- Molina Healthcare (Columbus, OH)
- …+ Perform research and analysis of complex healthcare utilization and performance date, claims data , pharmacy data , and lab data ... on relevant findings. + Oversee development, organization, and ongoing maintenance of data representing a wide range of healthcare information. + Develop and direct… more
- Fifth Third Bank, NA (Cincinnati, OH)
- …basis to guarantee default action codes and status codes are processed by the 3rd business day of each month. + Understand data error identifiers and messages to ... 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… more
- Army National Guard Units (Columbus, OH)
- Summary This National Guard position is for a BUDGET ANALYST , Position Description Number D0740000 and is part of the OH JFHQ DIMR CFMO, Ohio Army National Guard. ... procurement, utilizing internal controls, and reports. Responsibilities As a BUDGET ANALYST , GS-0560-9, you will perform the following duties: 1. Develops procedures… more
- Defense Logistics Agency (Whitehall, OH)
- …below for important information regarding this job. Responsibilities Coordinates with Business Process Analysts throughout the Procurement process area in their ... and programs including operational and system implementation. Analyzes complex data regarding past, present, and projected procurement process activity; recommends… more
- Molina Healthcare (Dayton, OH)
- …on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each database. ... Validate data to be housed on provider databases and ensure adherence to business and system requirements of customers as it pertains to contracting, network… more
- Molina Healthcare (Dayton, OH)
- …with preparation of forecasts, recommendations and strategic/tactical plans based on business data and vendor competencies. Creates specifications for reports ... **Job Description** **Job Summary** Supports ongoing Claims and Enrollment operations in the management of...business and vendor performance problems and issues using data from internal and external sources to provide solutions… more
- Cleveland Clinic (Cleveland, OH)
- …healthcare organizations in the world. As an Epic Billing Systems Analyst , you will assist with feasibility analysis, estimating, planning, designing, developing, ... performance. + Develop work products, documentation of operational and business objectives, best technology capabilities and task level resource requirements.… more
- Highmark Health (Columbus, OH)
- …to aggregate, analyze and understand patterns in varied and complex data ; and articulates analytic findings, business implications, and recommendations ... + 5 years with coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 3 years of project… 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 ... Provides input regarding controls for monitoring fraud related issues within the business units. - Exercises independent judgement and uses available resources and… more
- Prime Therapeutics (Columbus, OH)
- …years of work experience. + Prior experience as a Business Intelligence Developer/ Analyst or Data Analyst supporting business intelligence, ... creation of new data assets or information exchange in support of business needs. + Creates and/or guides the creation of database tables, objects, assets and/or… more