- Highmark Health (Columbus, OH)
- …(SME) on moderately complex projects (which are cross functional, with potential regulatory risk exposure, customer service & financial impacts ). Acts as face ... Resolves very complex issues (may involve multiple systems) while understanding potential regulatory risk exposure and customer service & financial impacts. Acts as… more
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** **Job Summary** Provides senior level support for accurate and timely intake and interpretation of regulatory and/or functional requirements ... and other applicable system changes in areas to ensure alignment to regulatory baseline requirements and any health plan/product team developed requirements. +… more
- Highmark Health (Columbus, OH)
- …compliance with the following: underlying policy provisions, federal and state regulatory guidelines, and industry standards. + Monitors, reviews and analyzes ... **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information effectively. +… more
- Molina Healthcare (Cincinnati, OH)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations. + Track, Facilitate… more
- Highmark Health (Columbus, OH)
- …and analytic support to assigned functional areas. Continuously monitors regulatory changes, legislative efforts, industry trends, and/or contract changes. ... special interest groups, advocacy agencies, CMS, state Medicare/Medicaid administrators, and other regulatory bodies such as DPW. + Ensure or participate in ensuring… more
- US Bank (Cincinnati, OH)
- …risks and present results for review by internal and external ( regulatory staff) audiences. + Ensure documented interpretations and conclusions are appropriate. ... the evaluation of fair and responsible banking risk is consistent with regulatory and industry expectations. + Support and prepare materials related to examination,… more
- Highmark Health (Columbus, OH)
- …trends concerning health insurance, healthcare delivery, provider relationships and regulatory issues + Sophisticated knowledge of how organizations work and ... how to get things done through formal and informal channels + Exhibition of perseverance through energy, drive and demonstrated success when resistance or setbacks are encountered + In-depth understanding of and experience with both clinical and business… more
- Highmark Health (Columbus, OH)
- …the strategic integration of Artificial Intelligence. The Lead Technical Analyst leverages significant independent judgment and discretion to collaborate extensively ... cases, and conducting cost analysis where appropriate. The Lead Technical Analyst analyzes complex data to identify business problems, trends, and opportunities… more
- Wright-Patt Credit Union Inc. (Beavercreek, OH)
- The Strategy Analyst supports the development, execution, and monitoring of enterprise strategy by providing data-driven analysis, in depth research, marketing ... ensuring alignment between organizational priorities and measurable outcomes. The Strategy Analyst will work closely with business leaders and product leadership to… more
- Coinbase (Columbus, OH)
- … regulatory requirements, and consistently deliver high-quality resolutions. As a Senior Analyst , Compliance TMS Operations within the CX Compliance team, ... legal, or the tech industry, with a focus on TMS, compliance, or regulatory matters. * Relevant experience in SAR narrative drafting and filing * Conduct… more