- CVS Health (Columbus, OH)
- …on current findings, regulations, and legislation, employing all tools associated with claims and appeals processing to mitigate risks. + Employs expert knowledge of ... to address complaints and appeals and resolve escalated cases. + Educates analysts and business units on identified issues and potential risks related to claims … more
- Fifth Third Bank, NA (Cincinnati, OH)
- …a career in banking at Fifth Third Bank. #LI-WD1 GENERAL FUNCTION: Foreclosure Analyst II is responsible for ensuring the Foreclosure process is completed accurately ... codes and status codes are processed by the 3rd business day of each month. + Understand data error...+ Complete financial analysis for FCL sale bids, judgments required by the court, reinstatement & payoff requests made… more
- Crown Equipment Corporation (New Bremen, OH)
- Trade Compliance Analyst Import Location: New Bremen, OH, US, 45869 Company Description: Crown Equipment Corporation is a leading innovator in world-class forklift ... review, interpret and prepare data for US Customs import claims . Interact with suppliers outside the United States to...employee to drive a personal vehicle to conduct company business < 30% per week (8 hours) and/or travel… more
- Evolent (Columbus, OH)
- …data using industry-standard metrics. + Process and validate raw unadjudicated claims data. **Qualifications Required and Preferred:** + Bachelor's degree, ... reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the...presentations. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based… more
- Acosta Group (West Chester, OH)
- …Language Skills: English is the primary language skill; however, bilingual skills may be required based on business necessity. **ABOUT US** CROSSMARK is a part ... and leads client's thinking in how to action/profit from those insights. The Analyst will be responsible for providing actionable analysis of internal and external… more
- Molina Healthcare (Cincinnati, OH)
- **JOB DESCRIPTION** **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives by ... translating healthcare business needs into technical solutions. This role works closely...queries to extract, validate, and analyze healthcare data, including claims , authorization, pharmacy, and lab datasets. * Build and… more
- Molina Healthcare (Dayton, OH)
- **JOB DESCRIPTION** **Job Summary** JOB SUMMARY: The Sr. Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives by translating ... healthcare business needs into technical solutions. This role works closely...queries to extract, validate, and analyze healthcare data, including claims , pharmacy, and lab datasets. + Build and maintain… 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
- 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 ... tracking system. - Prepares and presents referrals, both internal and external, in the required timeframe. - Facilitates the recovery of company lost as a result of… more
- CVS Health (Columbus, OH)
- …abuse. + Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants and customers. + Researches and ... case summaries and make referrals to State and Federal Agencies within the timeframes required by Law. + Facilitates the recovery of company and customer money lost… more