- Fifth Third Bank, NA (Cincinnati, OH)
- …related experience. + Prior PC experience to include advanced Excel, Word and Access. Claims Analyst I At Fifth Third, we understand the importance of ... -days a week. We are unable to hire for remote on this opening. GENERAL FUNCTION: Responsible for completing...risks of all types. DUTIES & RESPONSIBILITIES: + All Claims started within five business days of… more
- Molina Healthcare (Cincinnati, OH)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality...overall markets and LOB. + Work in an agile business environment to derive meaningful information out of complex… more
- Molina Healthcare (Akron, OH)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable… more
- Molina Healthcare (Cleveland, OH)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable… more
- Highmark Health (Columbus, OH)
- …**Required** + **MUST BE A US CITIZEN ** + 3 - 5 years of experience in a Business Analyst or Business Process Analyst role or experience in a related ... operational area (eg claims , billing, customer service, etc.) **Preferred** + Experience in...+ None **Preferred** + None **SKILLS** + Analysis of business problems/needs + Written & Oral Presentation Skills +… more
- Public Consulting Group (Columbus, OH)
- …To learn more, visit www.publicconsultinggroup.com . The Contract Support and RCM Analyst will support both the contractual administrative tasks and the entire claim ... through claim issue research. Additional this position will assist in performing claims processing, medical record audits for all implemented agencies, and assist… more
- Rocket Software (Columbus, OH)
- …BELIEVE in what they're doing!** **Job Description Summary:** The Senior Benefit Analyst is responsible for building and delivering both global and local benefit ... in line with the global total rewards philosophy. The Senior Benefits Analyst supports the design, administration, and analysis of Americas' and global benefit… 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 ... work closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of… 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
- Norstella (Columbus, OH)
- Sr. Medical Analyst , RWD Company: MMIT Location: Remote , United States Date Posted: Nov 20, 2025 Employment Type: Full Time Job ID: R-1548 **Description** At ... to extract meaningful insights from **real-world data (RWD)** sources, including ** claims , laboratory results, billing codes, and electronic health records (EHRs)**… more