- Molina Healthcare (Akron, OH)
- …by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations. + Maintains SharePoint ... support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience...functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data systems and… more
- Cardinal Health (Columbus, OH)
- …the most cost effective and workflow efficient patient care possible. The IT Analyst plays a critical role in protecting the organization's digital assets by working ... robust security practices are integrated across applications and operations. The analyst is responsible for developing and implementing mitigation strategies and… more
- 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 (Cincinnati, 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
- 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