• Medicare Risk Adjustment Advanced Analytics…

    Elevance Health (Louisville, KY)
    ** Medicare Risk Adjustment Advanced Analytics Analyst ** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per week,** ... an accommodation is granted as required by law._ The ** Medicare Risk Adjustment Advanced Analytics Analyst ** is...Analyzes and develops SAS and SQL programming to support Medicare Advantage risk adjustment initiatives. + Performs data… more
    Elevance Health (07/29/25)
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  • Operational Regulatory Oversight Analyst…

    Molina Healthcare (Lexington, KY)
    …to the Health Care environment. **Knowledge/Skills/Abilities** The Operational/Regulatory Oversight Analyst works with health plans and operations departments to ... to and compliance with State and Federal regulatory guidelines. The Analyst develops and performs audits and oversight functions involving business-critical… more
    Molina Healthcare (07/19/25)
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  • Senior Business Analyst ( Medicare…

    Molina Healthcare (KY)
    **JOB DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data (SQL and advanced Excel functions) from internal and external sources to ... Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and analysis… more
    Molina Healthcare (07/27/25)
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  • Senior Actuarial Analyst ( Medicare…

    Molina Healthcare (Owensboro, KY)
    **JOB DESCRIPTION** **Job Summary** Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. ... Extracts, analyzes, and synthesizes data from various sources to identify risks. Maintain/update SQL model(s), estimate risk scores, and analyze impact.… more
    Molina Healthcare (07/25/25)
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  • Sr. People Data & Reporting Analyst

    Waystar (Louisville, KY)
    …decisions and elevate the team member experience. We're looking for a detail-oriented, data -driven reporting analyst for our growing team. In this role, you'll ... harness the power of data and Ai to influence strategy, enhance reporting capabilities,...systems, and is connected to over 5K commercial and Medicaid/ Medicare payers. We are deeply committed to living out… more
    Waystar (07/12/25)
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  • Actuarial Analyst 2

    Humana (Frankfort, KY)
    …and independent determination of the appropriate courses of action. The Actuarial Analyst 2, Analytics/Forecasting ensures data integrity by developing and ... of our caring community and help us put health first** The Actuarial Analyst 2, Analytics/Forecasting analyzes and forecasts financial, economic, and other data … more
    Humana (07/31/25)
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  • Senior Analyst , Healthcare Analytics (Risk…

    Molina Healthcare (Covington, KY)
    …finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data systems and models + ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for...include research, analysis and modeling of complex healthcare claims data , pharmacy data , lab data ,… more
    Molina Healthcare (07/17/25)
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  • Senior Actuarial Analyst - REMOTE

    Prime Therapeutics (Frankfort, KY)
    …passion and drives every decision we make. **Job Posting Title** Senior Actuarial Analyst - REMOTE **Job Description** The Senior Actuarial Analyst is ... pricing support for all Prime's lines of business (commercial, Medicare and Medicaid). This role will also provide actuarial...and complex actuarial models + Lead, perform, and review data analyses, reporting, and projections + Lead, perform, and… more
    Prime Therapeutics (06/09/25)
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  • Senior Analyst , Medical Economics - REMOTE

    Molina Healthcare (Louisville, KY)
    **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... identifying opportunities to improve financial performance. Extracts, analyzes, and synthesizes data from various sources to identify risks and opportunities. **Job… more
    Molina Healthcare (07/10/25)
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  • Senior Analyst , Risk & Quality Reporting…

    Molina Healthcare (KY)
    **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom ... reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare /MMP. Assists with research, development, and completion of special performance… more
    Molina Healthcare (05/31/25)
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