- OhioHealth (Columbus, OH)
- …for third-party inquires. * This position has supervisory oversight of the Reimbursement Analyst daily work schedule including flow of information, teaching ... position will be responsible for ensuring the appropriate governmental ( Medicare and Medicaid) reimbursement is received for...cost reporting 4 - 6 years as a Sr. Reimbursement Analyst or similar position(s). nt. **Work… more
- Humana (Columbus, OH)
- …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will ... System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business and… more
- Medical Mutual of Ohio (OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Supports corporate and ... lifecycle processes for all lines of business (Commercial, Marketplace, Medicare Advantage, and Medicaid), including HEDIS audit submission, Consumer Assessment… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Provides basic analysis ... complete special projects, and conduct monthly activities.** **Responsibilities:** Financial Analyst I-II . Supports corporate departments, both within and outside… more
- Medical Mutual of Ohio (OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. This position has ... 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 (Brooklyn, OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Provides complex ... as a resource for colleagues with less experience.** **Responsibilities:** Sr. Finacial Analyst . Supports corporate departments, both within and outside of Finance,… more
- Medical Mutual of Ohio (OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Produces reporting and ... for quality improvement across all lines of business (Commercial, Marketplace, Medicare Advantage, and Medicaid). Integrates diverse data sources to report… more
- Molina Healthcare (Cincinnati, OH)
- …Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan financial ... and shared ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational Ownership** + Assists… more
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... expert on developing financial models to evaluate the impact of provider reimbursement changes + Provide data driven analytics to Finance, Claims, Medical… more
- Prime Therapeutics (Columbus, OH)
- …and drives every decision we make. **Job Posting Title** Sr. Compliance Analyst - Remote **Job Description** The Regulatory Inquiry & Complaints Senior Compliance ... Analyst assists in the implementation of Prime's compliance programs,...resolve regulatory inquiries/complaints related to claims, contracting and pharmacy reimbursement . Works directly with business partners across the enterprise.… more