- Molina Healthcare (Columbus, OH)
- …emerging technologies. **KNOWLEDGE/SKILLS/ABILITIES** + With limited supervision, the Sr. Analyst , Data is responsible for data compilation, data management, data ... other team members as requested on all things data related. + Supports Operations and Implementations of special projects + Responsible for analytics and reporting,… more
- Insight Global (Mayfield Heights, OH)
- …markets/experience ensuring their member/provider data matches the MCOs so their claims are adjudicated correctly * New market/ vendor /state implementation ... and features to be passed off to a systems analyst who will write the user stories for the...and growth occurring, as well as re-evaluation of existing operations as they expand to new states. You will… more
- Humana (Columbus, OH)
- …for hospitals and facilities. They will work closely with IT, the pricing software vendor , CIS BSS, claims operations , and other business teams involved ... and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer Business and System Support team… more
- Molina Healthcare (Cleveland, OH)
- …Governance and Operations Reviews + Performs root cause analysis of claims and encounter data and develops recommendations based on data and industry knowledge. ... **Job Description** **Job Summary** The Sr Analyst , Encounters is responsible for monitoring inbound and...and works with other areas including IT, health plan, claims , provider, enrollment, regulators, and external vendors, as needed,… more
- Humana (Columbus, OH)
- …will work closely with IT, the pricing software vendor , CIS BSS, Medicaid operations , claims operations , and other business teams involved in the ... 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… more
- Molina Healthcare (OH)
- … operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare financial terms (eg, PMPM, ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more
- Air National Guard Units (Springfield, OH)
- …5 EXCEPTED SERVICE POSITION. This National Guard position is for a FINANCIAL MANAGEMENT ANALYST , Position Description Number T5636P01 and is part of the OH 178 Wing, ... accounting and financial management programs. Responsibilities As a FINANCIAL MANAGEMENT ANALYST , GS-0501-11, you will perform the following duties: 1. Independently… more