- Elevance Health (Mason, OH)
- …location(s) will not be considered for employment, unless an accommodation is granted as required by law._ " The **Grievance/Appeals Analyst I** is an entry ... **Title: Grievance/Appeals Analyst I** **Location:** This role enables associates to...proficiency, understanding of provider networks, the medical management process, claims process, the company's internal business processes,… more
- Elevance Health (Mason, OH)
- …will not be considered for employment, unless an accommodation is granted as required by law. The **Actuarial Analyst III** completes very diverse and ... **Actuarial Analyst III** **Location:** This role requires associates to...anticipate future health cost drivers and enable faster, smarter business decisions. **How You Will Make An Impact:** +… more
- 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;...considered for employment, unless an accommodation is granted as required by law. _PLEASE NOTE: This position is not… more
- Molina Healthcare (Akron, OH)
- …have experience working in Medicare + Must have experience analyzing claims . **Job Qualifications** ** REQUIRED EDUCATION:** Associate's Degree and/or equivalent ... and/or detects violation of applicable laws and regulations, which will protect the Business from liability and potential risk. Ensures that the Business … more
- Prime Therapeutics (Columbus, OH)
- …flexible schedule which may include weekends, holidays, or shifts outside of Prime's core business hours of 9:00am-3:00pm + Constantly required to sit, use hands ... our passion and drives every decision we make. **Job Posting Title** Senior Analyst Pricing - Remote **Job Description** The Senior Pricing Analyst participates… more
- Elevance Health (Mason, OH)
- …location(s) will not be considered for employment, unless an accommodation is granted as required by law. The **Recovery Audit Analyst I** is responsible for ... **Recovery Audit Analyst I** **Location:** _Hybrid1:_ This role requires associates...auditing and facilitating the recovery of claims overpayments as identified by our business … more
- 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
- 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 (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...timely manner including: + create & maintain test cases required to analyze source & target integrity across various… more
- Molina Healthcare (OH)
- **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment ... team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data… more