- Robert Half Technology (Westlake, OH)
- … claims and payment processing. * At least 5 years of experience in a Business Analyst or similar role. * Proficiency in Microsoft Word, Excel, and Outlook. * ... Description We are looking for a skilled Business Systems Analyst to join our team in Westlake, Ohio. This role is ideal for someone who thrives on analyzing… more
- Elevance Health (Mason, OH)
- … writing proficiency, understanding of provider networks, the medical management process, claims process, the company's internal business processes, and internal ... **Title: Grievance/Appeals Analyst I** **Virtual:** This role enables associates to...with external accreditation and regulatory requirements, internal policies and claims events requiring adaptation of written response in clear,… more
- Molina Healthcare (OH)
- **Job Description** **Job Summary** Responsible for providing business process redesign, communication and change management for operations. Backend ... + Conduct interviews with staff and management to assess internal business processes within a department or function to ensure compliance with… more
- Public Consulting Group (Columbus, OH)
- …To learn more, visit www.publicconsultinggroup.com . The Contract Support and RCM Analyst will support both the contractual administrative tasks and the entire claim ... through claim issue research. Additional this position will assist in performing claims processing, medical record audits for all implemented agencies, and assist… more
- Evolent (Columbus, OH)
- …Codes, CPT Codes, RVUs, bundled payments, etc. + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing ... reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the...**What You'll Be Doing:** + Lead in-depth analyses of healthcare data - including authorizations, claims , membership,… more
- Prime Therapeutics (Columbus, OH)
- …Title** Data & Reporting Analyst **Job Description** The Data & Reporting Analyst is responsible for supporting the business in decision making and ... operations efforts by providing data, reporting and business intelligence services. This role is responsible for working...modeling + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or… more
- Humana (Columbus, OH)
- …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be ... IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved...benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also… more
- Norstella (Columbus, OH)
- …(PharmD) or Medicine (MD/DO) degree. + Experience working with and querying large healthcare databases, including claims , EMR/EHR, and laboratory data, in an ... Sr. Medical Analyst , RWD Company: MMIT Location: Remote, United States...In this role, you will leverage your expertise in ** healthcare data analytics** to extract meaningful insights from **real-world… more
- Elevance Health (Columbus, OH)
- **Cost of Care/Provider Contracting Data Analyst ** **Location** : This role requires associates to be in-office 1-2 days per week, fostering collaboration and ... is granted as required by law. The **Cost of Care/Provider Contracting Data Analyst ** is responsible for provides analytical support to the Cost of Care and/or… more
- Elevance Health (Cincinnati, OH)
- **Actuarial Analyst II** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing ... unless an accommodation is granted as required by law. The **Actuarial Analyst II** completes projects and performs complex actuarial studies. **How You Will… more