• HEDIS Analyst

    Medical Mutual of Ohio (OH)
    …public health, or arelated field. + 2 years experience as a HEDIS Quality Improvement Analyst or equivalent HEDIS analytical project experience. **Technical ... related field. + 3 years experience as a HEDIS Quality Improvement Analyst or equivalent HEDIS analytical...utilize certified HEDIS software. + Ability to analyze clinical, claims , pharmacy, encounter, and quality measurement data.… more
    Medical Mutual of Ohio (08/16/25)
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  • IT Business Systems Analyst Sr - Medicaid…

    Prime Therapeutics (Columbus, OH)
    …to determine work assignments within project + Educate and advance business systems analyst practice within the Claims IT team and across the organization ... and drives every decision we make. **Job Posting Title** IT Business Systems Analyst Sr - Medicaid Pharmacy Implementations - Remote **Job Description** The IT… more
    Prime Therapeutics (08/27/25)
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  • Financial Systems Analyst

    Medical Mutual of Ohio (OH)
    …provide peace of mind to more than 1.2 million members through our high- quality health, life, disability, dental, vision and indemnity plans. We offer fully insured ... meetings in Brooklyn, OH monthly; Ohio residents preferred. **Financials Systems Analyst III** **Job Summary:** **Under general supervision, updates and maintains… more
    Medical Mutual of Ohio (08/22/25)
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  • Lead Analyst , Configuration Oversight…

    Molina Healthcare (OH)
    **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst , Configuration Oversight to support our Payment Integrity and Claims ... and regulatory guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen. Experience in… more
    Molina Healthcare (07/24/25)
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  • Grievance/Appeals Analyst I

    Elevance Health (Mason, OH)
    **Title: Grievance/Appeals Analyst I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... accommodation is granted as required by law._ The **Grievance/Appeals Analyst I** is an entry level position in the...and indemnity) related to clinical and non clinical services, quality of service, and quality of care… more
    Elevance Health (08/14/25)
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  • Actuarial Analyst III

    Elevance Health (Mason, OH)
    **Actuarial Analyst III** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing ... accommodation is granted as required by law. The **Actuarial Analyst III** completes very diverse and complicated projects and...Make An Impact:** + Analyze and monitor weekly incurred claims , paid claims , pharmacy, lab results, and… more
    Elevance Health (08/23/25)
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  • Encounters System Analyst

    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
    System One (08/27/25)
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  • Advanced Analytics Analyst Senior - Medical…

    Elevance Health (Cincinnati, OH)
    **Advanced Analytics Analyst Senior - Medical Economics** **Location:** Atlanta, GA; Norfolk, VA; Indianapolis, IN; Cincinnati, OH; Chicago, IL (preferred). This ... passionate about transforming American healthcare delivery. The **Advanced Analytics Analyst Senior** measures financial performance of core Carelon products… more
    Elevance Health (08/20/25)
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  • Senior Analyst Pricing - Remote

    Prime Therapeutics (Columbus, OH)
    …our passion and drives every decision we make. **Job Posting Title** Senior Analyst Pricing - Remote **Job Description** The Senior Pricing Analyst participates ... revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other...new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more
    Prime Therapeutics (08/13/25)
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  • Pricing Analyst Sr - Strong SQL/GCP…

    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
    Prime Therapeutics (08/01/25)
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