- Stryker (Cleveland, OH)
- …critical illness insurance, accident insurance, hospital indemnity insurance, personalized healthcare support, wellbeing program and tobacco cessation ... current products. + Must be able to accurately and honestly record and report data metrics related to all specific job functions on a monthly basis. + Responsible… more
- Cleveland Clinic (Cleveland, OH)
- …features perhaps the country's largest Headache & Facial Pain clinical program , with 10 fellowship-trained physicians and 11 advanced practice providers, and ... infusion therapy units, integrated trigeminal neuralgia clinic, multidisciplinary REBOOT program for refractory migraine, vestibular and cervicogenic headache clinic,… more
- Deloitte (Dayton, OH)
- …cost drivers + Work directly with medical and PBM vendors to analyze the program offering and cost management solutions + Own the process of preparing benefits plan ... Operate offering provides key aspects of our clients' businesses with technology, data , and deep technical and human capabilities. Innovates and delivers creative,… more
- US Bank (Cincinnati, OH)
- …communication skills - Strong organizational and analytical skills - Ability to analyze data to identify trends - Basic knowledge of assigned business line or ... may vary based on role, location or hours): + Healthcare (medical, dental, vision) + Basic term and optional...participates in the US Department of Homeland Security E-Verify program in all facilities located in the United States… more
- ProMedica Health System (Toledo, OH)
- …including regulatory changes or updates. Reviews medical record documentation and claims data to ensure compliance with CMS and payer guidelines and regulations. ... life insurance, paid time off, a 401k retirement plan, an employee assistance program and other voluntary coverage options and employee discounts. The above list of… more
- Molina Healthcare (Akron, OH)
- **Job Description** **Job Summary** The Health Plan Operations, Payment Integrity Program Manager is an individual contributor role designed for a highly capable ... coordination, and ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational Ownership**… more
- Molina Healthcare (Akron, OH)
- …payment integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to ... the role. + Validates findings and test assumptions through data , but lead with contextual knowledge of claims processing,...7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or… more
- Molina Healthcare (OH)
- …coordination, and shared ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational Ownership** ... payment integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to… more
- ABBTECH Professional Resources, Inc. (Columbus, OH)
- …Trailblazer link or in submission notes. and/or** Possess Valid Active Tableau Data Analyst/ Specialist Desktop Certification - Please include Trailblazer link or ... work schedules based on Eastern Standard Time (EST); this program 's core business hours are M-F 9AM-5PM Eastern Standard...data files using Excel to load with Apex Data Loader.** Healthcare Service Industry and/or Center… more
- CVS Health (Columbus, OH)
- …accurate medical codes for diagnoses as documented by physicians and other qualified healthcare providers in the office and/or facility setting. + Sound knowledge of ... review, diagnosis coding, and/or auditing. + Completion of AAPC/AHIMA training program for core credential (CPC, CCS-P) with associated work history/on the… more