- Elevance Health (Cincinnati, OH)
- …analytics, and/or financial services highly preferred. + Comprehensive understanding of medical claims data . + Intermediate to Advanced expertise with SQL, SQL ... **Advanced Analytics Analyst Senior - Medical Economics** **Location:** Atlanta, GA;...Senior** measures financial performance of core Carelon products leveraging claims , authorization, and membership data to tell… more
- Evolent (Columbus, OH)
- …insights and compelling narratives for stakeholders. **What You Will Be Doing:** + ** Data Analytics & Insights** : Analyze healthcare claims and authorization ... the mission. Stay for the culture. **What You'll Be Doing:** Senior Analyst , Healthcare Analytics Consultant The Client Analytics team provides a unique opportunity… more
- Molina Healthcare (OH)
- …from various systems to support executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to...evaluate the impact of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical… more
- Norstella (Columbus, OH)
- …or consulting for life sciences companies. * Understanding of RWD, including lab, EMR, claims , and SDoH data assets * Ability to work collaboratively in a ... Analyst II, RWD Delivery Support & Education Company:...identify barrier to patient access * Panalgo - turn data into insight faster * The Dedham Group -… more
- Molina Healthcare (OH)
- …Risk Adjustment Actuarial team. Responsibilities include research, analysis and modeling of complex healthcare claims data , pharmacy data , lab data , and ... actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data systems and models + Data modelling and… more
- Sedgwick (Columbus, OH)
- …and experience required to include experience with leading quality initiatives and data intensive projects, claims operations, and general business experience ... Best Workplaces in Financial Services & Insurance (Remote) Process Improvement Project Analyst - Casualty **PRIMARY PURPOSE** **:** : To manage, support and service… more
- Highmark Health (Columbus, OH)
- …business unit needs. May troubleshoot errors, conduct impact analyses, and/or solve data rejection. Performs business analyses in one or more operational areas. ... based role - looking for someone who has some claims experience and looking to become familiar with risk...3 - 5 years of experience in a Business Analyst or Business Process Analyst role or… more
- Molina Healthcare (OH)
- …to the Health Care environment **Job Duties** The Operational/Regulatory Oversight Sr. Analyst works with health plans and operations departments to assess, oversee, ... and compliance with State and Federal regulatory guidelines. The Sr. Analyst develops and performs audits and oversight functions involving business-critical… more
- Molina Healthcare (Cincinnati, OH)
- …in SQL for large dataset analysis and transformation, specifically in processing healthcare claims data and supporting managed care reporting needs + Experience ... solutions. * Write advanced SQL queries to extract, validate, and analyze healthcare data , including claims , authorization, pharmacy, and lab datasets. * Build… more
- Molina Healthcare (Cleveland, 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
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