- Evolent (Columbus, OH)
- …team at Evolent. This individual will be primarily focused on performing medical economics analysis in support of complex risk-based contract development and will ... into succinct presentations. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based on relevant… more
- CVS Health (Columbus, OH)
- …abuse. + Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants and customers. + Researches and ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
- CVS Health (Columbus, OH)
- …in a prepayment environment - Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, etc. - Researches and prepares cases ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
- Molina Healthcare (OH)
- …sources. + Resource to staff for mentoring, coaching, and analysis questions. + Reviews Medical Economics analyst work products to ensure accuracy and clarity. + ... strategic analysis. **KNOWLEDGE/SKILLS/ABILITIES** Manages and provides direct oversight of Medical Economics Team activities and personnel. Provides technical expertise,… more
- Elevance Health (Cincinnati, OH)
- …reporting and formulating recommendations. This position will value new medical cost initiatives, applying financial modeling expertise and using independent ... consolidating processes for forecast and month-end results. + Serve as an analyst and advisory to both internal and external stakeholders, developing value-based… more
- Public Consulting Group (Columbus, OH)
- …Third Party Administrator Services + Enhance Health and Public Safety Services + Claims Processing Services and Solutions + Consulting and Advisory Services + Cost ... + Provides leadership, management, and direction to the Quality Assurance Analyst team. + Leads and manages department providing oversight on operations,… 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