- Prime Therapeutics (Columbus, OH)
- …It fuels our passion and drives every decision we make. **Job Posting Title** IT Business Systems Analyst Sr - Medicaid Pharmacy Implementations - Remote ... **Job Description** The IT Business Systems Analyst (BSA) Sr is responsible...Benefit Management (PBM) or healthcare experience with understanding of Medicare , Medicaid , the Exchanges along with regulatory… more
- Elevance Health (Mason, OH)
- ** Business Information Analyst Senior - Medicaid Encounters Data** The ** Business Information Analyst Senior** is responsible for analyzing and ... validating healthcare encounter data submissions to CMS (Centers for Medicare & Medicaid Services). This role involves ensuring the accuracy and completeness of… more
- Humana (Columbus, OH)
- …and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an ... complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business and expansion into new states. The business … more
- Medical Mutual of Ohio (OH)
- …lifecycle processes for all lines of business (Commercial, Marketplace, Medicare Advantage, and Medicaid ), including HEDIS audit submission, Consumer ... insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Supports corporate and… more
- Molina Healthcare (Cincinnati, OH)
- …synthesize complex information. **PREFERRED QUALIFICATIONS:** + Experience with Medicare , Medicaid , and Marketplace lines of business . + Certified ... Summary** Provides lead level support as a highly capable business analyst who serves as a key...and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State… more
- Medical Mutual of Ohio (OH)
- …for quality improvement across all lines of business (Commercial, Marketplace, Medicare Advantage, and Medicaid ). Integrates diverse data sources to report ... insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Produces reporting and… more
- Prime Therapeutics (Columbus, OH)
- …regulatory change process + Supports new client implementations + Supports all lines of business (commercial/HIM, Medicare and Medicaid ) + Other duties as ... Benefit Management organization, or within a highly regulated industry, including experience with Medicare , Medicaid , and the Affordable Care Act (ACA) + Must be… more
- Molina Healthcare (OH)
- …business needs. Performs analysis across multiple states and lines of business ( Medicare , Medicaid , Marketplace ACA). **KNOWLEDGE/SKILLS/ABILITIES** + ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment… more
- Prime Therapeutics (Columbus, OH)
- …Benefit Management organization, or within a highly regulated industry, including experience with Medicare , Medicaid , and the Affordable Care Act (ACA) + Must be ... drives every decision we make. **Job Posting Title** Compliance Analyst Principal (Performance and Oversight) - Remote **Job Description**...related area of study, such as Juris Doctor + Medicare Part D, Medicaid , and/or Affordable Care… more
- Molina Healthcare (Columbus, OH)
- …their financial and clinical performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **Job ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to...of related experience in healthcare + Demonstrated understanding of Medicaid and Medicare programs or other healthcare… more