- Humana (Columbus, OH)
- …The Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and ... operational decisions. Establishes metrics, provides data analyses, and works directly to support business intelligence. Evaluates industry, economic, financial, and… more
- Humana (Columbus, OH)
- …Analyst 2, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational ... decisions. Establishes metrics, provides data analyses, and works directly to support business intelligence....used within our Individual Medicare Advantage pricing and internal reporting process. This includes: + Helping make and test… more
- Humana (Columbus, OH)
- …The Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and ... operational decisions. Establishes metrics, provides data analyses, and works directly to support business intelligence. Evaluates industry, economic, financial, and… more
- Molina Healthcare (Dayton, OH)
- …(SIU) Investigator is responsible for supporting the prevention, detection, investigation, reporting , and when appropriate, recovery of money related to health care ... investigations, including but not limited to witness interviews, background checks, data analytics to identify outlier billing behavior, contract and program… more
- Humana (Columbus, OH)
- …and executing the risk adjustment strategy for each provider groups. + Analyzes data and reporting and provides educational sessions with providers aimed at ... make an impact** **Required Qualifications** + AAPC CPC (Certified Professional Coder) Certification + 2 or more years of...knowledge of MS Word, Excel and PowerPoint + Analyzing Data to drive process improvement + Experience with public… more
- CVS Health (Columbus, OH)
- …Tracking Database audits + Support audits out of QNXT and PRMS systems to support Medicaid SOC and SOX controls + Coordinate with applicable reporting areas as ... strategic thinking + Able to drive decisions based on data analysis + May be asked to support other...**Education** Bachelor's degree preferred / specialized training / relevant professional qualifications **Pay Range** The typical pay range for… more
- Cardinal Health (Columbus, OH)
- …investigations to resolve ethics and compliance issues. **Compliance Audit Manager** Reporting to the Compliance Director, this position supervises and manages ... compliance audits to determine organizational integrity of billing for professional (physician) services and/or hospital (technical) services. This position will… more
- Lundbeck (Cleveland, OH)
- …fully integrated account plans + Strong analytical background, and experience using sales data reporting tools to identify trends + Experience in product ... Cleveland Heights and Beachwood **SUMMARY:** Are you a results-driven biopharmaceutical sales professional looking to be part of an organization that values being… more
- Molina Healthcare (Dayton, OH)
- …timeline is being followed. Communicates project status through weekly reporting , project status meetings, and leadership presentations. Manages the project ... PM experience in Managed Care Operations (claims, system configuration, provider data management preferred) + Demonstrated ability to solicit and formally document… more
- Molina Healthcare (Cincinnati, OH)
- …+ Prior professional experience utilizing Microsoft Excel (eg, performing basic data analysis in excel and utilizing pivot tables and various functions such as ... troubleshooting. **Job Duties** + Research, review, and decipher state-specific Medicaid and Medicare reimbursement methodologies for providers, including hospitals… more