• Senior Stop Loss Claims Analyst…

    Highmark Health (Columbus, OH)
    …medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for… more
    Highmark Health (09/20/25)
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  • Analyst , Configuration Oversight…

    Molina Healthcare (Akron, OH)
    …to accurate and timely implementation and maintenance of critical information on all claims and provider databases, validate data housed on databases and ensure ... oversight to ensure that the contracts are configured correctly in QNXT. The claims are reviewed to ensure that the configured services are correct. Maintain the… more
    Molina Healthcare (09/17/25)
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  • Quality Analyst with Healthcare…

    Cognizant (Columbus, OH)
    About the role As a **Quality Analyst with Healthcare - Claims & Membership experience** . You will make an impact by designing and executing end-to-end test ... strategies that ensure the quality and reliability of healthcare claims and membership applications. You will be a valued.... Perform Automation testing of backend services, APIs, and data flows. . Validate API endpoints using Swagger and… more
    Cognizant (09/24/25)
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  • Intermediate Data Analyst - Pharmacy…

    OhioHealth (Columbus, OH)
    …least one in-person meeting per month in Columbus, Ohio. The Intermediate Informatics Data Analyst will support OhioHealth Pharmacy Services by analyzing and ... managing healthcare data to enhance decision-making. This role requires advanced proficiency...medical record, decision support, clinical quality, clinical registries, and claims databases and understands architecture to allow for creative… more
    OhioHealth (10/02/25)
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  • HEDIS Analyst

    Medical Mutual of Ohio (OH)
    …or MHA) preferred. + 7 years progressive experience as a Clinical Quality Data Analyst or equivalent experience conducting analyses and delivering analytic ... + Ability to utilize certified HEDIS software. + Ability to analyze clinical, claims , pharmacy, encounter, and quality measurement data . + Advanced knowledge of… more
    Medical Mutual of Ohio (08/16/25)
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  • Lead Analyst , Payment Integrity - REMOTE

    Molina Healthcare (Dayton, OH)
    …coordination, and shared ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational ... Provides lead level support as a highly capable business analyst who serves as a key strategic partner in...the role. + Validates findings and tests assumptions through data , but leads with contextual knowledge of claims… more
    Molina Healthcare (09/28/25)
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  • ACA/Medicare Risk Adjustment Analyst Sr.

    Baylor Scott & White Health (Columbus, OH)
    …+ Performs analysis and reporting activities related to risk score calculation, claims /encounters data submission, chart review programs and audits, and related ... + **JOB SUMMARY** The Risk Adjustment Analyst Sr is responsible for monitoring and oversight...performance metrics. + Analyzes claims and supplemental data to identify reporting… more
    Baylor Scott & White Health (10/03/25)
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  • Senior Analyst , Encounters

    Molina Healthcare (Cleveland, OH)
    …follow up, and performance monitoring. + Understands provider, member, and, inbound claims data compliance in relation to encounters submission requirements + ... **Job Description** **Job Summary** The Sr Analyst , Encounters is responsible for monitoring inbound and...and Operations Reviews + Performs root cause analysis of claims and encounter data and develops recommendations… more
    Molina Healthcare (09/24/25)
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  • Risk & Insurance Analyst

    American Electric Power (Columbus, OH)
    …reviews, cost analysis and premium allocations for insurance programs. + Collect underwriting data , claims data and information pertaining to the risks ... we serve. We're powering the future - today! The Risk and Insurance Analyst will support the procurement process of corporate insurance, including captive insurance… more
    American Electric Power (10/01/25)
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  • Cybersecurity Intrusion Detection Analyst

    UIC Government Services and the Bowhead Family of Companies (Wright Patterson AFB, OH)
    … to join our team in Wright Patterson AFB, OH. The Cybersecurity Intrusion Detection Analyst utilizes data collected from a variety of cyber defense tools (eg, ... Warning Intelligence Analysts and Engineers. The Cybersecurity Intrusion Detection Analyst will work in the Attack Sensing and Warning...sensing capability. They will perform the analysis of disparate data sources to form a cohesive view of the… more
    UIC Government Services and the Bowhead Family of Companies (09/17/25)
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