Top 18 Managed care analyst Jobs in Columbus

Analyst, Business
Molina Healthcare —Columbus, OH
- $49,930 - $97,363 a year
- Full-time
- Microsoft Outlook
- Mid-level
- Analysis skills
- Health insurance
8d
Claims Finance Analyst
Branch Insurance —Columbus, OH
- $63,000 - $90,000 a year
- Full-time
- Remote
- No experience needed
- Mid-level
- Finance
- Health insurance
- Dental insurance
Health Insurance Specialist
Oak Street Health —Columbus, OH
- $21.10 - $40.90 an hour
- Full-time
- Sales
- Clinic
- Bachelor's degree
- Health insurance
- Dental insurance
Claims Finance Analyst
Branch Financial, LLC —Columbus, OH
- $63,000 - $90,000 a year
- Full-time
- Remote
- No experience needed
- Mid-level
- Finance
- Health insurance
- Dental insurance
Quick Apply
Epic Senior Systems Analyst
OhioHealth —Columbus, OH
- Full-time
- Azure
- Computer Science
- 3 years
Charge Analyst
OhioHealth —Columbus, OH
- Full-time
- RN License
- Research
- Mid-level
2d
Investment Analyst - Real Estate Investments CML Asset Management
Nationwide —Columbus, OH
- 8 hour shift
- Background check
- Microsoft Excel
- Mid-level
- Paid holidays
- Disability insurance
340B Auditor
Bon Secours Mercy Health —Columbus, OH
- $23.20 - $35.97 an hour
- Microsoft Excel
- Microsoft Access
- Microsoft Outlook
- Health savings account
- Disability insurance
Health Provider Revenue Cycle Manager
Accenture —Columbus, OH
- $87,400 - $293,800 a year
- Full-time
- Oracle
- HIPAA
- Bachelor's degree
- Paid holidays
- Disability insurance
Epic Sr Systems Analyst - Link, Care Everywhere, Compass Rose
OhioHealth —Columbus, OH
- Full-time
- Azure
- Computer Science
- 3 years
Epic Senior Systems Analyst - Beacon/ Research
OhioHealth —Columbus, OH
- Full-time
- Azure
- Computer Science
- 3 years
Clinical Review Nurse Supervisor (Medicaid Health Systems Administrator 1)
State of Ohio - Medicaid —Columbus, OH
- $40.40 an hour
- Full-time
- Nursing
- RN License
- Mid-level
- Paid holidays
- Health insurance
20h
Senior Investment Analyst, Private Debt
Nationwide —Columbus, OH
- 8 hour shift
- Hybrid work
- Background check
- Mid-level
- Office
- Paid holidays
- Disability insurance
Appeal Analyst RN | Remote | Contract
Walker Healthforce, LLC —United States
- Contract
- Remote
- Nursing
- Microsoft Outlook
- RN License
- Health insurance
- Dental insurance
Quick Apply

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Care Management Coordinator OhioRISE – Field – Must reside NW/West Region of Ohio
CVS Health —Columbus, OH
2+ years of experience in children's mental health, child welfare, developmental disabilities, juvenile justice, or a public sector human services or behavioral…
$21.10 - $40.90 an hour
Care Management Coordinator OhioRISE - Field - Northeast/Northwest Region Ohio
CVS Health —Columbus, OH
2+ years of experience in children's mental health, child welfare, developmental disabilities, juvenile justice, or a public sector human services or behavioral…
$21.10 - $40.90 an hour

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Analyst, Business
Molina Healthcare —Columbus, OH
Conducts analysis to identify root cause and assist with problem management as it relates to state requirements. Policy/government legislative review knowledge.
$49,930 - $97,363 a year
8d
Claims Finance Analyst
Branch Insurance —Columbus, OH
Assist in developing financial models and tools that improve claims analysis and forecasting. The process will include a number of interviews, which will all…
$63,000 - $90,000 a year

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managed care analyst jobs near columbus

Analyst, Business

Molina Healthcare -
Columbus, OH

Apply Now

Job Details

Full-time
$49,930 - $97,363 a year
8 days ago

Benefits

Health insurance

Qualifications

Microsoft Outlook
Managed care
Legislation
Health policy
Microsoft Teams

Full Job Description

JOB DESCRIPTION

Job Summary

Responsible for accurate and timely intake and interpretation of regulatory and/or functional requirements related to but not limited to coverage, reimbursement, and processing functions to support systems solutions development and maintenance. This role includes coordination with stakeholders and subject matter experts on partnering teams and supporting governance committees where applicable.

JOB DUTIES

Develops and maintains requirement documents related to coverage, reimbursement and other applicable system changes in areas to ensure alignment to regulatory baseline requirements and any health plan developed requirements.
Monitors sources to ensure all updates are aligned.
Leads coordinated development and ongoing management /interpretation review process, committee structure and timing with key partner organizations.
Conducts analysis to identify root cause and assist with problem management as it relates to state requirements.
Communicates requirement interpretations and changes to health plans/product team and various impacted corporate core functional areas for requirement interpretation alignment and approvals as well as solution traceability through regular meetings and other operational process best practices.
Provides support for requirement interpretation inconsistencies and complaints.
Self-organized reporting to ensure health plans/product team and other leadership are aware of work efforts and impact for any prospective or retrospective requirement changes that can impact financials.
Engages with operations leadership and Plan Support functions to review compliance-based issues for benefit planning purposes.

KNOWLEDGE/SKILLS/ABILITIES

Maintains relationships with Health Plans/Product Team and Corporate Operations to ensure all end-to-end business requirements have been documented and interpretation is agreed on and clear for solutioning.
Ability to meet aggressive timelines and balance multiple lines of business, states, and requirement areas.
Strong interpersonal and (oral and written) communication skills and ability to communicate with those in all positions of the company.
Ability to concisely synthesize large and complex requirements.
Ability to organize and maintain regulatory data including real-time policy changes.
Self-motivated and ability to take initiative, identify, communicate, and resolve potential problems.
Ability to work independently in a remote environment.
Ability to work with those in other time zones than your own.

JOB QUALIFICATIONS

Required Qualifications

At least 2 years of experience in previous roles in a managed care organization, health insurance or directly adjacent field, or equivalent combination of relevant education and experience.
Policy/government legislative review knowledge.
Strong analytical and problem-solving skills.
Robust knowledge of Office Product Suite including Word, Excel, Outlook and Teams.
Previous success in a dynamic and autonomous work environment.

Preferred Qualifications

Project implementation experience
Knowledge and experience with federal regulatory policy resources including Centers for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA).

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $49,930 - $97,363 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Apply Now

Refine Your Search

managed care analyst jobs in columbus

Analyst, Business

Claims Finance Analyst

Health Insurance Specialist

Claims Finance Analyst

Epic Senior Systems Analyst

Charge Analyst

Investment Analyst - Real Estate Investments CML Asset Management

340B Auditor

Health Provider Revenue Cycle Manager

Epic Sr Systems Analyst - Link, Care Everywhere, Compass Rose

Epic Senior Systems Analyst - Beacon/ Research

Clinical Review Nurse Supervisor (Medicaid Health Systems Administrator 1)

Senior Investment Analyst, Private Debt

Appeal Analyst RN | Remote | Contract

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