- Molina Healthcare (Akron, 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
- Molina Healthcare (Dayton, OH)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... life cycle + Gains a deep understanding of Molina claims life cycle and all processes that affect ...claims life cycle and all processes that affect claims payment + Develops and maintain standards and best… more
- Molina Healthcare (Cincinnati, OH)
- …+ SQL expertise + Excel expertise + Medicare, Medicaid, Marketplace claims expertise **PHYSICAL DEMANDS:** Working environment is generally favorable and lighting ... and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made… more
- Medical Mutual of Ohio (OH)
- …Medicare Supplement, and individual plans. This position has the option to be fully remote with the expectation to be on site for meetings in Brooklyn, OH monthly; ... Ohio residents preferred. **Financials Systems Analyst III** **Job Summary:** **Under general supervision, updates and...and runs queries to generate monthly reports for premium, claims and enrollment to be used by several operating… more
- Medical Mutual of Ohio (OH)
- … remote opportunity. Eastern Time Zones preferred.** **Responsibilities** **HEDIS Analyst II** + Coordinates and collaborates interdepartmentally to produce the ... initiatives to improve member health. + Orients and trains more junior-level Analyst + Participates in required trainings and performs other duties as assigned.… more
- 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
- Medical Mutual of Ohio (OH)
- **Note: this is a fully remote opportunity.** **Eastern Time Zones preferred.** Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance ... related field. . 3 years' experience as a HEDIS Quality Improvement Analyst or equivalent HEDIS analytical project experience programs. **Technical Skills and… more
- Humana (Columbus, OH)
- …and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- Prime Therapeutics (Columbus, OH)
- …every decision we make. **Job Posting Title** Forecasting Principal - Finance - Remote **Job Description** The Treasury Analyst Principal is responsible for ... Team and guidance to the Accounting, Finance, Information Technology and Claims operation functions. **Responsibilities** + Develop, manage, and advance complex… more
- Molina Healthcare (OH)
- …staff for mentoring, coaching, and analysis questions. + Reviews Medical Economics analyst work products to ensure accuracy and clarity. + Reviews regulatory ... or team leadership experience + 10 years' work experience preferable in claims processing environment and/or healthcare environment + Strong knowledge of SQL… more