- CVS Health (Columbus, OH)
- …And we do it all with heart, each and every day. **Position Summary** The Senior Analyst , Plan Sponsor will be responsible for functioning as an Account ... down-market cases (1,000 life). **Key Responsibilities** + Researches, and resolves eligibility and claims inquiries for an assigned book of business . + Consults… more
- Molina Healthcare (Dayton, OH)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule… more
- Molina Healthcare (OH)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive… more
- Molina Healthcare (Columbus, OH)
- …information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each ... Validate data to be housed on provider databases and ensure adherence to business and system requirements of customers as it pertains to contracting, network… more
- Molina Healthcare (Dayton, OH)
- …and Excel) on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each ... accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information (using SQL, PowerBI,… more
- Humana (Columbus, OH)
- …The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral part of the Pricer ... as it expands to accommodate the increased responsibilities. The Senior Business Intelligence Engineer will be primarily...IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved… more
- Norstella (Columbus, OH)
- …therapies to market faster and support patients in need. We are seeking a Senior Medical Analyst to join our team and drive data-driven healthcare initiatives. ... Sr. Medical Analyst , RWD Company: MMIT Location: Remote, United States...extract meaningful insights from real-world data (RWD) sources, including claims , laboratory results, billing codes, and electronic health records… more
- First Student (Cincinnati, OH)
- …the most advanced training and technology the transportation industry has to offer.** The Senior Safety Analyst is crucial for managing safety data critical to ... analytics models to identify trends and insights, driving continuous improvement in claims management and safety practices. + Manages all safety standard weekly,… more
- Humana (Columbus, OH)
- …The Medicare (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral part of the Pricer ... as it expands to accommodate the increased responsibilities. The Senior Business Intelligence Engineer will be primarily...closely with IT, the pricing software vendor, CIS BSS, claims operations, and other business teams involved… more
- Prime Therapeutics (Columbus, OH)
- …fuels our passion and drives every decision we make. **Job Posting Title** Senior Strategy Consultant - Remote **Job Description** The Senior Strategy Consultant ... information from research sources including the internet, trade publications, periodicals, analyst presentations, SEC filings, etc. + Support development of analytic… more