- Molina Healthcare (Akron, OH)
- **JOB DESCRIPTION** **Job Summary** Analyzes complex claims business problems and issues using data from internal and external sources to provide insight to ... analysis, task and workflow analysis. + Interpret customer business needs in the claims space and translate them into application and operational requirements… more
- Molina Healthcare (Akron, OH)
- …**Job Summary** A successful candidate will have a balance of business insight, critical thinking, strong communication and analytical skills. Possess the ... organizational and technical challenges. Performs research and analysis of healthcare claims data, pharmacy data, and external data to derive proper courses… more
- Belcan (Mason, OH)
- Claims Testing Analyst Job Number: 358840 Category: Finance/Accounting Description: Job Title: Claims Testing Analyst Location: Mason, OH Zip Code: 45040 ... Top 3-5 mandatory and/or minimum requirements * Experience in Claims or Data processing / testing. * Intermediate Level...* Analysis experience. * Knowledge of Oracle SQL and/or Business Objects/EDW. * Knowledge of Facets * Knowledge of… more
- Molina Healthcare (Cincinnati, OH)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits,… more
- Highmark Health (Columbus, OH)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... identifying, assessing, and mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their impact on operational processes, and implement… more
- Highmark Health (Columbus, OH)
- …+ Bachelor's Degree **EXPERIENCE** **Required** + 3 - 5 years of experience in a Business Analyst or Business Process Analyst role or experience ... significant amounts of information and analyzes processes to support business unit needs. May troubleshoot errors, conduct impact analyses,...in a related operational area (eg claims , billing, customer service, etc.) **Preferred** + 1 -… more
- Prime Therapeutics (Columbus, OH)
- …It fuels our passion and drives every decision we make. **Job Posting Title** IT Business Systems Analyst - ScriptMed - Remote **Job Description** The IT ... Business Systems Analyst is responsible for solving...of security implications of domain + Experience in Prime claims systems + Proficiency in Visio, Microsoft Word, Excel,… more
- Molina Healthcare (OH)
- **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst , Configuration Oversight to support our Payment Integrity and Claims ... and regulatory guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen. Experience in… more
- Elevance Health (Mason, OH)
- ** Business Information Analyst Senior - Provider Economics** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration ... an accommodation is granted as required by law. The ** Business Information Analyst Senior** is responsible for...summarizes using summary statistical procedures. + Develops and analyzes business performance reports (eg for claims data,… more
- Elevance Health (Cincinnati, OH)
- …authorization, and membership data to tell a detailed story to respective business stakeholders. The Advanced Analytics Analyst Senior creates statistical models ... **Advanced Analytics Analyst Senior - Medical Economics** **Location:** Atlanta, GA;...seniors. We are a team of committed clinicians and business leaders passionate about transforming American healthcare delivery. The… more