- Evolent (Columbus, OH)
- …audiences. + Synthesize complex analyses into succinct presentations. + Lead customer interactions fostering trust, expertise and cooperation. + Extract, ... manage, and analyze claims and operational data using industry-standard metrics. + Process...using industry-standard metrics. + Process and validate raw unadjudicated claims data. **Qualifications Required and Preferred:** + Bachelor's degree,… more
- Highmark Health (Columbus, OH)
- …5 years with coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 3 years of project leadership ... and non-technical, and internal and external audiences, and the ability to lead through influence + Healthcare industry expertise and experience, knowledge about the… more
- Molina Healthcare (Cincinnati, OH)
- …Prepare and design test plans and test cases with the help of testing lead for both new and existing features (regression testing). + Vendor Management: Provides ... + SQL expertise + Excel expertise + Medicare, Medicaid, Marketplace claims expertise **PHYSICAL DEMANDS:** Working environment is generally favorable and lighting… more
- Molina Healthcare (Akron, OH)
- …of the role. + Validate findings and test assumptions through data, but lead with contextual knowledge of claims processing, provider contracts, and operational ... and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed… more
- Molina Healthcare (Akron, OH)
- …of the role. + Validates findings and test assumptions through data, but lead with contextual knowledge of claims processing, provider contracts, and operational ... a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +...At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization… more
- Highmark Health (Columbus, OH)
- …issues affecting claims or inquiry processing with Membership and Billing personnel. Lead or participate in higher level AR tasks and projects, typically related ... and programs as necessary; may have budgetary responsibility and authority. + Lead daily Receivables Management operations. This is a "hands-on" position, requiring… more
- Prime Therapeutics (Columbus, OH)
- …tools, such as self-service capabilities and standard report packages. May lead efforts to create curriculum to improve user adoption. + Ensures ... years of work experience. + Prior experience as a Business Intelligence Developer/ Analyst or Data Analyst supporting business intelligence, reporting, analytics… more
- Parker Hannifin Corporation (Cleveland, OH)
- …the general duties of a Parker Sourcing Specialist, Buyer/Planner and Logistics Analyst . The SCM LDA's primary duties will involve supports individual sourcing ... open purchase orders, quotes, work orders and part master data. Maintain accurate lead times for assigned commodities. + Monitor and evaluate production execution to… more