- Molina Healthcare (Cincinnati, OH)
- …accurate and timely implementation and maintenance of critical information 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 contracting,… more
- Molina Healthcare (OH)
- **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst , Configuration Oversight to support our Payment Integrity and Claims ... and regulatory guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen. Experience in… more
- Defense Contract Management Agency (Cincinnati, OH)
- …completeness. Requirements Conditions of Employment Qualifications To qualify for a Lead Contract Price/Cost Analyst , your resume and supporting documentation ... at the time of application) to support your educational claims . Or, if you are using education to qualify...at the time of application) to support your educational claims . The transcripts must include your name, the name… more
- Elevance Health (Mason, OH)
- **Performance Quality Analyst I - CarelonRx PBM** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... lens, to deliver member-centered, lasting pharmacy care. The **Performance Quality Analyst I** is responsible for driving service quality excellence by evaluating… more
- Elevance Health (Mason, OH)
- **Performance Quality Analyst I - CarelonRx PBM** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... lens, to deliver member-centered, lasting pharmacy care. The **Performance Quality Analyst I** is responsible for driving service quality excellence by evaluating… more
- Elevance Health (Cincinnati, OH)
- **Advanced Analytics Analyst Senior - Medical Economics** **Location:** Atlanta, GA; Norfolk, VA; Indianapolis, IN; Cincinnati, OH; Chicago, IL (preferred). This ... passionate about transforming American healthcare delivery. The **Advanced Analytics Analyst Senior** measures financial performance of core Carelon products… more
- Prime Therapeutics (Columbus, OH)
- …fuels our passion and drives every decision we make. **Job Posting Title** Pricing Analyst Sr - Strong SQL/GCP - Remote **Job Description** The Senior Pricing ... Analyst participates in the assessment of value generated by...or enhanced financial pricing strategies. This position will also lead highly complex financial pricing analyses and provide consultation… more
- Highmark Health (Columbus, OH)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... identifying, assessing, and mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their impact on operational processes, and implement… more
- Robert Half Management Resources (Cincinnati, OH)
- Description We are looking for an experienced Senior Business Systems Analyst to join our team on a long-term contract basis. This role requires a detail-oriented ... and document workflow processes and system procedures for operational teams. * Lead data mapping efforts and ensure accurate integration of data across systems.… more
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other… more
Recent Jobs
-
Sales and Technical Associate for HPM Tech - Remote based in Hawaii (Maui)
- HPM Building Supply (HI)