- Molina Healthcare (Columbus, OH)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- Molina Healthcare (Akron, OH)
- …analysis, task and workflow analysis. + Interpret customer business needs in the claims space and translate them into application and operational requirements + ... **JOB DESCRIPTION** **Job Summary** Analyzes complex claims business problems and issues using data from...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
- Evolent (Columbus, OH)
- …**What You Will Be Doing:** + **Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify cost drivers, utilization trends, ... working seamlessly with diverse teams and stakeholders. + Familiarity with healthcare claims , reimbursement methodologies, and cost/utilization KPIs, including… more
- Medical Mutual of Ohio (OH)
- … Analyst ** **Education and Experience:** + Bachelor's degree in healthcare administration, business administration,information technology or a related field . + ... strategies and goals in alignment with regulatory specification for the annual Healthcare Effectiveness Data and Information Set (HEDIS) lifecycle processes for all… more
- Molina Healthcare (Cleveland, OH)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- Elevance Health (Mason, OH)
- **Title: Grievance/Appeals Analyst I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... employment, unless an accommodation is granted as required by law._ The **Grievance/Appeals Analyst I** is an entry level position in the Enterprise Grievance &… more
- Elevance Health (Cincinnati, OH)
- …of committed clinicians and business leaders passionate about transforming American healthcare delivery. The **Advanced Analytics Analyst Senior** measures ... **Advanced Analytics Analyst Senior - Medical Economics** **Location:** Atlanta, GA;...financial performance of core Carelon products leveraging claims , authorization, and membership data to tell a detailed… more
- Norstella (Columbus, OH)
- …seeking a Senior Medical Analyst to join our team and drive data-driven healthcare initiatives. In this role, you will leverage your expertise in healthcare ... Sr. Medical Analyst Company: MMIT Location: Remote, United States Date...related field. + Experience working with and querying large healthcare databases, including claims , EMR/EHR, and laboratory… more
- Elevance Health (Mason, OH)
- **Recovery Audit Analyst I** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and connectivity, ... is granted as required by law. The **Recovery Audit Analyst I** is responsible for auditing and facilitating the...is responsible for auditing and facilitating the recovery of claims overpayments as identified by our business partners. Responsible… more
- System One (Dayton, OH)
- Job Title: Encounters System Analyst Location: Remote Type: Contract Contractor Work Model: Remote Title: Encounters System Analyst ALTA is supporting an 8-month ... across the United States, specializing in Program & Project Management, Application Development, Cybersecurity, Data & Advanced Analytics, and Agile Transformation… more