• Chief Statistician

    ICF (Columbus, OH)
    …programs. This role requires extensive experience with health care data, including claims data, coding systems, and provider identifiers. The Chief Statistician will ... and data mining algorithms. + Analyze health care information including claims data, ICD-9/10-CM codes, physician specialty codes, survey and certification data,… more
    ICF (10/08/25)
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  • Administrative Specialist (Open)(N/C)

    City of Cincinnati (Cincinnati, OH)
    …responsible for managing and coordinating public records requests and damage claims as well as providing administrative support for MSD's Legislation Services ... coordination, and document management for public records requests and damage claims . Interpreting and applying rules, standards, or procedures regarding public… more
    City of Cincinnati (09/20/25)
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  • Field Medical Outcomes, Director, MD

    Pfizer (Columbus, OH)
    …focus. The role may interact with accounts in the region including Healthcare Decision Makers (HCDM) affiliated with organized customers. The colleague will respond ... as Quality Improvement Organizations, Advocacy Groups, Coalitions, and other medical/ healthcare associations, to understand their population health priorities and… more
    Pfizer (10/02/25)
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  • Collections Representative Remote

    Owens & Minor (Columbus, OH)
    At Owens & Minor, we are a critical part of the healthcare process. As a Fortune 500 company with 350+ facilities across the US and 22,000 teammates in over 90 ... of what we do. Our mission is to empower our customers to advance healthcare , and our success starts with our teammates. Owens & Minor teammate benefits include:… more
    Owens & Minor (07/27/25)
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  • Inpatient Medical Coding Auditor

    Humana (Columbus, OH)
    …looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and ... provider contract payments in our payer systems, and by ensuring correct claims payment and appropriate diagnosis related group (DRG) assignments. Analyzes, enters… more
    Humana (09/24/25)
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  • Senior Manager, Global Regulatory Affairs

    Otsuka America Pharmaceutical Inc. (Columbus, OH)
    …Competencies** **K** **nowledge** - Experience working in the pharmaceutical and/or healthcare industry. - Knowledge and experience with preparation of global ... clinical development, project management, quality assurance, etc.) in pharmaceutical or healthcare related industry. Experience with FDA or other health authority… more
    Otsuka America Pharmaceutical Inc. (08/22/25)
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  • Advanced Analytics Analyst Senior - Medical…

    Elevance Health (Cincinnati, OH)
    …committed clinicians and business leaders passionate about transforming American healthcare delivery. The **Advanced Analytics Analyst Senior** measures financial ... performance of core Carelon products leveraging claims , authorization, and membership data to tell a detailed story to respective business stakeholders. The Advanced… more
    Elevance Health (09/10/25)
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  • Investigator II - Payment Integrity SIU

    Elevance Health (Mason, OH)
    …for the identification, investigation and development of cases against perpetrators of healthcare fraud in order to recover corporate and client funds paid on ... fraudulent claims . **How you will make an impact:** + Claim... + Responsible for identifying and developing enterprise-wide specific healthcare investigations that may impact more than one company… more
    Elevance Health (10/10/25)
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  • Encounter Data Management Professional

    Humana (Columbus, OH)
    …an impact** **Required Qualifications** + Minimum 1 year of experience in medical claims payment and processing + Minimum 1 year of experience analyzing and ... researching medical claims + Proficient in Microsoft Office (Word, Excel, Access,...PowerPoint) + Working knowledge of SQL **Demonstrated understanding of healthcare data exchange formats and industry standards (eg, CSV,… more
    Humana (10/08/25)
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  • Provider Contract/Cost of Care Consultant

    Elevance Health (Mason, OH)
    …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... complex models to create predictive impact decision making tools. + Performs healthcare cost analysis to identify strategies to control costs. + Projects cost… more
    Elevance Health (08/23/25)
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