- Molina Healthcare (Cleveland, OH)
- …network partners through contract valuation and analysis to ensure access to quality healthcare services for people receiving government assistance. Strengthens ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary)… more
- Molina Healthcare (Dayton, OH)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... improvement processes to ensure systems are working more efficiently and improve quality . + Assists in planning and coordination of application upgrades and… more
- Molina Healthcare (OH)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... accuracy in a timely manner to meet department standards of turnaround time and quality . + Audit loaded provider records for quality and financial accuracy and… more
- Molina Healthcare (Columbus, OH)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... management and credentialing. **KNOWLEDGE/SKILLS/ABILITIES** + Generates data to support continuous quality of provider data and developing SOPs and/or BRDs. +… more
- Molina Healthcare (Columbus, OH)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... and credentialing. **KNOWLEDGE/SKILLS/ABILITIES** + Audits loaded provider records for quality and financial accuracy and provides documented feedback. + Assists… more
- Elevance Health (Cincinnati, OH)
- …of committed clinicians and business leaders passionate about transforming American healthcare delivery. The **Advanced Analytics Analyst Senior** measures ... **Advanced Analytics Analyst Senior - Medical Economics** **Location:** Atlanta, GA;...financial performance of core Carelon products leveraging claims , authorization, and membership data to tell a detailed… more
- Prime Therapeutics (Columbus, OH)
- …analysis to include 1 year of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare , and/or related field + Must be eligible to ... our passion and drives every decision we make. **Job Posting Title** Pricing Analyst - REMOTE **Job Description** The Pricing Analyst maintains, provides… more
- Belcan (Mason, OH)
- Data Analyst Job Number: 360900 Category: Business Analysis Description: Job Title: Data Analyst Location: Mason, OH Zip Code: 45040 Duration: 4+ Months Pay ... Start Date: Immediate GENERAL FUNCTION: Serve as a Data Analyst on the Business Configuration team, responsible for the...of work inventory in the production queues within established quality and turnaround time service levels. * Coordinate and… more
- Prime Therapeutics (Columbus, OH)
- …data consolidation and modeling + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + Experience ... passion and drives every decision we make. **Job Posting Title** Data & Reporting Analyst - REMOTE **Job Description** The Data & Reporting Analyst is… more
- Humana (Columbus, OH)
- …and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer Business and System Support team ... it expands to accommodate the increased responsibilities. The Provider Hospital Reimbursement Analyst r will be primarily responsible for maintenance and support of… more