- CGI Technologies and Solutions, Inc. (Columbus, OH)
- …discrepancies and transmission issues - Works with other Financial Analysts and Business Analyst to verify successful MAT transmissions and LOCCS responses. ... **Financial Analyst ** **Category:** Business Analysis (functional and...accurate completion of Section 8 voucher processing and special claims review. Approval of monthly vouchers, submit approved vouchers… more
- Prime Therapeutics (Columbus, OH)
- …our passion and drives every decision we make. **Job Posting Title** Pricing Analyst Senior - Remote **Job Description** The Senior Pricing Analyst participates ... Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of… more
- Evolent (Columbus, OH)
- …selves to work. That's one reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ... **Lead Analyst , Performance Analytics - Oncology & Member Product Focus**...Lead in-depth analyses of healthcare data - including authorizations, claims , membership, and clinical outcomes to identify cost drivers,… more
- Molina Healthcare (Cincinnati, OH)
- …lines of business and expansion into new states. The Lead Analyst , Reimbursement will be primarily responsible for implementation, maintenance, and support of ... **Job Description** **Job Summary** The Lead Analyst , Reimbursement is responsible for administering complex provider reimbursement methodologies timely and… more
- Prime Therapeutics (Columbus, OH)
- …& Reporting Analyst - Remote **Job Description** The Data & Reporting Analyst is responsible for supporting the business in decision making and operations ... efforts by providing data, reporting and business intelligence services. This role is responsible for working...modeling + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data… more
- Humana (Columbus, OH)
- …facilities. They will work closely with IT, the pricing software vendor, CIS BSS, claims operations, and other business teams involved in the administration of ... health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer... will be an integral part of the Pricer Business and System Support team responsible for administering complex… more
- Humana (Columbus, OH)
- …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be ... IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid business… more
- Molina Healthcare (Cincinnati, OH)
- …are aligned as well as work with operational leaders within the business to provide recommendations for process improvements and opportunities for cost savings. ... committee structure and timing with key partner organizations. Interpret customer business needs and translate them into application and operational requirements. +… more
- Molina Healthcare (Akron, OH)
- JOB DESCRIPTION Job Summary Provides entry level analyst support for provider configuration activities including accurate and timely maintenance of critical provider ... information on all claims and provider databases. Synchronizes data within multiple ...data stored within provider databases - ensuring adherence to business and system requirements as it pertains to contracting,… more
- Molina Healthcare (OH)
- …Maintains critical auditing and outcome information. Synchronizes data among operational and claims systems and application of business rules as they apply ... database. Validate accuracy of configuration and ensure adherence to business and system requirements of customers as it pertains...life cycle * Gains a deep understanding of Molina claims life cycle and all processes that affect … more