- Humana (Columbus, OH)
- …caring community and help us put health first** The WFM Intraday Analyst is responsible for monitoring, analyzing, and optimizing real-time workforce performance to ... to make an impact** **Education & Experience** + Bachelor's degree in Business , Operations, Workforce Management, or a related field (or equivalent work experience).… more
- Molina Healthcare (Cincinnati, OH)
- …claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed ... on databases and ensure adherence to business and system requirements of customers as it pertains...presenting and documenting is required, + Experience with Medicare, Medicaid and Marketplace is required. + Medical coding experience… more
- CVS Health (Columbus, OH)
- …and can build long-lasting, mutually beneficial relationships with our key business stakeholders. Additionally, Account Managers are expected to demonstrate a ... of routine to complex requests related to our clients' business requirements; including but not limited to: - Issue...managing insurance, healthcare, or benefit accounts - Experience with Medicaid , Commercial, and/or Medicare Part D Plans In the… more
- CVS Health (Columbus, OH)
- …Provides input regarding controls for monitoring fraud related issues within the business units. - Exercises independent judgement and uses available resources and ... Care Anti-Fraud Association (AHFI), or have a minimum of three years Medicaid Fraud, Waste and Abuse investigatory experience. * Billing and Coding certifications… more
- Molina Healthcare (Cincinnati, OH)
- …Qualifications** **REQUIRED QUALIFICATIONS:** + At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) ... ability to synthesize complex information. **PREFERRED QUALIFICATIONS:** + Experience with Medicare, Medicaid , and Marketplace lines of business . + Certified … 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