- Molina Healthcare (Columbus, OH)
- …with Medicaid contract analytics is highly preferred. + Experience working on Managed care analytics and healthcare reimbursement models is required. + ... archives. + Demonstrate Healthcare experience in contract modeling, analyzing relevant Financial and Utilization Metrics of Healthcare. + Must be able to… more
- Robert Half (Cincinnati, OH)
- JOB REQUISITION Americas Delivery Center - Financial Crimes Compliance Analyst LOCATION AMERICAS DELIVERY CENTER ADDITIONAL LOCATION(S) JOB DESCRIPTION You ... is a passion. We lean into our mission: We Care . We Collaborate. We Deliver . At every level,...You Protiviti 's Americas Delivery Center is seeking an Analyst to join our financial crimes compliance… more
- CVS Health (OH)
- …Power BI and Excel. **Preferred Qualifications** + Experience in health insurance, managed care , or the pharmaceutical industry. + Project management experience ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...heart, each and every day. **Position Summary** The Sr Analyst FP&A ( Financial Analytics and Reporting) plays… more
- Elevance Health (Mason, OH)
- **Provider Contract Cost of Care Analyst Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and ... as required by law. The **Provider Contract Cost of Care Analyst Senior** is responsible for providing...a minimum of 3 years experience in broad-based analytical, managed care payor or provider environment as… more
- Molina Healthcare (Dayton, OH)
- …years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, including experience in Medicaid ... Provides lead level support as a highly capable business analyst who serves as a key strategic partner in...and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement… more
- CVS Health (Columbus, OH)
- …that impact the organization's business. The ideal candidate has experience in Medicaid managed care , as well as familiarity with Medicaid state contracts, laws, ... Corporate Medicaid Compliance team is looking for a Sr. Analyst to support the Medicaid Business Compliance Office (BCO)...to apply. **Required Qualifications** + 3+ years of Medicaid Managed Care experience. + 3+ years of… more
- Molina Healthcare (OH)
- …facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care organization, etc.) + Proficiency with Microsoft ... utilized in medical coding/billing (UB04/1500 form) + Demonstrated understanding of key managed care concepts and provider reimbursement principles such as risk… more
- PNC (Cleveland, OH)
- …an opportunity to contribute to the company's success. As a Development Program Analyst within PNC's Treasury Management organization, you will be based within the ... that impacts how digital information is processed and working capital is managed . As a leader in digital payment transformation, PNC Treasury Management (TM)… more
- Elevance Health (Mason, OH)
- …healthcare industry is preferred. + Actuarial experience within a healthcare and/or managed care organization preferred + Familiarity with medical management or ... **Predictive Healthcare Economics Analyst ** **Location:** This role requires associates to be...+match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health… more
- Molina Healthcare (Dayton, OH)
- …for Medicaid, Marketplace and Medicare/MMP * Develops custom health plan reports related to managed care data like Medical Claims, Pharmacy, Lab and HEDIS rates ... **Job Summary** The Lead Analyst , Quality Analytics and Performance Improvement role will...cleaning of data. * 5+ Years of experience in Managed Care Organization executing similar techno functional… more