- 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, ... Ohio. GENERAL FUNCTION: Responsible for completing and filing investor/insurer claims within required guidelines in order to...risks of all types. DUTIES & RESPONSIBILITIES: + All Claims started within five business days of… more
- 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 ... knowledge. Creates specifications for reports and analysis based on business needs and required or available data... analysis, task and workflow analysis. + Interpret customer business needs in the claims space and… 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 ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...+ Extensive experience on researching, presenting and documenting is required , + Experience with Medicare, Medicaid and Marketplace is… more
- 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
- 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)
- …Quality initiatives to improve member health. + Orients and trains more junior-level Analyst + Participates in required trainings and performs other duties as ... and Information Set (HEDIS) lifecycle processes for all lines of business (Commercial, Marketplace, Medicare Advantage, and Medicaid), including HEDIS audit… more
- Highmark Health (Columbus, OH)
- …a lead role on project teams, based upon experience and need. + Provide required business and/or subject matter expertise for both project and production related ... High school diploma/GED **Preferred** + Bachelor's degree in Information Systems or Business Administration/Management **EXPERIENCE** ** Required ** + 5 - 7 years… more
- Elevance Health (Mason, OH)
- ** Business Information Analyst Senior - Medicaid Encounters Data** The ** Business Information Analyst Senior** is responsible for analyzing and ... considered for employment, unless an accommodation is granted as required by law. _PLEASE NOTE: This position is not...and other regulatory reporting requirements. + Develop and analyze business performance reports (eg, for claims data,… 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 in a ... reviews significant amounts of information and analyzes processes to support business unit needs. May troubleshoot errors, conduct impact analyses, and/or solve… more