- 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 ... the financial impact to effectively negotiate new or amended contracts (eg coding and chargemaster impact analysis) + Strong written and verbal communication skills… more
- CVS Health (Columbus, OH)
- …all with heart, each and every day. **Position Summary** The Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 ... + Strengths in mathematical, written, and verbal skills. **Preferred Qualifications** + Coding experience, CMS, and/or CPC Certification. + Proficient in Usual and… more
- Molina Healthcare (Cleveland, OH)
- **Job Description** **Job Summary** Provides entry level analyst support for claims research activities. This role plays a pivotal role in ensuring the timely and ... of experience in claims processing or operations or equivalent combination of relevant education and experience + Basic knowledge of medical billing and basic claims… more
- Cleveland Clinic (Cleveland, OH)
- …one of the most respected healthcare organizations in the world. As EBI Analyst II, you function as a primary resource for department chairmen, administrators, and ... various opportunities to enhance your skills, whether through further education , professional development courses or professional committee involvement. **A… more
- Molina Healthcare (OH)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... and their impact on Molina Healthcare **Job Qualifications** **Required Education :** Bachelor's Degree in Mathematics, Economics, Computer Science, Healthcare… more
- CVS Health (Columbus, OH)
- …waste, and abuse investigatory and audits required. * Knowledge of CPT/HCPCS/ICD coding *Proficiency in Word, Excel, MS Outlook products, Database search tools, and ... years Medicaid Fraud, Waste and Abuse investigatory experience. * Billing and Coding certifications such as CPC (AAPC)and/or CCS (AHIMA) * Knowledge of Behavioral… more
- Molina Healthcare (Cleveland, OH)
- …insurance or directly adjacent field, or equivalent combination of relevant education and experience. + Policy/government legislative review knowledge. + Strong ... (CMS) and the Affordable Care Act (ACA). + Medical Coding certification. To all current Molina employees: If you...$129,590 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill… more
- Molina Healthcare (Cincinnati, OH)
- …insurance or directly adjacent field, or equivalent combination of relevant education and experience. + Policy/government legislative review knowledge + Strong ... (CMS) and the Affordable Care Act (ACA). + Medical Coding certification. To all current Molina employees: If you...$128,519 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill… more
- Molina Healthcare (Cleveland, OH)
- …insurance or directly adjacent field, or equivalent combination of relevant education and experience. + Policy/government legislative review knowledge + Strong ... & Medicaid Services (CMS) and the Affordable Care Act (ACA). + Medical Coding certification. + Strong Medical Claims Audit knowledge To all current Molina employees:… more
- Swagelok (Solon, OH)
- …level technical support to customers and developers during the design and coding of applications + Diagnose server operation problems and work with hardware ... problems, processes and requirements. + Off hours support, as necessary ** Education and/or Work Experience Requirem** **ents:** **Required:** + Bachelor's degree in… more
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