• Senior Computer Systems Analyst

    GovCIO (Columbus, OH)
    **Overview** GovCIO is currently hiring for a Senior Computer Systems Analyst with an active Secret clearance. This position will be located in Sterling, Virginia ... processes to formulate and develop new and modified business information processing systems. + Interfaces between systems architects/programmers and users located in… more
    GovCIO (07/15/25)
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  • Senior Stop Loss Claims Analyst /HNAS

    Highmark Health (Columbus, OH)
    …following a departmental claim checklist to ensure eligibility is met, the payment reimbursement request is accurate by auditing the claim for duplicate line-item ... determining if all information is available to finalize the payment request. Refers the claim to the cost containment...health insurance claims + 3 years of prior experience processing 1st dollar health insurance claims + 3 years… more
    Highmark Health (09/20/25)
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  • Senior Analyst , Medical Economics (Vbc)…

    Molina Healthcare (OH)
    **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... operations (utilization management, disease management, HEDIS quality measures, claims processing , etc.) + Knowledge of healthcare financial terms (eg, PMPM,… more
    Molina Healthcare (08/31/25)
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  • Commercial Senior Business Analyst…

    Fifth Third Bank, NA (Cincinnati, OH)
    …documents business needs and determines Development impact to current system processing . Works with programmers and users to ensure accuracy of enhancements. ... enhancements, documents business needs and determines development impact to current system processing . Works with product managers, IT resources and users to ensure… more
    Fifth Third Bank, NA (09/30/25)
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  • Analyst , Configuration Oversight (Claims…

    Molina Healthcare (Akron, OH)
    …understanding of contracts reviews to detect any gaps in the correct payment of claims Make recommendations for potential revision and updates * Interprets ... to member enrollment, provider contract, provider demographic information, claim processing guidelines and/or system configuration requirements. Evaluates the accuracy… more
    Molina Healthcare (09/17/25)
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  • Senior QNXT Analyst - Benefits/ Contract…

    Molina Healthcare (Akron, OH)
    …+ Must have knowledge on Medicare payment methods + Experience on Hospital payment methodology & processing is essential + Understanding on hospital claims ... **Required Experience** 5-7 years in SQL, Medicare, Networx, QNXT, claims processing and hospital claims payment method. **Preferred Education** Graduate… more
    Molina Healthcare (10/01/25)
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  • Senior Accounts Payable Analyst

    Aston Carter (Columbus, OH)
    …Title: Senior Accounts Payable AnalystJob Summary: The Senior Accounts Payable Analyst is responsible for overseeing the end-to-end accounts payable process, ... ensuring timely and accurate processing of invoices, expense reports, and payments. This role...accordance with company policies and procedures. + Ensure timely payment of vendor invoices and maintain accurate records and… more
    Aston Carter (09/23/25)
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  • Medicaid Provider Hospital Reimbursement…

    Humana (Columbus, OH)
    …and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral ... (EAPG, APR-DRG, MS-DRG, etc). This role is within the Integrated Network Payment Solutions (INPS) department which falls under the Provider Process and Network… more
    Humana (09/09/25)
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  • Senior Business Systems Analyst…

    GovCIO (Columbus, OH)
    **Overview** GovCIO is currently hiring for a Senior Business Systems Analyst and Developer to support our customer, USPS and their Logistics Tech Services Group. ... to the USPS business groups within Logistics, Transportation Strategies, Mail Processing , Engineering Systems, and others. This group: + Oversees the strategy,… more
    GovCIO (08/08/25)
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  • Applications Database Analyst

    GovCIO (Columbus, OH)
    **Overview** GovCIO is currently hiring for a Applications Database Analyst to support our customer, USPS and their Logistics Tech Services Group. This position is ... to the USPS business groups within Logistics, Transportation Strategies, Mail Processing , Engineering Systems, and others. This group: + Oversees the strategy,… more
    GovCIO (08/08/25)
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