- OhioHealth (Columbus, OH)
- …a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be ... our careers and in our communities. **Job Description Summary:** The Senior Systems Analyst will play a crucial role in the design, development, implementation, and… more
- Evolent (Columbus, OH)
- …experience in claims-based healthcare analytics with a payer, provider, clinical vendor, managed care , or related healthcare consulting entity + Ability to ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...we seek to connect the pieces of fragmented health care system and ensure people get the same level… more
- Highmark Health (Columbus, OH)
- …+ High school diploma /GED + 3 years of experience required in health care / managed care + 3 years of experience in credentialing/re-credentialing of ... practitioners/providers + 3 years of experience with NCQA and other regulatory standards **Substitutions** + None **Preferred** + Bachelor's degree. + Certified Provider Credentialing Specialist (CPCS) certification **Skills** + None **SCOPE OF… more
- Molina Healthcare (Cleveland, OH)
- …**Required Experience** + 5-7 years of business analysis experience, + 6+ years managed care experience. + Demonstrates proficiency in a variety of concepts, ... practices, and procedures applicable to job-related subject areas. **Preferred Education** Bachelor's Degree or equivalent combination of education and experience **Preferred Experience** + 3-5 years of formal training in Project Management + Experience… more
- Molina Healthcare (Columbus, OH)
- …and experience **Required Experience** + 3-5 Years of business analysis + 4+ years managed care experience + Demonstrates familiarity in a variety of concepts, ... practices, and procedures applicable to job-related subject areas. **Preferred Education** Bachelor's Degree or equivalent combination of education and experience **Preferred Experience** + 1-3 years formal training in Business Analysis and/or Systems Analysis… more
- Molina Healthcare (Cleveland, OH)
- …**Required Experience** + 5-7 years of business analysis experience, + 6+ years managed care experience. + Demonstrates proficiency in a variety of concepts, ... practices, and procedures applicable to job-related subject areas. **Preferred Education** Bachelor's Degree or equivalent combination of education and experience **Preferred Experience** + 3-5 years of formal training in Project Management + Experience… more
- JPMorgan Chase (Columbus, OH)
- …responsibilities** + Understand business needs, including how data is used and managed + Work collaboratively in teams and develop meaningful relationships to ... meet employee needs, based on eligibility. These benefits include comprehensive health care coverage, on-site health and wellness centers, a retirement savings plan,… more
- Molina Healthcare (Akron, OH)
- …years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, or equivalent combination of ... integrity issues, and process gaps. + Apply understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape… more
- Banner Health (OH)
- …Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options ... improving to make Banner Health the best place to work and receive care . Are you an experienced **Hematology Oncology Physician Coder** looking for the opportunity… more
- Elevance Health (Cincinnati, OH)
- …through strong communication and interpersonal skills. + Demonstrated understanding of key managed care concepts and provider reimbursement principles such as ... consolidating processes for forecast and month-end results. + Serve as an analyst and advisory to both internal and external stakeholders, developing value-based… more