- Molina Healthcare (OH)
- …Effectively uses current and emerging technologies. This position will be focused on Medicare Stars requirements and data review. Please make sure to include ... Designs and implements processes and solutions associated with a wide variety of data sets used for data /text mining, analysis, modeling, and predicting to… more
- Molina Healthcare (Dayton, OH)
- …coordination, and shared ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational ... lead level support as a highly capable business analyst who serves as a key strategic partner in...and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements… more
- Molina Healthcare (Dayton, OH)
- **Job Summary** The Lead Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Reporting team. Designs and develops reporting ... solutions to assist HEDIS Outbound, Inbound extracts, Data Ingestions, Dashboards, Reports & Extracts for rate tracking...related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare /MMP * Develops custom health plan reports related to… more
- Medical Mutual of Ohio (OH)
- …or MHA) preferred. + 7 years progressive experience as a Clinical Quality Data Analyst or equivalent experience conducting analyses and delivering analytic ... in required training and performs other duties as assigned. ** Lead HEDIS Analyst ** + Schedules, assigns, and...data visualization tools such as Tableau. **Sr HEDIS Analyst ** **Education and Experience:** + Bachelors Degree in health… more
- Molina Healthcare (Columbus, OH)
- **Job Description** **Job Summary** The Lead Analyst , Reimbursement is responsible for administering complex provider reimbursement methodologies timely and ... Supports existing lines of business and expansion into new states. The Lead Analyst , Reimbursement will be primarily responsible for implementation, maintenance,… more
- Prime Therapeutics (Columbus, OH)
- …+ Own, build, support, and maintain financial and complex actuarial models + Lead , perform, and review data analyses, reporting, and projections + ... every decision we make. **Job Posting Title** Senior Actuarial Analyst - REMOTE **Job Description** The Senior Actuarial ...Lead , perform, and review complex ad hoc pharmacy data mining and analyses to help investigate and answer… more
- Elevance Health (Cincinnati, OH)
- …to: + Analyzes and develops SAS and SQL programming to support Medicaid and Medicare Advantage risk adjustment initiatives. + Performs data mining and data ... **Risk Adjustment Actuarial Analyst II - Advanced Analytics** **On-Site Requirement: Hybrid...to risk adjustment analytics in both the Medicaid and Medicare Advantage lines of business. **How You Will Make… more
- Molina Healthcare (Columbus, OH)
- … mining, verification, scrubbing, and root cause analysis. + Do root cause analysis for business data issues as assigned by the team lead . + Analyze data ... **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will...users on how to use reports. + Assist Quality Data Analytics Leaders in Predictive Intervention Strategy Analytics along… more
- Molina Healthcare (OH)
- …to management + Lead projects to completion by contributing to ad-hoc data analyses, development, and presentation of financial reports + Serve as subject matter ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key… more
- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** The Medicaid Data and Reporting Analyst integrates data from multiple sources to produce ... insights. **Large-Scale Reporting Projects:** In addition to routine reporting, this role will lead larger scope projects related to clinical data needs across… more