- CVS Health (Columbus, OH)
- …and respond, manage, and resolve escalated and complex global issues for Claims /Calls and PSS. **Required Qualifications:** + Must be comfortable working until ... issues with account executives, sales representatives, installation managers and the claims office as appropriate. + Manage escalated customer issues + Project… more
- Highmark Health (Columbus, OH)
- …in varied and complex data; and articulates analytic findings, business implications, and recommendations to realize identified opportunities. **ESSENTIAL ... strategic priorities, needs, plans and resources. + Serves as a strategic business partner to internal and external stakeholders as demonstrated by providing thought… more
- Molina Healthcare (Cincinnati, OH)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive… more
- CVS Health (Columbus, OH)
- …in a prepayment environment - Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, etc. - Researches and prepares cases ... Provides input regarding controls for monitoring fraud related issues within the business units. - Exercises independent judgement and uses available resources and… more
- Prime Therapeutics (Columbus, OH)
- …of individuals with 2+ years of work experience. + Prior experience as a Business Intelligence Developer/ Analyst or Data Analyst supporting business ... passion and drives every decision we make. **Job Posting Title** Business Intelligence Specialist - Sacramento, California market **Job Description** Delivers… more
- Molina Healthcare (Akron, OH)
- …Qualifications** **REQUIRED QUALIFICATIONS:** + At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) ... coordination, and ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** ** Business Leadership & Operational Ownership**… more
- Cognizant (Columbus, OH)
- …Creek implementations. **These will help you stand out** - Duck Creek-specific Business Analyst certifications (eg, Duck Creek Reinsurance, Duck Creek Policy). ... **About the role** As a Reinsurance Business Architect you will make an impact leading...experience with Duck Creek Technologies' platforms (Reinsurance, Policy, Billing, Claims , and/or Rating) in transformation programs. . Proven success… more
- Molina Healthcare (Akron, OH)
- …Qualifications** **REQUIRED QUALIFICATIONS:** + At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) ... Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Applies understanding of… more
- Highmark Health (Columbus, OH)
- …Collection of Documents (COD). Oversee day to day department operations. Manage AI Business Analyst staff and AI Coordinators. Responsible for overseeing all ... work closely with the section's Accountant, Accounting Coordinators, Associate Analyst , providing, guidance, feedback, training, motivation, and support. This team… more
- Cleveland Clinic (Cleveland, OH)
- …Technology Division (ITD). This role entails directing teams engaged in business analysis, system design, implementation and ongoing maintenance, while ensuring ... and tactical goals. + Direct the activities of personnel involved in business analysis, system design and implementation and application maintenance and support. +… more