- Molina Healthcare (Dayton, OH)
- …Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan financial ... and shared ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational Ownership** + Assists… more
- Molina Healthcare (Dayton, OH)
- …Candidate must reside in Georgia **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network ... utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. Molina Healthcare Core Competencies: Generally, the ability to understand,… more
- Molina Healthcare (Akron, OH)
- …**Job Summary** Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider ... information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each database. Validate data to be housed on provider databases and ensure adherence to business and system… more
- Molina Healthcare (OH)
- …**Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. Identifies and ... interprets trends and patterns in datasets to locate influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and analysis based on business needs and… more
- Molina Healthcare (Dayton, OH)
- …**Job Summary** The role is responsible for assisting in establishing premium rates and conducting financial analysis and reporting. A key responsibility of this role ... is supporting the Molina Marketplace ACA individual market pricing, forecasting, and accrual processes. The candidate will summarize and analyze claim and utilization in support of these processes. This is a non-traditional role that blends standard actuarial… more
- St. George Tanaq Corporation (Columbus, OH)
- Business Analyst II Fully Remote *GA Job Type Full-time Description **Overview** Tanaq Support Services (TSS) delivers professional, scientific, and technical ... shareholders. **About the Role** We are seeking a **Business Analyst II** to support a contract with our federal...contract with our federal client. This is a fully remote role based in Atlanta, GA or from anywhere… more
- Carrington (Columbus, OH)
- **Come join our amazing team and work remote from home!** Client Relationship Analyst is responsible for capturing and documenting client/investor servicing ... of new acquisitions. + Ability to maintain high speed internet access while working remote and the ability to work in a designated office as needed. + Proficient… more
- Prime Therapeutics (Columbus, OH)
- …passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Risk Assessment and Oversight) - Remote **Job Description** The ... Senior Compliance Analyst assists in the implementation of Prime's compliance programs and leads initiatives within their designated areas. This role partners with key internal stakeholders to execute assigned Compliance Oversight activities, which may… more
- Molina Healthcare (Columbus, OH)
- **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom ... health plan reports to support local interventions, provider outreach, and tracks outcomes of the initiatives. Educates users on how to use reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. Assists with research,… more
- Molina Healthcare (Cleveland, OH)
- **JOB DESCRIPTION** **Job Summary** The Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. This position designs and ... develops custom health plan reports to support local interventions, provider outreach, and tracks outcomes of the initiatives. Educates users on how to use reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. **Job Duties** +… more