- Molina Healthcare (Columbus, 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...researching, presenting and documenting is required, + Experience with Medicare , Medicaid and Marketplace is required. + Medical coding… 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...or benefit accounts - Experience with Medicaid, Commercial, and/or Medicare Part D Plans In the role, you must… more
- CVS Health (Columbus, OH)
- …tools, social media and internet research. + Ability to Travel for Business purposes. **Preferred Qualifications** + Certified Professional Coder (CPC), AHFI, CFE + ... Investigative experience + Marketplace Broker Investigative experience + Medicaid and Medicare experience **Education** + Bachelor's degree in Criminal Justice or… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …MDM Analyst will utilize excellent communication skills to build collaborative business relationships with Data Owners/Stewards. The Analyst will help guide ... self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans....Office (DGO), Compliance, Legal and Security departments to meet business needs. The MDM Analyst will assist… 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
- 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) ... ability to synthesize complex information. **PREFERRED QUALIFICATIONS:** + Experience with Medicare , Medicaid, and Marketplace lines of business . + Certified… more