- Molina Healthcare (Cincinnati, OH)
- …field (or equivalent experience). + At least 5 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan ... **Job Description** **Job Summary** The Payment Integrity Program Manager - Health Plan is a subject matter...individual contributor role designed for a highly capable business analyst who serves as a key strategic partner in… more
- Molina Healthcare (OH)
- **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst , Configuration Oversight to support our Payment Integrity and Claims ... teams in ensuring the accuracy and compliance of Coordination of Benefits (COB) claim pricing and processing. This role will focus on identifying, reviewing, and… more
- Elevance Health (Mason, OH)
- **Performance Quality Analyst I - CarelonRx PBM** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... lens, to deliver member-centered, lasting pharmacy care. The **Performance Quality Analyst I** is responsible for driving service quality excellence by evaluating… more
- Elevance Health (Mason, OH)
- **Performance Quality Analyst I - CarelonRx PBM** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... lens, to deliver member-centered, lasting pharmacy care. The **Performance Quality Analyst I** is responsible for driving service quality excellence by evaluating… more
- Elevance Health (Cincinnati, OH)
- **Advanced Analytics Analyst Senior - Medical Economics** **Location:** Atlanta, GA; Norfolk, VA; Indianapolis, IN; Cincinnati, OH; Chicago, IL (preferred). This ... passionate about transforming American healthcare delivery. The **Advanced Analytics Analyst Senior** measures financial performance of core Carelon products… more
- Elevance Health (Mason, OH)
- **Coding Analyst Senior** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... quality of life through home-care and community based services. The **Coding Analyst Senior** is responsible for reviewing, auditing, and coding medical records for… more
- Humana (Columbus, OH)
- …and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- Elevance Health (Mason, OH)
- **Business Information Analyst Senior - Provider Economics** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and ... an accommodation is granted as required by law. The **Business Information Analyst Senior** is responsible for analyzing, reporting and developing recommendations on… more
- Dayton Children's Hospital (Dayton, OH)
- …- Hospital CodingSchedule:Full timeHours:40Job Details:Under general supervision of the Coding Manager , the Coding Analyst supports Dayton Children's goals for ... diagnostic and procedural codes for the services provided for clean claim submission Department Specific Job Details: Shift + Monday-Friday 8am-5pm (flexible)… more
- Highmark Health (Columbus, OH)
- …forecasts, forwarding concerns and recommendations to the Workforce Planning Team Manager . 3. Support scheduling impacts of longer-term initiatives, events, or ... trends. Work with Workforce Planning Team Manager and Customer Service Management team to appropriately schedule...progressive experience + Experience as a forecasting or scheduling analyst OR experience in a call center environment using… more