- Cleveland Clinic (Cleveland, OH)
- …and appreciation while building a rewarding career with one of the most respected healthcare organizations in the world. As an Epic Billing Systems Analyst , you ... unique opportunity to enhance your skills in an innovative healthcare setting. **A caregiver in this position works remotely...an operational or financial role utilizing the systems or data generated by the systems supported by this position… more
- Highmark Health (Columbus, OH)
- …+ 2 years of Coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 1 year of Project ... :** Highmark Health **Job Description :** **JOB SUMMARY** This job creates data -driven insights which identify actionable opportunities aligned to the Quadruple Aim… 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 ... in a prepayment environment - Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, etc. - Researches and prepares cases… more
- Molina Healthcare (Akron, OH)
- …cross-functional coordination, and ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & ... integrity issues, and process gaps. + Apply understanding of healthcare regulations, managed care claims workflows, and...the role. + Validate findings and test assumptions through data , but lead with contextual knowledge of claims… more
- Molina Healthcare (Akron, OH)
- …trends, payment integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement ... the role. + Validates findings and test assumptions through data , but lead with contextual knowledge of claims...At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization… more
- Evolent (Columbus, OH)
- …research skills + Microsoft Office experience (Excel, Visio) + Understanding of healthcare data formats (eg, eligibility, claims , configuration, ... key member of the Product team, focused on client data integrations. This individual will play a critical role...(Required):** + Bachelor's Degree + 2+ years' experience in healthcare , IT business analyst , and/or product management… more
- Cleveland Clinic (Cleveland, OH)
- …Preferred qualifications for the ideal future caregiver include: + Knowledge of healthcare operations + Claims experience - waystar, experian, availity, other ... 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… more