- Medical Mutual of Ohio (OH)
- …public health, or related field. . 3 years' experience as a HEDIS Quality Improvement Analyst or equivalent HEDIS analytical project experience. programs. ... utilize certified HEDIS software. . Ability to analyze clinical, claims , pharmacy, encounter, and quality measurement data. . Advanced knowledge of NCQA and CMS… more
- Baylor Scott & White Health (Columbus, OH)
- …and/or level **Job Summary** **100% Remote position** The Benefit Configuration Analyst examines configuration change requests. They establish the technical scope, ... to ensure the accurate configuration of business requirement + Analyze larger sets claims data to evaluate patterns of billing as it relates to benefit design… more
- 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
- Molina Healthcare (Columbus, OH)
- …+ Knowledge of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more
- Prime Therapeutics (Columbus, OH)
- …and drives every decision we make. **Job Posting Title** IT Business Systems Analyst - ScriptMed - Remote **Job Description** The IT Business Systems Analyst ... requestors to resolve questions regarding requested software changes, and participate with Quality Assurance and UAT resources to review related test cases and/or… 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
- Indian River Juvenile Correctional Facility (Massillon, OH)
- Human Capital Management Analyst ( 250005QD ) Organization : Youth Services - Indian River Juvenile Correctional Facility Agency Contact Name and Information: : ... by clicking here (https://dys.ohio.gov/) Job Duties DYS is seeking a Human Capital Management Analyst to serve as part of the human resources team at Indian River… more
- UIC Government Services and the Bowhead Family of Companies (Wright Patterson AFB, OH)
- **Overview** Bowhead seeks an experienced Cybersecurity Protect Analyst to join our team onsite in Vicksburg, MS. The Cybersecurity Protect Analysts will ensure ... characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,...of services which are performed with a focus on quality results. Headquartered in Springfield, VA, we are a… more
- Cleveland Clinic (Cleveland, OH)
- …feasibility analysis, estimating, planning, designing, developing, prototyping, implementing, quality assurance evaluation and modification of automated systems. ... healthcare organizations in the world. As an Epic Billing Systems Analyst , you will assist with feasibility analysis, estimating, planning, designing, developing,… more
- Molina Healthcare (Dayton, OH)
- **JOB DESCRIPTION** **Job Summary** JOB SUMMARY: The Sr. Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives by translating ... queries to extract, validate, and analyze healthcare data, including claims , pharmacy, and lab datasets. + Build and maintain...and cost drivers across the organization. + Ensure data quality , governance, and documentation standards are met in all… more