- Molina Healthcare (Cincinnati, OH)
- …of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems ... business rules as they apply to each database. Validate data to be housed on databases and ensure adherence...and knowledge to research and resolve claim/encounter issues, pended claims and update system(s) as necessary. + Works with… 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
- Highmark Health (Columbus, OH)
- …requirements definition and documentation, system design, and problem resolution. The analyst communicates with system end-users to understand issues and implement ... Epic modules. **Preferred** + 2+ years of Healthcare Revenue Cycle experience ( Claims , Patient Access, Billing) + Epic Certification in Resolute Hospital Billing… more
- Cleveland Clinic (Cleveland, OH)
- …role, every member of the Cleveland Clinic team is a caregiver. Serving as Systems Analyst III, being a caregiver starts in the office, where you will focus on ... an operational or financial role utilizing the systems or data generated by the systems supported by this position...EPIC Revenue Cycle certification (can be HB, PB or claims ) + Proficiency in revenue cycle building + Microsoft,… more
- Elevance Health (Mason, OH)
- …eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... policies, and editing rules, as well as conducting clinical research, data analysis, and identification of legislative mandates to support draft development… more
- Molina Healthcare (Dayton, OH)
- …all claims and provider databases. Maintains critical provider information 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… more
- Molina Healthcare (OH)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data , pharmacy data , and lab data regarding network ... provides guidance to team members in their analysis of data sets and trends using statistical tools and techniques...**Required Experience** + 6+ years of progressive responsibilities in Data , Finance or Systems Analysis + Expert knowledge on… more
- Molina Healthcare (Cincinnati, OH)
- …California and work PST hours. **Job Summary** Performs research and analysis of complex healthcare claims data , pharmacy data , and lab data regarding ... provides guidance to team members in their analysis of data sets and trends using statistical tools and techniques...**Required Experience** + 6+ years of progressive responsibilities in Data , Finance or Systems Analysis + Expert knowledge on… more
- Molina Healthcare (Dayton, OH)
- …Candidate must reside in Georgia **Job Summary** Performs research and analysis of complex healthcare claims data , pharmacy data , and lab data regarding ... + Helps to oversee development, organization, and ongoing maintenance of data representing a wide range of healthcare information. + Identifies and… more
- Highmark Health (Columbus, OH)
- …project lifecycle. + Run system reports and/or create ad-hoc reports, pulling data from various sources. Analyze reports to ensure system performance and/or results. ... **Required** + 3 - 5 years in a relevant operational area (eg customer service, claims , enrollment and billing, etc.) to include 1 - 3 years of technical application… more
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