• Sr Analyst , Performance Suite…

    Evolent (Columbus, OH)
    data using industry-standard metrics. + Process and validate raw unadjudicated claims data . **Qualifications Required and Preferred:** + Bachelor's degree, ... candidates the opportunity to generate meaningful impact through translating disparate data points into tangible insights and actions. Our team values accuracy,… more
    Evolent (09/22/25)
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  • Senior Stop Loss Claims

    Highmark Health (Columbus, OH)
    …medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for… more
    Highmark Health (09/20/25)
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  • Senior Analyst , Operational…

    Molina Healthcare (OH)
    …pertaining to the Health Care environment **Job Duties** The Operational/Regulatory Oversight Sr . Analyst works with health plans and operations departments to ... ensure adherence to and compliance with State and Federal regulatory guidelines. The Sr . Analyst develops and performs audits and oversight functions involving… more
    Molina Healthcare (08/22/25)
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  • Senior Analyst , Healthcare…

    Molina Healthcare (OH)
    …Risk Adjustment Actuarial team. Responsibilities include research, analysis and modeling of complex healthcare claims data , pharmacy data , lab data , and ... **JOB DESCRIPTION** **Job Summary** This Sr . Analyst , Healthcare Analytics role will...functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data more
    Molina Healthcare (07/17/25)
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  • Senior Analyst , Encounters

    Molina Healthcare (Cleveland, OH)
    **Job Description** **Job Summary** The Sr Analyst , Encounters is responsible for monitoring inbound and outbound encounter processes and ensuring timely, ... follow up, and performance monitoring. + Understands provider, member, and, inbound claims data compliance in relation to encounters submission requirements +… more
    Molina Healthcare (09/24/25)
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  • Senior Analyst , Healthcare…

    Molina Healthcare (Cleveland, OH)
    …in data analysis. Performs research and deep-dive analysis of complex healthcare claims data , CMS return files, and financial cost, revenue, and vendor ... **JOB DESCRIPTION** **Job Summary** This Sr . Analyst , Healthcare Analytics role will...and Power BI, organizing and managing large and varied data sets, analyzing healthcare data for decision… more
    Molina Healthcare (08/14/25)
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  • Senior Analyst , Risk & Quality…

    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 ... + Develops custom health plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates + Assists and collaborates with… more
    Molina Healthcare (09/21/25)
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  • Advanced Analytics Analyst Senior

    Elevance Health (Cincinnati, OH)
    **Advanced Analytics Analyst Senior - Medical Economics** **Location:** Atlanta, GA; Norfolk, VA; Indianapolis, IN; Cincinnati, OH; Chicago, IL (preferred). This ... leaders passionate about transforming American healthcare delivery. The **Advanced Analytics Analyst Senior ** measures financial performance of core Carelon… more
    Elevance Health (09/10/25)
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  • Senior Analyst , Client Analytics

    Evolent (Columbus, OH)
    …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** Senior Analyst , Healthcare Analytics Consultant The Client Analytics team provides a ... our specialty programs and administrative platform. **Role Overview** The Senior Analyst role on Client Analytics will...narratives for stakeholders. **What You Will Be Doing:** + ** Data Analytics & Insights** : Analyze healthcare claims more
    Evolent (08/26/25)
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  • Senior Analyst , Medical Economics…

    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 ... from various systems to support executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to… more
    Molina Healthcare (08/31/25)
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