• Senior Analyst , Operational Regulatory…

    Molina Healthcare (Akron, 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 recommend business practices to ensure adherence to and compliance with State and Federal regulatory guidelines. The Sr. Analyst develops and performs audits… more
    Molina Healthcare (08/22/25)
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  • Senior Medicaid & Medicare Reimbursement…

    OhioHealth (Columbus, OH)
    …health system. We are a belief system.** We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We ... Description Summary:** This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. * This position… more
    OhioHealth (09/05/25)
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  • Compliance Analyst Principal…

    Prime Therapeutics (Columbus, OH)
    …It fuels our passion and drives every decision we make. **Job Posting Title** Compliance Analyst Principal - Remote **Job Description** The Compliance ... the Regulatory Intelligence communication strategy. This position acts as Compliance and regulatory liaison for all lines of business...related area of study, such as Juris Doctor + Medicare Part D, Medicaid, and/or Affordable Care… more
    Prime Therapeutics (07/07/25)
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  • Compliance Analyst Principal…

    Prime Therapeutics (Columbus, OH)
    …fuels our passion and drives every decision we make. **Job Posting Title** Compliance Analyst Principal (Performance and Oversight) - Remote **Job Description** ... The Compliance Principal is responsible for supporting Oversight and Monitoring...related area of study, such as Juris Doctor + Medicare Part D, Medicaid, and/or Affordable Care… more
    Prime Therapeutics (07/25/25)
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  • Sr. Compliance Analyst - Remote

    Prime Therapeutics (Columbus, OH)
    …our passion and drives every decision we make. **Job Posting Title** Sr. Compliance Analyst - Remote **Job Description** The Regulatory Inquiry & Complaints ... Senior Compliance Analyst assists in the implementation of...organization, or other highly regulated industry, including experience with Medicare , Medicaid, and the Affordable Care Act (ACA) +… more
    Prime Therapeutics (08/14/25)
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  • Analyst , Outreach Coordinator

    CVS Health (Columbus, OH)
    …via provider engagement and bring provider relationships to a whole new level! Be a part of our Aetna team- an industry leader serving the Medicare and ... improve the quality of care across the country. **Position Summary/Mission** The Analyst , Outreach Coordinator utilizes several tools to help close care gaps… more
    CVS Health (09/04/25)
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  • Risk Adjustment Audit Operations Analyst

    Molina Healthcare (Cincinnati, OH)
    **Job Description** **Job Summary** The Junior Analyst will play a supporting role on the RADV (Risk Adjustment Data Validation) team, assisting in the execution of ... collection. This is an ideal opportunity for an early-career analyst with a strong interest in healthcare data, regulatory...+ Participate in internal simulations and mock audits as part of proactive audit readiness. + Contribute to the… more
    Molina Healthcare (08/08/25)
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  • Business Information Analyst Senior…

    Elevance Health (Mason, OH)
    **Business Information Analyst Senior - Medicaid Encounters Data** The **Business Information Analyst Senior** is responsible for analyzing and validating ... healthcare encounter data submissions to CMS (Centers for Medicare & Medicaid Services). This role involves ensuring the accuracy and completeness of data,… more
    Elevance Health (08/26/25)
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  • Analyst , Integration Quality

    Evolent (Columbus, OH)
    …Stay for the culture. **What You'll Be Doing:** Job Description ** Analyst , Integration Quality** Integration testing in the healthcare ecosystem requires complete ... testing is exercised to ensure source to target integrity. The IQ Analyst (IQA) performs analysis, reporting, and technical testing across multiple domains. Active… more
    Evolent (08/29/25)
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