• Senior Internal Business Systems Analyst

    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
    Highmark Health (07/11/25)
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  • Lead Analyst , Reimbursement

    Molina Healthcare (Columbus, OH)
    **Job Description** **Job Summary** The Lead Analyst , Reimbursement is responsible for administering complex provider reimbursement methodologies timely and ... existing lines of business and expansion into new states. The Lead Analyst , Reimbursement will be primarily responsible for implementation, maintenance, and support… more
    Molina Healthcare (09/27/25)
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  • Credit & Treasury Analyst

    ClarkDietrich (West Chester, OH)
    …and benefits. Join the ClarkDietrich team by applying to the Credit & Treasury Analyst position at our West Chester, OH location. The Credit & Treasury Analyst ... coverage + Coordinate the annual insurance renewal process and support claims management + Maintain accurate records of all insurance policies, certificates,… more
    ClarkDietrich (09/03/25)
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  • Trade Compliance Analyst Import

    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
    Crown Equipment Corporation (08/12/25)
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  • Actuarial Analyst II

    Elevance Health (Mason, OH)
    **Actuarial Analyst II** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing ... unless an accommodation is granted as required by law. The **Actuarial Analyst II** completes projects and performs complex actuarial studies. **How You Will… more
    Elevance Health (09/17/25)
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  • Senior QNXT Analyst - Benefits/ Contract…

    Molina Healthcare (Akron, OH)
    …of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems ... business rules as they apply to each database. Validate data to be housed on databases and ensure adherence...methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule… more
    Molina Healthcare (10/01/25)
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  • Senior Analyst , Risk & Quality Reporting…

    Molina Healthcare (Columbus, OH)
    …Marketplace and Medicare/MMP + Develops custom health plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates + Assists and ... **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's...reports as requested to track HEDIS performance and supplemental data monitoring + Develops and QA custom health plan… more
    Molina Healthcare (09/21/25)
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  • Analyst , Risk & Quality Reporting (Remote…

    Molina Healthcare (Cleveland, OH)
    …Marketplace and Medicare/MMP + Develop custom health plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates + Assists and ... **JOB DESCRIPTION** **Job Summary** The Analyst , Risk and Quality Reporting role supports Molina's...reports as requested to track HEDIS performance and supplemental data monitoring + Development and QA of custom health… more
    Molina Healthcare (09/21/25)
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  • Analyst , Quality Analytics & Performance…

    Molina Healthcare (Columbus, OH)
    …for Medicaid, Marketplace and Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist ... **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will...users on how to use reports. + Assist Quality Data Analytics Leaders in Predictive Intervention Strategy Analytics along… more
    Molina Healthcare (09/18/25)
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  • Lead Analyst , Quality Analytics…

    Molina Healthcare (Dayton, OH)
    …Marketplace and Medicare/MMP * Develops custom health plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates * Assists and ... **Job Summary** The Lead Analyst , Quality Analytics and Performance Improvement role will...develops reporting solutions to assist HEDIS Outbound, Inbound extracts, Data Ingestions, Dashboards, Reports & Extracts for rate tracking… more
    Molina Healthcare (08/17/25)
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