- Molina Healthcare (Akron, OH)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare is seeking a seasoned Business Analyst to support cross-functional initiatives across all lines of ... to executive levels **JOB QUALIFICATIONS** **Required Education** + Bachelor's degree in Business , Healthcare Administration, or related field or equivalent work… more
- Molina Healthcare (Cincinnati, OH)
- …are aligned as well as work with operational leaders within the business to provide recommendations for process improvements and opportunities for cost savings. ... committee structure and timing with key partner organizations. Interpret customer business needs and translate them into application and operational requirements. +… more
- Molina Healthcare (OH)
- …Maintains critical auditing and outcome information. Synchronizes data among operational and claims systems and application of business rules as they apply ... database. Validate accuracy of configuration and ensure adherence to business and system requirements of customers as it pertains...life cycle * Gains a deep understanding of Molina claims life cycle and all processes that affect … more
- Molina Healthcare (Akron, OH)
- …health, more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...business impacts, and make recommendations through use of healthcare analytics, predictive modeling, etc. * Experience with industry… more
- Molina Healthcare (Cleveland, OH)
- …health, more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...business impacts, and make recommendations through use of healthcare analytics, predictive modeling, etc. + Experience with industry… more
- Molina Healthcare (Cleveland, OH)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule… more
- Molina Healthcare (Columbus, OH)
- …Experience working on SQL, PowerBI, databricks. + Experience on ETL , healthcare specifically claims is highly preferred. **JOB QUALIFICATIONS** **Required ... used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables… more
- Molina Healthcare (Columbus, OH)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality...overall markets and LOB. + Work in an agile business environment to derive meaningful information out of complex… more
- Elevance Health (Columbus, OH)
- ** Business Information Analyst II** **Location** : This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, ... an accommodation is granted as required by law The Business Information Analyst II will be responsible...reports (eg for Population Health trends, HEDIS, monitoring KPIs, claims data, provider data, utilization data) and provides notations… more
- Robert Half Technology (Westlake, OH)
- … claims and payment processing. * At least 5 years of experience in a Business Analyst or similar role. * Proficiency in Microsoft Word, Excel, and Outlook. * ... Description We are looking for a skilled Business Systems Analyst to join our team in Westlake, Ohio. This role is ideal for someone who thrives on analyzing… more