- Molina Healthcare (Cincinnati, OH)
- …Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims, Pharmacy, Lab and HEDIS ... **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement...cleaning of data. + 5+ Years of experience in Managed Care Organization executing similar techno functional… more
- Molina Healthcare (Cleveland, OH)
- …conclusions based on analyses performed, makes recommendations through use of health care analytics and predictive modeling, and communicates those conclusions ... **Required Qualifications** * At least 3 years of health care analytics and/or medical economics experience, or...care vendor, commercial health insurance, large physician practice, managed care organization, etc.) * Proficiency with… more
- Humana (Columbus, OH)
- …of our caring community and help us put health first** The Actuarial Analyst 1, Analytics /Forecasting analyzes and forecasts financial, economic, and other data ... short, medium and long-term financial and competitive position. The Actuarial Analyst 1, Analytics /Forecasting work assignments are often straightforward and… more
- Intermountain Health (Columbus, OH)
- …payer under and/or overpayment trends, opportunities in billing, and opportunities with managed care contracting efforts. + Log findings and provides feedback ... to Hospital Billing AR Management, Cash Management, and Managed Care leadership. + Perform root cause...Taking Initiative + Reconciliation + Reading and EOB + Analytics **Qualifications** + High School Diploma or Equivalent, required… more
- Robert Half (Cincinnati, OH)
- …independent and locally owned Member Firms provide clients with consulting and managed solutions in finance, technology, operations, data, analytics , digital, ... REQUISITION Americas Delivery Center - Financial Crimes Compliance Experienced Analyst LOCATION AMERICAS DELIVERY CENTER ADDITIONAL LOCATION(S) JOB DESCRIPTION You… more
- Robert Half (Cincinnati, OH)
- …independent and locally owned Member Firms provide clients with consulting and managed solutions in finance, technology, operations, data, analytics , digital, ... JOB REQUISITION Americas Delivery Center - Financial Crimes Compliance Senior Analyst LOCATION AMERICAS DELIVERY CENTER ADDITIONAL LOCATION(S) JOB DESCRIPTION You… more
- OhioHealth (Columbus, OH)
- …a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be ... careers and in our communities. **Job Description Summary:** The Senior Systems Analyst will be responsible for the design, development, implementation of builds on… more
- Elevance Health (Cincinnati, OH)
- …of experience with complex psychiatric/substance abuse cases required. + Prior managed care experience required. **Preferred Skills, Capabilities, and ... support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care ....that do not require licensure a Board Certified Behavioral Analyst (BCBA) is also acceptable if all of the… more
- Deloitte (Cincinnati, OH)
- …healthcare integration (HL7, EDI, CSV, XML, etc.) + Experience working in the US health care domain and managed care setup + Demonstrative understanding of ... standards in healthcare, such as HIPAA, HL7 and FHIR. + Deeply experienced Epic analyst to work implementation, build and strong experience with SDLC for Epic. +… more
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