- Humana (Columbus, OH)
- …and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance ... related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action.… more
- Elevance Health (Mason, OH)
- …The **Business Information Analyst Senior** is responsible for analyzing and validating healthcare encounter data submissions to CMS (Centers for Medicare & Medicaid ... related field and a minimum of 3 years data analysis or related experience; or any combination of education...Knowledge of SAS. + Knowledge of systems capabilities and Healthcare business operations. + ASC X12 837 EDI experience.… more
- Elevance Health (Mason, OH)
- …dashboards. + Drive improvements in early warning indicators for changes in healthcare trend. + Support preparations for executive-level summaries of findings to ... background in SQL, Python, R, or SAS for data manipulation and statistical analysis . + Proficiency in Excel, Power BI/Tableau, and actuarial software tools. +… more
- Biomat USA, Inc. (Cincinnati, OH)
- Would you like to join an international team working to improve the future of healthcare ? Do you want to enhance the lives of millions of people? Grifols is a global ... healthcare company that since 1909 has been working to...Analytical Skills: Advanced data management, execution, and conclusion of analysis . + Critical Thinking: Quickly acquires industry and company-specific… 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 ... appreciation and build a rewarding career with one of the most respected healthcare organizations in the world. As IT Product Director/Owner for the RCM Technology… more
- Abbott (Columbus, OH)
- Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of ... healthcare , with leading businesses and products in diagnostics, medical...Supports the Departments Continuous Improvement Program, including root cause analysis + All other tasks as assigned by management… more
- Evolent (Columbus, OH)
- …care organizations across the country to improve patient outcomes and reduce avoidable healthcare costs. We are a lean, nimble, fast-paced team looking for dedicated ... team members with a passion for improving healthcare . **Collaboration Opportunities:** Our Risk Adjustment coding support team offers candidates the opportunity to… more
- IQVIA (Cleveland, OH)
- …entire account team is working on. + Connecting paid media results and data analysis to business goals to innovate leading edge solutions for the client + Conduct ... is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We… more
- Humana (Columbus, OH)
- …Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. ... on various behavioral health topics to the clinical operations team and healthcare organization. The Medical Director's work includes computer based review of… more
- Highmark Health (Columbus, OH)
- …including coordination and facilitation of internal investigations including the analysis of facts, recommendations for resolution, risk treatment and corrective ... related field **EXPERIENCE** **Required** + 7 years in compliance, privacy, government affairs, healthcare operations, risk, audit, or legal functions + 5 years in a… more