- Prime Therapeutics (Columbus, OH)
- …Team and guidance to the Accounting, Finance, Information Technology and Claims operation functions. **Responsibilities** + Develop, manage, and advance complex ... daily liquidity modeling and analysis to forecast future financial performance, analyze trends, and support strategic decision-making. + Prepare, evaluate, and deliver modeling for Request for Proposal (RFP) and client contracting, providing alternatives to… more
- CVS Health (Columbus, OH)
- …care, and end of life. + 2+ years experienced working with clinical and claims data + Ability to manage multiple customers and competing priorities that drive ... positive outcomes + Experience in the following: + 5+ years experience introducing and implementing programs + Outstanding verbal and written communication skills, including formal presentations for all levels of management combined with strong… more
- Danaher Corporation (Cincinnati, OH)
- …coding and reimbursement. + Support customers with approved resources for denied claims , payer coverage expansion and inadequate reimbursement. + Respond to and ... coordinate with sale colleagues request for virtual / on-site customer business reviews, coverage and reimbursement support. The essential requirements of the job include: + Bachelor's with 8+ years of related work experience OR Master's degree in field with… more
- Evolent (Columbus, OH)
- …**Preferred Qualifications** + Healthcare industry experience with exposure to authorisations/ claims /eligibility and patient clinical data + Experience with Python, ... Spark, or Databricks for data engineering or transformation. + Familiarity with DevOps/GitRepo for BI, including deployment automation and CI/CD in Azure DevOps. + Understanding of data governance, security models, and compliance. + Experience with semantic… more
- Henderson Brothers Inc. (Columbus, OH)
- …program coverage recommendations/improvements. Institute client service plans with Consultative, Claims and Risk Control divisions. Stewardship and delivery of ... service plans. Coordinate additional sales and renewal efforts with appropriate team personnel. + Lead Generation: Generate leads through prospect research, personal relationships, centers of influence, client referrals, social selling, and networking. Qualify… more
- Evolent (Columbus, OH)
- …culture. **What You'll Be Doing:** **Analyst, Client Analytics** Integrate and analyze claims and enrollment data from multiple sources using SAS and SQL programs. ... Import and load data from disparate sources to facilitate reporting for multiple health plans. Build new client relationships to understand analytical and reporting needs. Create actionable, innovative analytics solutions that drive decision-making for clients… more
- System One (Westerville, OH)
- …Impact Analysis (TIA) and assist in the development of change orders and claims . + Generate forecasts, variance reports, and other documentation used to monitor and ... manage projects. Education and Experience + A Bachelor's Degree in Engineering, Construction Management, or Business Administration preferred or experience in lieu of degree. + Ideal candidates will possess 5+ years of experience in construction Project… more
- Walmart (Columbus, OH)
- …Center in accordance with Company policies and procedures by properly handling claims and returns, zoning the area, arranging and organizing merchandise, and ... identifying shrink and damages. Receives and stocks merchandise in the Tire and Battery Center, and organizes and maintains the Tire and Battery Center by following Company procedures, utilizing equipment appropriately, merchandising, and completing paperwork,… more
- Humana (Columbus, OH)
- …Ohio + 2+ years of Customer Service experience + 2+ years of technical claims experience - (Prior history handling provider calls, the ability to read and understand ... an EOR, translate claim information, basic understanding of insurance benefits) + Strong customer service orientation + Strong attention to detail + Ability to manage multiple or competing priorities, including use of multiple computer applications… more
- Voltyx (West Chester, OH)
- …or third-party recruiting agencies and will not recognize claims to any unsolicited resumes or candidate information. ... (https://careers-highpriority.icims.com/jobs/6120/operations-manager/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336062834) **Job Locations** _US-OH-West Chester_ **Posted Date** _2 weeks ago_ _(10/14/2025 5:37 PM)_ **_ID_** _2025-6120_ **_\# of Openings_**… more