• Grievance/Appeals Analyst I

    Elevance Health (Mason, OH)
    … writing proficiency, understanding of provider networks, the medical management process, claims process, the company's internal business processes, and internal ... **Title: Grievance/Appeals Analyst I** **Virtual:** This role enables associates to...with external accreditation and regulatory requirements, internal policies and claims events requiring adaptation of written response in clear,… more
    Elevance Health (08/14/25)
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  • Advanced Analytics Analyst Senior - Medical…

    Elevance Health (Cincinnati, OH)
    …authorization, and membership data to tell a detailed story to respective business stakeholders. The Advanced Analytics Analyst Senior creates statistical models ... **Advanced Analytics Analyst Senior - Medical Economics** **Location:** Atlanta, GA;...seniors. We are a team of committed clinicians and business leaders passionate about transforming American healthcare delivery. The… more
    Elevance Health (08/20/25)
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  • Pricing Analyst - Remote

    Prime Therapeutics (Columbus, OH)
    …our passion and drives every decision we make. **Job Posting Title** Pricing Analyst - Remote **Job Description** The Pricing Analyst maintains, provides ... with high-complexity pricing analyses. **Responsibilities** + Analyze and produce pharmacy claims data reporting of varying complexity to assess competitiveness &… more
    Prime Therapeutics (08/13/25)
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  • Senior Analyst , Operational Regulatory…

    Molina Healthcare (Akron, OH)
    …and/or detects violation of applicable laws and regulations, which will protect the Business from liability and potential risk. Ensures that the Business ... to the Health Care environment **Job Duties** The Operational/Regulatory Oversight Sr. Analyst works with health plans and operations departments to assess, oversee,… more
    Molina Healthcare (08/22/25)
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  • Recovery Audit Analyst I

    Elevance Health (Mason, OH)
    Analyst I** is responsible for auditing and facilitating the recovery of claims overpayments as identified by our business partners. Responsible for research, ... **Recovery Audit Analyst I** **Location:** _Hybrid1:_ This role requires associates...**How you will make an Impact:** + Audits paid claims for overpayments using various techniques including systems-based queries,… more
    Elevance Health (08/19/25)
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  • Senior Analyst Pricing - Remote

    Prime Therapeutics (Columbus, OH)
    …our passion and drives every decision we make. **Job Posting Title** Senior Analyst Pricing - Remote **Job Description** The Senior Pricing Analyst participates ... Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of… more
    Prime Therapeutics (08/13/25)
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  • Pricing Analyst Sr - Strong SQL/GCP…

    Prime Therapeutics (Columbus, OH)
    …fuels our passion and drives every decision we make. **Job Posting Title** Pricing Analyst Sr - Strong SQL/GCP - Remote **Job Description** The Senior Pricing ... Analyst participates in the assessment of value generated by...revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other… more
    Prime Therapeutics (08/01/25)
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  • Senior Analyst , Healthcare Analytics…

    Evolent (Columbus, OH)
    …selves to work. That's one reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ... **Senior Analyst , Healthcare Analytics Consultant** The Client Analytics team provides...team provides a unique opportunity to collaborate with key business , analytics, product, and operational leaders to deliver client-specific… more
    Evolent (07/31/25)
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  • Analyst , Integration Quality

    Evolent (Columbus, OH)
    …selves to work. That's one reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ... Job Description ** Analyst , Integration Quality** Integration testing in the healthcare ecosystem...+ provide summary information to stakeholders & management answering business questions + create & maintain queries supporting precise… more
    Evolent (08/13/25)
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  • Sr. Medical Analyst

    Norstella (Columbus, OH)
    Sr. Medical Analyst Company: MMIT Location: Remote, United States Date Posted: Jul 30, 2025 Employment Type: Full Time Job ID: R-1370 **Description** **Why ... market faster and support patients in need. We are seeking a Senior Medical Analyst to join our team and drive data-driven healthcare initiatives. In this role, you… more
    Norstella (07/31/25)
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