• Senior Analyst, Quality Analytics & Performance…

    Molina Healthcare (Cincinnati, OH)
    …as well as Reporting modules related to Quality/HEDIS for Medicaid, Marketplace and Medicare /MMP. + Analysis and reporting related to Managed care data like Medical ... like Python and R programming would be an added advantage . + 3+ years of experience with Microsoft Azure,...least one line of business among Medicaid, Marketplace and Medicare /MMP. + 3+ Years of experience in working with… more
    Molina Healthcare (12/05/25)
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  • Representative, Dental Provider Services

    Molina Healthcare (Dayton, OH)
    …member satisfaction - CAHPS, regulatory-related, Molina Quality programs, and taking advantage of electronic solutions (EDI, EFT, EMR, Provider Portal, Provider ... various managed healthcare provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including but not limited to, fee-for… more
    Molina Healthcare (12/31/25)
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  • Litigated Claims Consultant | Public Entity…

    Sedgwick (Toledo, OH)
    …global company known for its excellence and customer service. + Take advantage of a variety of professional development opportunities that help you perform ... principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business. + Technically skilled… more
    Sedgwick (12/16/25)
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  • Healthcare Clinical Documentation Specialist

    Deloitte (Cincinnati, OH)
    …& Risk offering enables clients to achieve profitable growth and competitive advantage by optimizing "heart of the business" operations. We leverage deep domain ... RN, Quality, DRG Validation and health IT preferred + Knowledge of Medicare reimbursement system and coding structures preferred + In-depth knowledge and experience… more
    Deloitte (11/21/25)
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