- Molina Healthcare (Cincinnati, OH)
- **Job Description** **Job Summary** The Junior Analyst will play a supporting role on the RADV (Risk Adjustment Data Validation) team, assisting in the execution of ... chase lists by helping identify and validate source data required for medical record collection. This is an ideal...collection. This is an ideal opportunity for an early-career analyst with a strong interest in healthcare data, regulatory… more
- Molina Healthcare (Cincinnati, OH)
- …accelerated timeline to meet the desired deployment deadline. **Job Qualifications** ** REQUIRED EDUCATION:** Bachelor's Degree in Business Administration or ... **Job Description** **Job Summary** Assist business teams with developing requirements for major projects...Technology or equivalent combination of education and experience . ** REQUIRED EXPERIENCE:** + 3-5 years' experience in a combination… more
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... business issues related to cost, utilization and revenue for...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more
- Humana (Columbus, OH)
- …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be ... work closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of… more
- Prime Therapeutics (Columbus, OH)
- …claims , contracting and pharmacy reimbursement. Works directly with business partners across the enterprise. **Responsibilities** + Executes compliance procedures ... and drives every decision we make. **Job Posting Title** Sr. Compliance Analyst - Remote **Job Description** The Regulatory Inquiry & Complaints Senior Compliance… more
- UIC Government Services and the Bowhead Family of Companies (Wright Patterson AFB, OH)
- **Overview** Bowhead seeks an experienced Cybersecurity Protect Analyst to join our team onsite in Vicksburg, MS. The Cybersecurity Protect Analysts will ensure ... deployed in accordance with DoD guidance * Ensure all required HBSS modules are properly deployed, up-to-date, and active...or where a rental car must be obtained for business travel purposes, applicants must have a valid driver… more
- Medical Mutual of Ohio (OH)
- …actionable opportunities for quality improvement across all lines of business (Commercial, Marketplace, Medicare Advantage, and Medicaid). Integrates diverse data ... with more senior Analysts and management. Consults with and informs business stakeholders of trends, opportunities and risks. **Responsibilities** . Provides… more
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will support Molina's Risk Adjustment Analytics team. The job responsibilities ... skills in data analysis. Performs research and deep-dive analysis of complex healthcare claims data, CMS return files, and financial cost, revenue, and vendor data.… more
- CVS Health (Columbus, OH)
- … context + Negotiate and document requirements, agreements and changes with business users ** Required Qualifications** + 2+ years of experience supporting ... our PBM Customer Reporting group as a Senior Reporting Analyst within our Compliance Pharmacy Payments. CVS Health strives...a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and… more
- Molina Healthcare (Columbus, OH)
- …not all required elements are neatly organized or centralized. The analyst will be expected to investigate and connect disparate data sources, with the ... **Job Description** **Job Summary** The Senior Analyst will serve a key role on the...this role requires a blend of strong technical acumen, business context, and analytical curiosity. While data is primarily… more