- Molina Healthcare (Dayton, OH)
- **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst , Configuration Oversight to support our Payment Integrity and Claims Operations ... ensuring the accuracy and compliance of Coordination of Benefits (COB) claim pricing and processing. This role will focus on identifying, reviewing, and validating… more
- Molina Healthcare (Dayton, OH)
- …of this role is supporting the Molina Marketplace ACA individual market pricing , forecasting, and accrual processes. The candidate will summarize and analyze claim ... trends. + Generate and distribute routine reports to support IBNR calculations, pricing , and financial reporting. + Extract and compile information from various… more
- Molina Healthcare (Columbus, OH)
- …+ Generate and distribute routine reports to support risk adjustment calculations, pricing , and financial reporting + Identify opportunities for improvement in risk ... adjustment programs and develop advocacy accordingly **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree in Mathematics, Statistics, or Economics **Required Experience** 1-2 Years **Required License, Certification, Association** Must have passed at… more
- Molina Healthcare (OH)
- …+ Generate and distribute routine reports to support risk adjustment calculations, pricing , and financial reporting. + Extract and compile information from various ... systems to support executive decision-making. + Research and develop reports and analysis for senior management; effectively communicate results. + Assist in the preparation of forecasts/bids/filings related to risk adjustment. **JOB QUALIFICATIONS**… more
- Kemper (Columbus, OH)
- …economics or related field + 4 plus years of experience as an actuarial analyst or quantitative pricing analyst , or related experience; Property & ... Location(s) Alpharetta, Georgia, Remote -CT, Remote -FL, Remote -GA, ...motivated Senior Actuarial Analyst . The Senior Actuarial Analyst performs complex pricing analyses and provides… more
- Fifth Third Bank, NA (Cincinnati, OH)
- …4 Days in office at 5/3 Bank Madisonville Office Building. We are unable to do remote . This role will be focused on data analytics for our home equity line of ... reporting that helps the line of business manage its pricing strategy to meet or exceed revenue goals and...to learn company systems and tools Consumer Lending Data Analyst At Fifth Third, we understand the importance of… more
- Fujifilm (Columbus, OH)
- **Position Overview** The Purchasing Compliance Analyst reports to the Associate Manager of HLUS Strategic Sourcing and Indirect Purchasing. The Purchasing ... Compliance Analyst is responsible for ensuring adherence to procurement policies,...and ensure alignment with global standards. **This position is remote but needs to be within a commutable distance… more
- Cognizant (Columbus, OH)
- **Sr. Facets Config Analyst ** **Job ID: 00065735701** **About the role** As a **Sr. Facets Config Analyst ** , you will make an impact by designing and ... outcomes and identify gaps. + Interpret provider contracts and configure pricing requirements using the Facets NetworX module. + Troubleshoot and resolve… 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 integral ... for hospitals and facilities. They will work closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business… more
- Norstella (Columbus, OH)
- Senior Analyst , Life Sciences Consulting Company: Dedham Group Location: Remote , United States Date Posted: Apr 25, 2025 Employment Type: Full Time Job ID: R-410 ... the dots from pipeline to patient. **About the Senior Analyst :** The Senior Analyst position at TDG...consulting. Analysts will work on projects addressing the reimbursement, pricing , demand creation, health policy, health economics and market… more
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