- 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
- The Greentree Group (Beavercreek, OH)
- Financial System Business Analyst /Subject Matter Expert (SME) + Are you a tech enthusiast who loves solving complex problems? + Do you have a keen eye for detail and ... to hear from you! ABOUT THE OPPORTUNITY As a Financial System Business Analyst /Subject Matter Expert (SME) you will have the opportunity to work with cutting-edge… more
- Elevance Health (Columbus, OH)
- **Actuarial Analyst II** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing ... unless an accommodation is granted as required by law. The **Actuarial Analyst II** completes projects and performs complex actuarial studies. **How You Will… more
- Humana (Columbus, OH)
- …+ Design, code, and execute advanced SQL queries; independently pull and manipulate claims data from established databases. + Develop and present Power BI ... Preferred Qualifications: + Experience with healthcare insurance, Medicaid, or claims data analytics + Prior exposure to financial analysis or interest… more
- Walgreens (Perrysburg, OH)
- …daily/weekly payroll. Performs moderately complex analysis of information, problems, and/or data under general supervision. Makes recommendations for the review of ... In charge of accident reporting, uses on line tools to enter accident claims . + Creates and analyzes basic reports to support business execution. Develops business… more
- Molina Healthcare (Cleveland, OH)
- …more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and… more
- Molina Healthcare (Cleveland, OH)
- …more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and… more
- Deloitte (Cleveland, OH)
- …wants to work in a collaborative environment? As an experienced Epic Professional Billing Analyst you will have the ability to share new ideas and collaborate on ... to build, deploy, and operate integrated/verticalized sector solutions in software, data , AI, network, and hybrid cloud infrastructure. These solutions are powered… 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 (Cincinnati, OH)
- …care or payer environment. + In-depth knowledge of medical and hospital claims processing, including CPT/HCPCS, ICD, and modifier usage. + Strong understanding of ... large and complex requirements. + Ability to organize and maintain regulatory data including real-time policy changes. + Self-motivated and ability to take… more