- Molina Healthcare (Cincinnati, OH)
- …on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules ... as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to… more
- Molina Healthcare (Akron, OH)
- …Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as ... they apply to each database. Validate data to be housed on provider databases and ensure...+ Maintains department standard for loading of provider demographic data with affiliation and contract assignment. + Load and… more
- NTT America, Inc. (Columbus, OH)
- …of regularly scheduled reports. **KNOWLEDGE & ATTRIBUTES** + Proven experience as data analyst , administrative tactician or similar experience with health and ... plan to create a rich Total Rewards package. **Workplace type** **:** Remote Working **About NTT DATA ** NTT DATA is a $30+ billion trusted global innovator… more
- Molina Healthcare (Dayton, OH)
- …Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as ... they apply to each database. Validate data to be housed on provider databases and ensure adherence to business and system requirements of customers as it pertains to… more
- Coinbase (Columbus, OH)
- …Coinbase and the broader web3 community from emerging risks. As an Onchain Data Analyst & Researcher, you'll lead challenging investigations into illicit ... place to be. While many roles at Coinbase are remote -first, we are not remote -only. In-person participation...processes. Success in this role requires curiosity, strong blockchain data analysis skills, and a passion for uncovering and… more
- Molina Healthcare (OH)
- …use. + Assist manager with preparation of submission of Sarbanes-Oxley (SOX) audit data to internal and external auditors. + Assist with complex enrollment issues ... concerning member eligibility. + QNXT + Healthcare experience + SQL-preferred **Job Qualifications** **Required Education** Associate's Degree or equivalent combination of education and experience **Required Experience** 1-3 years **Preferred Education**… more
- Molina Healthcare (Columbus, OH)
- …estimate risk scores, and analyze impact. Extract, analyze, and synthesize data from various sources to identify risks. Additional leadership opportunities are ... available to lead national risk adjustment studies. Prior experience in Medicaid risk adjustment is not required. **KNOWLEDGE/SKILLS/ABILITIES** + Analyze risk score results - calculate financial impact and identify trends or other issues related to risk… more
- Molina Healthcare (Cleveland, OH)
- …application development, business process re-engineering, enterprise integration, logical data modeling, project coordination, estimation, metrics generation, status ... reporting. Provides thought leadership or hands-on expertise for problem resolution, application enhancements, user training and documentation of business processes. Strong application delivery methodology or SDLC background, functional domain or software… more
- Molina Healthcare (OH)
- …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. **KNOWLEDGE/SKILLS/ABILITIES** + Collaborate with Actuarial staff to calculate risk adjustment payment estimates. Document assumptions. + Analyze results to identify early signs of trends or other issues related to… more
- Medical Mutual of Ohio (OH)
- …or MHA) preferred. + 7 years progressive experience as a Clinical Quality Data Analyst or equivalent experience conducting analyses and delivering analytic ... remote opportunity. Eastern Time Zones preferred.** **Responsibilities** **HEDIS Analyst II** + Coordinates and collaborates interdepartmentally to produce the… more
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