- Evolent (Columbus, OH)
- …using industry-standard metrics. + Process and validate raw unadjudicated claims data . **Qualifications Required and Preferred :** + Bachelor's degree, preferably ... in data mining, advanced/ statistical analysis, and data manipulation + Familiarity with healthcare reimbursement...+ Familiarity with value-based care and utilization management is preferred + Understanding of data systems and… more
- US Bank (Cincinnati, OH)
- …from Day One. **Job Description** US Bank ("USB") is looking for an Investment Analyst to join the private markets investment team. The Private Markets team is ... investments. Communicate with Portfolio Managers to gather and/or clarify client-specific data for reporting + Prepare presentation materials for clients across… more
- Cardinal Health (Columbus, OH)
- …and up) familiarity preferred + General knowledge of EDI + Experience with healthcare or pharmacy workflows or IT software, preferred + Experience with EMR / ... commercial technologies and platforms and integrates customer perspectives and data into the design and management of commercial technologies....EHR, pharmacy management software, and/or healthcare billing software, preferred + Ability to… more
- Fujifilm (Columbus, OH)
- …Director, Finance and Accounting, drive cash flow performance for FUJIFILM Healthcare Americas Corporation (HCUS); blend financial analysis and process optimization ... softwares; performs ad hoc projects as required. **Company Overview** At FUJIFILM Healthcare Americas Corporation, we're on a mission to innovate for a healthier… more
- CVS Health (Columbus, OH)
- …to identify suspicious billing patterns. **Required Qualifications** + 3-5 years of data interpretation and analysis experience. + Healthcare background. + ... Experience with internal claims data and healthcare coding. + Must be able to travel to...to provide testimony if needed. + Experience with Excel. ** Preferred Qualifications** + Certified Professional Coder + Knowledge of… more
- Cleveland Clinic (Cleveland, OH)
- …Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare . Cleveland Clinic is recognized as one of the top hospitals in ... a rewarding career with one of the most respected healthcare organizations in the world. Everyone at Cleveland Clinic...an operational or financial role utilizing the systems or data generated by the systems supported by this position… more
- CVS Health (Columbus, OH)
- …and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for ... Members: o Through the use of care management tools and information/ data review, conducts comprehensive evaluation of referred member's needs/eligibility and… more
- CVS Health (Columbus, OH)
- …conducts investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to recover lost funds, and to comply with ... state, and local law enforcement agencies in the investigation and prosecution of healthcare fraud and abuse matters. - Demonstrates high level of knowledge and… more
- Elevance Health (Mason, OH)
- …policies, and editing rules, as well as conducting clinical research, data analysis, and identification of legislative mandates to support draft development ... Coder (CPC) or Registered Health Information Administrator (RHIA) certification required. ** Preferred Skills, Capabilities and Experience:** + CEMC, RHIT, CCS, CCS-P… more
- Highmark Health (Columbus, OH)
- …+ 5 years of relevant, progressive experience in the area of specialization ** Preferred ** + Master's Degree + Experience in one or more of the following: ... healthcare operations, compliance, auditing, investigations, regulatory accreditation, process improvement, project management and/or managed care operations… more
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