- Medical Mutual of Ohio (OH)
- …. Ability to utilize certified HEDIS software. . Ability to analyze clinical, claims , pharmacy, encounter, and quality measurement data . . Advanced knowledge of ... actionable opportunities for quality improvement across all lines of business (Commercial, Marketplace, Medicare Advantage, and Medicaid). Integrates diverse … more
- Molina Healthcare (Akron, OH)
- …locate influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for ... role in which employees work with multiple types of business data . May be internal operations-focused or... Analysis and/or Systems Analysis + 1-3 years of Claims or Adjustment experience in Medicare and/or Medicaid +… more
- Molina Healthcare (Columbus, OH)
- …in data analysis. Performs research and deep-dive analysis of complex healthcare claims data , CMS return files, and financial cost, revenue, and vendor ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will support Molina's Risk...and Power BI, organizing and managing large and varied data sets, analyzing healthcare data for decision… more
- Molina Healthcare (Columbus, OH)
- …collection. Success in this role requires a blend of strong technical acumen, business context, and analytical curiosity. While data is primarily accessed ... **Job Description** **Job Summary** The Senior Analyst will serve a key role on the...**Required Experience** + 3-5 Years of experience with healthcare-related data ( claims /encounters, provider, CMS/EDGE response files, etc.… more
- Evolent (Columbus, OH)
- …data using industry-standard metrics. + Process and validate raw unadjudicated claims data . **Qualifications Required and Preferred:** + Bachelor's degree, ... reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the...presentations. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make… more
- Molina Healthcare (Dayton, OH)
- … data solutions. JOB DUTIES: + Partner with clinical, operational, and business teams to understand data needs and translate requirements into actionable ... solutions. + Write advanced SQL queries to extract, validate, and analyze healthcare data , including claims , pharmacy, and lab datasets. + Build and maintain… 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
- Molina Healthcare (OH)
- **Job Description** **Job Summary** Assist business teams with developing requirements for major projects of considerable complexity, prepares system design ... debug/analyze problems. + Fields direct questions from Molina Operations Staff regarding business , technical and operations rules. + Develops technical solutions to … more
- Crown Equipment Corporation (New Bremen, OH)
- …ownership. **Job Posting External** **Job Duties** + Receive, review, interpret and prepare data for US Customs import claims . Interact with suppliers outside ... Trade Compliance Analyst Import Location: New Bremen, OH, US, 45869...claims prior to arrival and after completion. Provide data and documentation to service providers. Track all shipments… more
- Molina Healthcare (Columbus, OH)
- …+ Perform research and analysis of complex healthcare utilization and performance date, claims data , pharmacy data , and lab data ... on relevant findings. + Oversee development, organization, and ongoing maintenance of data representing a wide range of healthcare information. + Develop and direct… more