- Elevance Health (Mason, OH)
- ** Risk Adjustment Actuarial Business Analyst II** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per ... accommodation is granted as required by law._ The ** Risk Adjustment Actuarial Business Analyst II** is responsible for completing projects and performing… more
- Molina Healthcare (OH)
- …relevant findings. Performs Health Plan strategic analysis and planning and coordinates across business units on Risk Adjustment Program Valuation and ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for...be responsible for work around Program Valuation on Molina's Risk Adjustment Actuarial team. Responsibilities include research,… more
- Molina Healthcare (Columbus, OH)
- …Summary** The Senior Analyst will serve a key role on the RADV ( Risk Adjustment Data Validation) team, contributing to the end-to-end data strategy and ... required for audit response. + Collaborate with internal stakeholders-including IT, Risk Adjustment operations, clinical teams, and retrieval vendors-to ensure… more
- Molina Healthcare (Cincinnati, OH)
- …Summary** The Junior Analyst will play a supporting role on the RADV ( Risk Adjustment Data Validation) team, assisting in the execution of CMS and internal ... and confirm required data elements. + Collaborate with internal teams-including IT, Risk Adjustment operations, and clinical teams-to ensure accurate and… more
- Molina Healthcare (Columbus, OH)
- …of key managed care concepts and provider reimbursement principles such as risk adjustment , capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to...the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for… more
- Molina Healthcare (Dayton, OH)
- …directly with **clinicians, nurses, or case management teams** + Familiarity with risk adjustment , value-based care models, or healthcare performance metrics + ... **JOB DESCRIPTION** **Job Summary** JOB SUMMARY: The Sr. Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives by translating… more
- Aston Carter (Johnstown, OH)
- Job Title: Procurement Analyst Job Description Support Procurement Consultants, Procurement Specialists, and Category Managers in the execution of sourcing and ... work, including spend analytics, market complexity data collection, performance metrics, risk considerations, pricing, total cost of ownership, demand planning, and… more
- CenterWell (Columbus, OH)
- …specific to cardiology, nephrology, orthopedics, and oncology + Familiarity with risk adjustment methodologies and population health analytics. + Experience ... the Primary Care Organization's total cost of care opportunities. Provides business intelligence and strategic planning support for Specialty-related initiatives or… more