- Molina Healthcare (Dayton, OH)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... accuracy in a timely manner to meet department standards of turnaround time and quality . + Audit loaded provider records for quality and financial accuracy and… more
- Evolent (Columbus, OH)
- …cost and use trends, and estimate Evolent's ability to reduce costs and improve quality . + Develop models to quantify and articulate value of new and existing ... fostering trust, expertise and cooperation. + Extract, manage, and analyze claims and operational data using industry-standard metrics. + Process and validate… more
- Molina Healthcare (Columbus, OH)
- …Perform research and analysis of complex healthcare utilization and performance date, claims data, pharmacy data, and lab data regarding utilization and cost ... and maintain timelines for reports and projects. + Ensures quality of output by submitting work product for ...quality of output by submitting work product for quality checks and reviews and performing similar functions for… more
- Highmark Health (Columbus, OH)
- …of Healthcare: lower per capita health care costs, improved outcomes from and quality of care received, and optimal member/patient and provider experiences with care ... actionable opportunities for improving health and healthcare outcomes and clinical quality and costs of care, efficiently and effectively managing projects to… more
- Humana (Columbus, OH)
- …and timely information for strategic and operational decisions in support of Claims Administration and Payment Integrity (CAPI). The Senior Financial Planning and ... need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel,… more
- PNC (Cleveland, OH)
- …for the business. We are investing in a newly formed Small Business Marketing Analyst role and are seeking an innovative thought leader to build the foundation of ... portfolio strategy design & branding, product value propositions and claims development, integrated go-to-market strategy and planning and launches, in-market… more
- Prime Therapeutics (Columbus, OH)
- …Forecasting Principal - Treasury - Remote **Job Description** The Treasury Analyst Principal is responsible for developing, managing, analyzing, and delivering ... Team and guidance to the Accounting, Finance, Information Technology and Claims operation functions. **Responsibilities** + Develop, manage, and advance complex… more