• Lead Analyst , Claims / Regulatory…

    Molina Healthcare (OH)
    …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... + Experience with Medicare, Medicaid and Marketplace is required. + Medical coding experience is highly preferred. **JOB QUALIFICATIONS** **Required Education**… more
    Molina Healthcare (06/18/25)
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  • HEDIS Analyst

    Medical Mutual of Ohio (OH)
    Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million ... fully remote opportunity. Eastern Time Zones preferred.** **Responsibilities** **HEDIS Analyst II** + Coordinates and collaborates interdepartmentally to produce the… more
    Medical Mutual of Ohio (08/16/25)
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  • Financial Systems Analyst

    Medical Mutual of Ohio (OH)
    Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million ... meetings in Brooklyn, OH monthly; Ohio residents preferred. **Financials Systems Analyst III** **Job Summary:** **Under general supervision, updates and maintains… more
    Medical Mutual of Ohio (08/22/25)
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  • Advanced Analytics Analyst Senior…

    Elevance Health (Cincinnati, OH)
    …healthcare analytics, and/or financial services highly preferred. + Comprehensive understanding of medical claims data. + Intermediate to Advanced expertise with ... **Advanced Analytics Analyst Senior - Medical Economics** **Location:**...Senior** measures financial performance of core Carelon products leveraging claims , authorization, and membership data to tell a detailed… more
    Elevance Health (08/20/25)
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  • Sr. Medical Analyst

    Norstella (Columbus, OH)
    Sr. Medical Analyst Company: MMIT Location: Remote, United States Date Posted: Jul 30, 2025 Employment Type: Full Time Job ID: R-1370 **Description** **Why ... support patients in need. We are seeking a Senior Medical Analyst to join our team and...extract meaningful insights from real-world data (RWD) sources, including claims , laboratory results, billing codes, and electronic health records… more
    Norstella (07/31/25)
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  • Senior Analyst , Medical Economics…

    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 ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical… more
    Molina Healthcare (08/31/25)
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  • Actuarial Analyst III

    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 ... accommodation is granted as required by law. The **Actuarial Analyst III** completes very diverse and complicated projects and...Make An Impact:** + Analyze and monitor weekly incurred claims , paid claims , pharmacy, lab results, and… more
    Elevance Health (08/23/25)
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  • Analyst , Integration Quality

    Evolent (Columbus, OH)
    …of 1 years of experience in technical quality assurance and database testing, medical benefits, provider, enrollment, and / or claims data. + Demonstrable ... Stay for the culture. **What You'll Be Doing:** Job Description ** Analyst , Integration Quality** Integration testing in the healthcare ecosystem requires complete… more
    Evolent (08/29/25)
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  • Member Campaign Program Analyst - Remote

    Prime Therapeutics (Columbus, OH)
    …Qualifications** + Pharmacy Benefit Management (PBM) experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data ... and drives every decision we make. **Job Posting Title** Member Campaign Program Analyst - Remote **Job Description** The Member Campaign Program Analyst is… more
    Prime Therapeutics (08/27/25)
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  • Business Information Analyst Senior…

    Elevance Health (Mason, OH)
    **Business Information Analyst Senior - Medicaid Encounters Data** The **Business Information Analyst Senior** is responsible for analyzing and validating ... requirements. + Develop and analyze business performance reports (eg, for claims data, provider data, utilization data) and provides notations of performance… more
    Elevance Health (08/26/25)
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