- CVS Health (Columbus, OH)
- …data interpretation and analysis experience. + Healthcare background. + Experience with internal claims data and healthcare coding. + Must be able to travel to ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
- Molina Healthcare (Cincinnati, OH)
- …recoveries in a managed care or payer environment. + In-depth knowledge of medical and hospital claims processing, including CPT/HCPCS, ICD, and modifier usage. ... for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA). + Medical Coding certification. To all current Molina employees: If you are interested in… more
- Highmark Health (Columbus, OH)
- …data. This position routinely utilizes data including, but not limited to: medical /surgical physician and institutional claims and encounters, clinical data, ... robust analytical and financial analysis capability for Highmark's pharmacy and medical benefit specialty drug management programs. Furthermore, the incumbent will… more
- CVS Health (Columbus, OH)
- …**Position Summary** We are seeking a highly analytical and detail-oriented Data Analyst to join our Special Investigation Unit within a leading health insurance ... investigations of potential fraud, waste, and abuse in Medicaid claims and provider activity. + Prepare timely and accurate...findings to non-technical audiences. + 2+ years experience interpreting medical claim data + Advanced experience in SQL &… more
- Molina Healthcare (Cincinnati, OH)
- …Department staff for mentoring, coaching, and analysis questions. + Reviews Pharmacy analyst work products to ensure accuracy and clarity. + Reviews regulatory ... for strategic analysis, profitability, financial analysis, utilization patterns and medical management. + Interfaces and maintains positive interactions with… 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 ... between suppliers and company personnel. + Negotiate and settle damage claims , rejections, losses, return of materials, over-shipments, cancellations and engineering… more