- Prime Therapeutics (Columbus, OH)
- …passion and drives every decision we make. **Job Posting Title** Compliance Analyst Principal - Remote **Job Description** The Compliance Principal is responsible ... client implementations + Supports all lines of business (commercial/HIM, Medicare and Medicaid ) + Other duties as assigned **Education & Experience** + Bachelor's… more
- Elevance Health (Mason, OH)
- **Actuarial Analyst III** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing ... unless an accommodation is granted as required by law. The **Actuarial Analyst III** completes very diverse and complicated projects and performs very complex… more
- Molina Healthcare (Cincinnati, OH)
- **Job Description** **Job Summary** The Junior Analyst will play a supporting role on the RADV (Risk Adjustment Data Validation) team, assisting in the execution of ... collection. This is an ideal opportunity for an early-career analyst with a strong interest in healthcare data, regulatory...similar data platforms + Familiarity with Medicare Advantage or Medicaid programs + Awareness of CMS audit processes or… more
- Molina Healthcare (OH)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina...of related experience in healthcare + Demonstrated understanding of Medicaid and Medicare programs or other healthcare plans +… more
- Prime Therapeutics (Columbus, OH)
- …passion and drives every decision we make. **Job Posting Title** Compliance Analyst Principal (Performance and Oversight) - Remote **Job Description** The Compliance ... within a highly regulated industry, including experience with Medicare, Medicaid , and the Affordable Care Act (ACA) + Must...study, such as Juris Doctor + Medicare Part D, Medicaid , and/or Affordable Care Act knowledge and experience **Physical… more
- Elevance Health (Mason, OH)
- **Data Scientist Analyst ** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing ... granted as required by law. As a **Data Scientist Analyst ** , you will support the development of innovative...solutions that uncover early signals in cost trends across Medicaid , Medicare, Local Group, and Individual markets. You'll collaborate… more
- Evolent (Columbus, OH)
- …Stay for the culture. **What You'll Be Doing:** Job Description ** Analyst , Integration Quality** Integration testing in the healthcare ecosystem requires complete ... testing is exercised to ensure source to target integrity. The IQ Analyst (IQA) performs analysis, reporting, and technical testing across multiple domains. Active… more
- Prime Therapeutics (Columbus, OH)
- …and drives every decision we make. **Job Posting Title** Sr. Compliance Analyst - Remote **Job Description** The Regulatory Inquiry & Complaints Senior Compliance ... Analyst assists in the implementation of Prime's compliance programs,...or other highly regulated industry, including experience with Medicare, Medicaid , and the Affordable Care Act (ACA) + Must… more
- Molina Healthcare (Akron, OH)
- …function supporting compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Sales Compliance Analyst position is primarily responsible for Sales Oversight. + ... Sales & Compliance leadership meetings. + Interpret and analyze Medicare, Medicaid , and MMP Required Sales & Marketing Reporting Technical Specifications. +… more
- CVS Health (Columbus, OH)
- …+ Pharmacy Investigative experience + Marketplace Broker Investigative experience + Medicaid and Medicare experience **Education** + Bachelor's degree in Criminal ... Justice or equivalent experience **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $46,988.00 - $112,200.00 This pay range represents the base hourly rate or base annual full-time salary for all… more