- Highmark Health (Columbus, OH)
- …requirements effective August 2016) Preferred + Experience and demonstrated proficiency as a Decision Support Analyst or equivalent training and experience ... and support of projects and data analysis. Determines how decision support systems will provide information required to make effective business decisions;… more
- Prime Therapeutics (Columbus, OH)
- …every decision we make. **Job Posting Title** Data & Reporting Business Analyst - Louisiana Medicaid **Job Description Summary** Serves as liaison between ... IT, Claims and Clinical departments. Responds to ad hoc requests for support , reports and analysis. Supports departmental management team by providing trending and… more
- Intermountain Health (Columbus, OH)
- …the information contained in those data marts and tables. . Provides decision support in the form of advanced statistical analysis/business intelligence ... Analyst performs data and analytical services in support of optimizing risk adjusted revenue, maintaining compliance with.... Reconciles Data Warehouse data with CMS, HHS and Medicaid response data. . Initiates and leads efforts to… more
- CVS Health (Columbus, OH)
- …is just as important as what we deliver. Our Heart At Work Behaviors (TM) support this purpose. We want everyone who works at CVS Health to feel empowered by ... the bold vision to deliver the "Next Generation" of managed care in Ohio Medicaid , OhioRISE will help struggling children and their families by focusing on the… more
- Humana (Columbus, OH)
- …is a non-exempt position with responsibility for utilization management and clinical decision -making as outlined in the Autism Care Demonstration (ACD) defined in ... guidelines / procedures, utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and /… more
- Humana (Columbus, OH)
- …will lead a team to implement quality improvement programs for Indiana Medicaid including annual program description, work plan, and annual evaluation. The Manager, ... and evaluation. + Drives quality improvement (QI) efforts. Provides support to staff and communicates daily QI functions. +...HEDIS measures with the assistance of the Quality Data Analyst to ensure the plan meets the goals set… more