• Risk Adjustment Audit Operations Analyst

    Molina Healthcare (Cincinnati, OH)
    …opportunity for an early-career analyst with a strong interest in healthcare data , regulatory processes, and cross-functional collaboration. Success in this ... **Job Description** **Job Summary** The Junior Analyst will play a supporting role on the...Python or another programming language + Basic familiarity with healthcare data types such as claims more
    Molina Healthcare (08/08/25)
    - Related Jobs
  • Senior Analyst , Risk Adjustment…

    Molina Healthcare (Columbus, OH)
    …equivalent discipline **Required Experience** + 3-5 Years of experience with healthcare -related data ( claims /encounters, provider, CMS/EDGE response files, ... **Job Description** **Job Summary** The Senior Analyst will serve a key role on the...serve a key role on the RADV (Risk Adjustment Data Validation) team, contributing to the end-to-end data more
    Molina Healthcare (08/03/25)
    - Related Jobs
  • Clinical Data Analyst , Staff

    Lyric (Columbus, OH)
    …other immigration support are not available for this position. **Job Summary:** The Clinical Data Analyst - Staff plays a pivotal role in advancing our products ... and business operations leaders to develop reporting and analyze large-scale healthcare claims and clinical datasets. By leveraging advanced coding,… more
    Lyric (07/09/25)
    - Related Jobs
  • EDI Business Implementation Analyst

    System One (Dayton, OH)
    …systems and processes, including EDI and paper claims to ensure accurate data transmission and adjudication + Identify, analyst and resolve issues related to ... Title: EDI Business Implementation Analyst - 2 roles are open ALTA is...+ Oversee workflows and systems for intake, imaging and data capture of paper claims ensuring timely… more
    System One (08/14/25)
    - Related Jobs
  • HEDIS Analyst

    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 ... strategies and goals in alignment with regulatory specification for the annual Healthcare Effectiveness Data and Information Set (HEDIS) lifecycle processes for… more
    Medical Mutual of Ohio (08/16/25)
    - Related Jobs
  • Analyst , Business Quality (Remote)

    Molina Healthcare (OH)
    …+ Computer Science or Info tech + Testing experience required + Data analytics + Familiarity w/SDLC Methodologies: Agile, waterfall, etc. **PREFERRED EXPERIENCE:** + ... SQL expertise + Excel expertise + Medicare, Medicaid, Marketplace claims expertise **PHYSICAL DEMANDS:** Working environment is generally favorable and lighting and… more
    Molina Healthcare (08/10/25)
    - Related Jobs
  • Pricing Analyst - Remote

    Prime Therapeutics (Columbus, OH)
    …with high-complexity pricing analyses. **Responsibilities** + Analyze and produce pharmacy claims data reporting of varying complexity to assess competitiveness ... extraction, storage, manipulation, processing and analysis + Analyze claims data of varying complexity to identify...1 year of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare , and/or related field +… more
    Prime Therapeutics (08/13/25)
    - Related Jobs
  • Advanced Analytics Analyst Senior - Medical…

    Elevance Health (Cincinnati, OH)
    …analytics, and/or financial services highly preferred. + Comprehensive understanding of medical claims data . + Intermediate to Advanced expertise with software ... of committed clinicians and business leaders passionate about transforming American healthcare delivery. The **Advanced Analytics Analyst Senior** measures… more
    Elevance Health (08/12/25)
    - Related Jobs
  • Sr. Medical Analyst

    Norstella (Columbus, OH)
    …We are seeking a Senior Medical Analyst to join our team and drive data -driven healthcare initiatives. In this role, you will leverage your expertise in ... Sr. Medical Analyst Company: MMIT Location: Remote, United States Date...healthcare data analytics to extract meaningful insights...with and querying large healthcare databases, including claims , EMR/EHR, and laboratory data , in an… more
    Norstella (07/18/25)
    - Related Jobs
  • Encounters System Analyst

    System One (Dayton, OH)
    Job Title: Encounters System Analyst Location: Remote Type: Contract Contractor Work Model: Remote Title: Encounters System Analyst ALTA is supporting an 8-month ... specializing in Program & Project Management, Application Development, Cybersecurity, Data & Advanced Analytics, and Agile Transformation Services. The Encounters… more
    System One (08/03/25)
    - Related Jobs