- System One (Dayton, OH)
- Job Title: Encounters System Analyst Location: Remote Type: Contract Contractor Work Model: Remote Title: Encounters System Analyst ALTA is supporting an 8-month ... Data & Advanced Analytics, and Agile Transformation Services. The Encounters System Analyst IV is responsible for overall State and Federal(CMS) level Encounters… 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)
- …the mission. Stay for the culture. **What You'll Be Doing:** **Senior Analyst , Healthcare Analytics Consultant** The Client Analytics team provides a unique ... of our specialty programs and administrative platform. **Role Overview** The Senior Analyst role on Client Analytics will support both internal teams (EAS, Specialty… more
- Highmark Health (Columbus, OH)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... identifying, assessing, and mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their impact on operational processes, and implement… more
- Elevance Health (Mason, OH)
- **Coding Analyst Senior** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... quality of life through home-care and community based services. The **Coding Analyst Senior** is responsible for reviewing, auditing, and coding medical records for… 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
- 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 ... collection. This is an ideal opportunity for an early-career analyst with a strong interest in healthcare data, regulatory...+ Basic familiarity with healthcare data types such as claims , encounters, or eligibility data + Comfortable working with… 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 ... and manage information from large data sources. + Analyze claims and other data sources to identify early signs...to mine and manage information from large data sources. ** Preferred Qualifications:** + Proficiency with Power BI and/or Tableau… more
- Elevance Health (Mason, OH)
- **Business Information Analyst Senior - Provider Economics** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and ... an accommodation is granted as required by law. The **Business Information Analyst Senior** is responsible for analyzing, reporting and developing recommendations on… more
- Highmark Health (Columbus, OH)
- …or Business Process Analyst role or experience in a related operational area (eg claims , billing, customer service, etc.) ** Preferred ** + 1 - 3 years in the ... assigned. **EDUCATION** **Required** + High School Diploma/GED **Substitutions** + None ** Preferred ** + Bachelor's Degree **EXPERIENCE** **Required** + 3 - 5 years… more