- Molina Healthcare (OH)
- …finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data systems and models + ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for...include research, analysis and modeling of complex healthcare claims data , pharmacy data , lab data ,… more
- Molina Healthcare (Columbus, OH)
- **Job Description** **Job Summary** The Senior Analyst will serve a key role on the RADV (Risk Adjustment Data Validation) team, contributing to the ... for supporting RADV audit cycles by identifying, synthesizing, and validating source data needed to build chart retrieval chase lists for medical record collection.… more
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... creating tools to monitor trend drivers and provide recommendations to senior leaders for affordability opportunities. Responsible for conducting complex analyses of… more
- Molina Healthcare (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 ... reports as requested to track HEDIS performance and supplemental data monitoring + Develops and QA custom health plan...Develops custom health plan reports related to managed care data like Medical Claims, Pharmacy, Lab and HEDIS rates… more
- Molina Healthcare (OH)
- …premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks. Maintain/update SQL model(s), ... support executive decision-making. + Research and develop reports and analysis for senior management; effectively communicate results. + Assist in the preparation of… more
- Molina Healthcare (OH)
- …DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. ... Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and analysis… more
- Molina Healthcare (Cincinnati, OH)
- …estimate risk scores, and analyze impact. Extract, analyze, and synthesize data from various sources to identify risks. Additional leadership opportunities are ... available to lead national risk adjustment studies. Prior experience in Medicaid risk adjustment is not required. **KNOWLEDGE/SKILLS/ABILITIES** + Analyze risk score results - calculate financial impact and identify trends or other issues related to risk… more
- KeyBank (Cleveland, OH)
- …in this role include supporting the development, implementation, testing and documentation of data processes that will support the use of the QRM framework for ... various modeling initiatives. Individuals should have database querying and data transformation expertise and experience dealing with complex and large data sets… more
- Huntington National Bank (Cleveland, OH)
- Description Summary: The Sr. Insights Analyst - Credit Risk provides stakeholders and executives with analytics and automation support related to credit risk ... in all phases of the analytics lifecycle, including specifying data capture requirements, preparing and cleansing data ,...maintain a strong community, and do their best work. Remote roles will also have the opportunity to come… more
- Prime Therapeutics (Columbus, OH)
- …passion and drives every decision we make. **Job Posting Title** Sr. IT Systems Analyst - Guided Health Implementations - Remote **Job Description** **As a Sr. ... Analyst , you would be responsible for system and data analysis, creating STTs, data mapping, gathering...responsible for providing work direction and guidance to less senior members of the Systems Analyst IT… more