- Prime Therapeutics (Columbus, OH)
- …to determine work assignments within project + Educate and advance business systems analyst practice within the Claims IT team and across the organization + ... drives every decision we make. **Job Posting Title** IT Business Systems Analyst Sr - Medicaid Pharmacy...define, and document the requirements for changes to Prime's claims systems. **Responsibilities** + Ensure understanding of business… more
- Fifth Third Bank, NA (Cincinnati, OH)
- …related experience. + Prior PC experience to include advanced Excel, Word and Access. Claims Analyst I LOCATION -- Cincinnati, Ohio 45227 Fifth Third Bank, ... reporting risks of all types. DUTIES & RESPONSIBILITIES: + All Claims started within five business days of receipt from loss mitigation or foreclosure. + Filing… 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 (Columbus, 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
- Medical Mutual of Ohio (OH)
- …Office skills including Access. + Ability to interpret and articulate standard business and financial concepts. **Sr. Financials Systems Analyst ** **Education ... meetings in Brooklyn, OH monthly; Ohio residents preferred. **Financials Systems Analyst III** **Job Summary:** **Under general supervision, updates and maintains… more
- Medical Mutual of Ohio (OH)
- …and Information Set (HEDIS) lifecycle processes for all lines of business (Commercial, Marketplace, Medicare Advantage, and Medicaid), including HEDIS audit ... fully remote opportunity. Eastern Time Zones preferred.** **Responsibilities** **HEDIS Analyst II** + Coordinates and collaborates interdepartmentally to produce the… more
- Elevance Health (Mason, OH)
- ** Business Information Analyst Senior - Medicaid Encounters Data** The ** Business Information Analyst Senior** is responsible for analyzing and ... and other regulatory reporting requirements. + Develop and analyze business performance reports (eg, for claims data,...and analyze business performance reports (eg, for claims data, provider data, utilization data) and provides notations… 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
- Molina Healthcare (Cincinnati, OH)
- **Job Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan ... business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +...+ At least 6 years of experience as a Business Analyst or Program Manager in a… 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