- Prime Therapeutics (Columbus, OH)
- …drives every decision we make. **Job Posting Title** Specialty & Home Delivery Program Claims Analyst - Remote **Job Description** The Specialty & Home Delivery ... Program Claims Analyst is responsible for serving as...Pharmacy Match product which may include implementations, projects, claims & performance guarantee monitoring, and testing. This position… more
- Medical Mutual of Ohio (OH)
- …to utilize certified HEDIS software. + Ability to analyze clinical, claims , pharmacy , encounter, and quality measurement data . + Advanced knowledge of NCQA ... software. + Ability to analyze clinical, claims , pharmacy , encounter, and quality measurement data . +...+ 7 years progressive experience as a Clinical Quality Data Analyst or equivalent experience conducting analyses… more
- Baylor Scott & White Health (Columbus, OH)
- …, MMR, MOR, MAO-002, MAO-004 and RAPs/EDS data + Experience with Healthcare claims , enrollment and pharmacy data is preferred + Knowledge of ACA, ... TPA business requirements preferred.Experience with healthcare encounters, enrollment and pharmacy data preferred. **BENEFITS** Our competitive benefits package… more
- CVS Health (Columbus, OH)
- …Alteryx, Trifacta, Linux OS, GCP/ AWS/ Azure * Experience working with medical and/or pharmacy claims data * Experience in healthcare industry, including ... our PBM Finance Enablement group as a Senior Reporting Analyst within our PBM Customer Reporting team. CVS Health...You will work with a collaborative, close-knit team on pharmacy and member specific claims data… more
- Prime Therapeutics (Columbus, OH)
- …related work experience; HS diploma or GED is required + 2 years of experience within Claims Processing, Audit, Quality or Pharmacy + Must be eligible to work in ... our passion and drives every decision we make. **Job Posting Title** QA Analyst PBM Implementation - Remote **Job Description** The Quality Assurance (QA) Analyst… more
- Evolent (Columbus, OH)
- …fosters expertise and cooperation + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data regarding health plan cost ... **What You'll Be Doing:** **Who You'll Be Working With:** The Senior Analyst Performance Suite Analytics utilizes and develops project management tools to solve… more
- Molina Healthcare (OH)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data , pharmacy data , and lab data regarding network ... actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data systems and models + BI tools To all current… more
- Molina Healthcare (Akron, OH)
- …Medicaid, Marketplace and Medicare/MMP + Develop custom health plan reports related to managed care data like Medical Claims , Pharmacy , Lab and HEDIS rates + ... **JOB DESCRIPTION** **Job Summary** The Analyst , Risk and Quality Reporting role supports Molina's...reports as requested to track HEDIS performance and supplemental data monitoring + Development and QA of custom health… more
- Molina Healthcare (Columbus, OH)
- …for Medicaid, Marketplace and Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims , Pharmacy , Lab and HEDIS rates. + ... **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will...users on how to use reports. + Assist Quality Data Analytics Leaders in Predictive Intervention Strategy Analytics along… more
- Molina Healthcare (Dayton, OH)
- …Marketplace and Medicare/MMP * Develops custom health plan reports related to managed care data like Medical Claims , Pharmacy , Lab and HEDIS rates * ... **Job Summary** The Lead Analyst , Quality Analytics and Performance Improvement role will...develops reporting solutions to assist HEDIS Outbound, Inbound extracts, Data Ingestions, Dashboards, Reports & Extracts for rate tracking… more