- Molina Healthcare (OH)
- …Adjustment Actuarial team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk ... adjustment to provide analytic support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience… more
- Molina Healthcare (OH)
- …advanced skills in data analysis. Performs research and deep-dive analysis of complex healthcare claims data, CMS return files, and financial cost, revenue, and ... trends to provide analytic support for finance, pricing and actuarial functions. + Healthcare Analyst I experience desired. + PowerBI, Excel, Power Pivot, VBA,… more
- Molina Healthcare (Cincinnati, OH)
- **JOB DESCRIPTION** **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Healthcare plays a critical role in supporting clinical and operational ... solutions. * Write advanced SQL queries to extract, validate, and analyze healthcare data, including claims , authorization, pharmacy, and lab datasets. *… more
- Molina Healthcare (Cleveland, OH)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization ... to provide analytic support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired +… more
- Molina Healthcare (Dayton, OH)
- **JOB DESCRIPTION** **Job Summary** JOB SUMMARY: The Sr. Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives by ... + Write advanced SQL queries to extract, validate, and analyze healthcare data, including claims , pharmacy, and lab datasets. + Build and maintain efficient ETL… more
- Evolent (Columbus, OH)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Senior Analyst , Healthcare Analytics Consultant** The Client Analytics team ... our specialty programs and administrative platform. **Role Overview** The Senior Analyst role on Client Analytics will...Be Doing:** + **Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify… more
- Molina Healthcare (OH)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare financial terms… more
- Molina Healthcare (Akron, OH)
- …to the Health Care environment **Job Duties** The Operational/Regulatory Oversight Sr. Analyst works with health plans and operations departments to assess, oversee, ... and compliance with State and Federal regulatory guidelines. The Sr. Analyst develops and performs audits and oversight functions involving business-critical… more
- Elevance Health (Cincinnati, OH)
- …passionate about transforming American healthcare delivery. The **Advanced Analytics Analyst Senior ** measures financial performance of core Carelon products ... **Advanced Analytics Analyst Senior - Medical Economics** **Location:**...leveraging claims , authorization, and membership data to tell a detailed… more
- Elevance Health (Mason, OH)
- …Senior - Medicaid Encounters Data** The **Business Information Analyst Senior ** is responsible for analyzing and validating healthcare encounter data ... requirements. + Develop and analyze business performance reports (eg, for claims data, provider data, utilization data) and provides notations of performance… more