• Claims Analyst I

    Fifth Third Bank, NA (Cincinnati, OH)
    …related experience. + Prior PC experience to include advanced Excel, Word and Access. Claims Analyst I At Fifth Third, we understand the importance of ... Ohio. GENERAL FUNCTION: Responsible for completing and filing investor/insurer claims within required guidelines in order to recoup 5/3's...of the default cycle. This results in approximately 200 claims being filed on a monthly basis and $30.0… more
    Fifth Third Bank, NA (08/19/25)
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  • Lead Analyst , Claims / Regulatory…

    Molina Healthcare (Dayton, OH)
    …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting,… more
    Molina Healthcare (06/18/25)
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  • Lead Analyst , Payment Integrity

    Molina Healthcare (Dayton, OH)
    …Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan financial ... and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed… more
    Molina Healthcare (08/20/25)
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  • Lead Analyst , Configuration Oversight…

    Molina Healthcare (Dayton, OH)
    **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst , Configuration Oversight to support our Payment Integrity and Claims ... and regulatory guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen. Experience in… more
    Molina Healthcare (07/24/25)
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  • Actuarial Analyst III

    Elevance Health (Mason, OH)
    **Actuarial Analyst III** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing ... accommodation is granted as required by law. The **Actuarial Analyst III** completes very diverse and complicated projects and...Make An Impact:** + Analyze and monitor weekly incurred claims , paid claims , pharmacy, lab results, and… more
    Elevance Health (08/23/25)
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  • Advanced Analytics Analyst Senior - Medical…

    Elevance Health (Cincinnati, OH)
    **Advanced Analytics Analyst Senior - Medical Economics** **Location:** Atlanta, GA; Norfolk, VA; Indianapolis, IN; Cincinnati, OH; Chicago, IL (preferred). This ... passionate about transforming American healthcare delivery. The **Advanced Analytics Analyst Senior** measures financial performance of core Carelon products… more
    Elevance Health (09/10/25)
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  • Subrogation Analyst

    Elevance Health (Cincinnati, OH)
    **Subrogation Analyst ** **Locations:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... is not eligible for current or future VISA sponsorship._ The **Subrogation Analyst ** is responsible for handling complex Third Party Liability, Workers Compensation… more
    Elevance Health (09/04/25)
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  • Senior Analyst , Operational Regulatory…

    Molina Healthcare (Dayton, OH)
    …to the Health Care environment **Job Duties** The Operational/Regulatory Oversight Sr. Analyst works with health plans and operations departments to assess, oversee, ... and compliance with State and Federal regulatory guidelines. The Sr. Analyst develops and performs audits and oversight functions involving business-critical… more
    Molina Healthcare (08/22/25)
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  • Fraud Analyst 1 M-F 9:00 AM-6:00 PM ET

    Fifth Third Bank, NA (Cincinnati, OH)
    …Discover a career in banking at Fifth Third Bank. GENERAL FUNCTION: The Fraud Analyst I is a cross functional position within Fraud Operations. Fraud Analyst ... Domestic Collections - Responsible for processing and decisioning fraud check dispute claims . Includes working alerts, dispute cases and inbound call inquiries… more
    Fifth Third Bank, NA (09/11/25)
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  • Business Information Analyst Senior…

    Elevance Health (Mason, OH)
    **Business Information Analyst Senior - Medicaid Encounters Data** The **Business Information Analyst Senior** is responsible for analyzing and validating ... requirements. + Develop and analyze business performance reports (eg, for claims data, provider data, utilization data) and provides notations of performance… more
    Elevance Health (08/26/25)
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