
- 2 - 4 years of experience in a medical office and/or case management experience required
- Community/Traditional Health worker certification or Bachelor of Social Work (BSW) required
- Proficient in Microsoft Office applications
- Type a minimum of 35 wpm
- Excellent written, verbal and interpersonal communication skills
- Excellent organizational and detail orientation skills
- Must present a professional business image in all settings
- Ability to work well under pressure, work with frequent interruptions and shifting priorities
- Strong problem-solving skills and critical thinking required
- Ability to work independently, as well as part of a team, dealing with all levels of staff, members, providers, in a professional manner
- Demonstrates professionalism, empathy, and discretion when working with patients, caregivers, and medical staff; adheres to HIPAA regulations.
- High level of understanding of medical terminology, state and federal regulations and social determinates of health and equity
- Knowledge of health plan benefits
- Familiar with CMS (Medicare/Medicaid) rules and regulations
Together, we can be more. We can be better.
Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training.
For more information regarding accommodations please direct your questions to Kristy Nehler and Danielle Baker via our humanresources@modahealth.com email.
What Moda Health employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Moda Health
Sourced by ZipRecruiter
Industry
Insurance services
Company size
1,001 - 5,000 Employees
Headquarters location
Portland, OR, US
Year founded
1955