- Molina Healthcare (Akron, OH)
- **Job Description** **Job Summary** The Senior Claims Research Analyst provides senior -level support for claims processing and claims research. ... Sr. Analyst , Claims Research serves as a senior -level subject matter expert in claims operations and research, leading the most complex and… more
- Molina Healthcare (Columbus, OH)
- …emerging technologies. **KNOWLEDGE/SKILLS/ABILITIES** + With limited supervision, the Sr. Analyst , Data is responsible for data compilation, data management, data ... other team members as requested on all things data related. + Supports Operations and Implementations of special projects + Responsible for analytics and reporting,… more
- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** The Senior Market Finance Professional supports more than half of Humana's Medicaid business, providing ... CFOs, clinical teams, and provider engagement teams, focusing on Medicaid claims and premium analytics across multiple states, including established and expansion… more
- Molina Healthcare (Cincinnati, OH)
- **JOB DESCRIPTION** **Job Summary** Provides senior level support for accurate and timely intake and interpretation of regulatory and/or functional requirements ... and implementation of changes that impact the product. + Engages with operations leadership and Plan Support functions to review compliance-based issues for benefit… more
- Evolent (Columbus, OH)
- …for the mission. Stay for the culture. **What You'll Be Doing:** **Lead Analyst , Performance Analytics - Oncology & Member Product Focus** **Overview:** Evolent is ... seeking an experienced and strategic **Lead Analyst , Performance Analytics** to lead data-driven initiatives focused on oncology and member-centric products. This… more
- Humana (Columbus, OH)
- …They will work closely with IT, the pricing software vendor, CIS BSS, Medicaid operations , claims operations , and other business teams involved in the ... community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be… more
- Highmark Health (Columbus, OH)
- …the gap between business needs and the analytical technology team. The Senior Decision Support Consultant will leverage technical, analytical, and business expertise ... of developing technical solutions. The consultant will act as a senior resource within the team, fostering business-to-technical collaboration and providing… more