- Molina Healthcare (OH)
- **JOB DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data (SQL and advanced Excel functions) from internal and external sources to ... influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …utilization/1000, generic substitution rate, etc.). + Performs other duties as assigned. ** Senior Financial Analyst ** + Analyzes product line profitability and ... Excel. + Working knowledge of company core systems and interrelationships. ** Senior Financial Analyst ** **Education and Experience:** + Bachelor's degree… more
- Humana (Columbus, OH)
- …part of our caring community and help us put health first** The Senior Financial Reporting Professional/ Analyst prepares and distributes periodic financial ... for users other than those directly employed by the organization. The Senior Finance Reporting Professional/ Analyst + Analyzes and forecasts financial,… more
- Prime Therapeutics (Columbus, OH)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Senior Actuarial Analyst - REMOTE **Job Description** The Senior Actuarial ... design and pricing support for all Prime's lines of business (commercial, Medicare and Medicaid). This role...support in complex projects that are highly visible to senior leadership and across the organization. **Responsibilities** + Own,… more
- Prime Therapeutics (Columbus, OH)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst - Remote **Job Description** Job Description The ... Senior Compliance Analyst assists in the implementation of Prime's compliance programs...is dedicated to the government program compliance in the Medicare , Medicaid, and the Affordable Care Act (ACA) spaces.… more
- Prime Therapeutics (Columbus, OH)
- …fuels our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Risk Assessment and Oversight) - Remote **Job Description** ... **Description:** The Senior Compliance Analyst assists in the implementation...which may include. validating compliance gap closures throughout the business , partnering to facilitate company-wide Compliance Risk Assessment, and… more
- Trinity Health (Columbus, OH)
- …information technology, financial analysis, audit, provider relations and more. **About the job:** Senior Decision Support Analyst for the Health Plan works with ... care reimbursement. **Why MediGold?** MediGold (https://medigold.com/) is a not-for-profit Medicare Advantage insurance plan serving seniors and other Medicare… more
- Prime Therapeutics (Columbus, OH)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst - Remote **Job Description** The Senior Compliance ... across the organization to validate regulatory requirements are met and that business operations are aligned with expectations of applicable regulatory guidance. +… 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 related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare /MMP. Assists with research, development, and completion of special performance… more
- CVS Health (Columbus, OH)
- …**Key Responsibilities** : + Drafting and reviewing product filings: Draft Medicare Supplement and short-term limited duration health insurance products (policies, ... Stay abreast of changes in state and federal regulations related to Medicare supplement insurance. + Record Keeping: Maintain accurate records of product filings… more