- Molina Healthcare (Cleveland, OH)
- …Operations teams + Interprets, communicates, and presents, clear in-depth analysis of claims research results, root cause analysis, remediation plans and fixes, ... **Job Description** **Job Summary** Serves as claims subject matter expert. Assist the business teams...Molina. Identifies the root cause of processing errors through research and analysis, coordinates and engages with appropriate departments,… more
- Carrington (Columbus, OH)
- …amazing team and work remote from home! The Loss Claim Recovery Analysis Analyst is responsible for performing financial reconciliation on all liquidated loans and ... to mitigate losses for both Carrington Mortgage Services and its clients. Research must be completed on incurred losses to determine responsibility, find bill… more
- Molina Healthcare (Columbus, OH)
- …Familiarity with Salesforce, Facets, and Excel-based reporting + Managed care or claims research experience + Strong analytical and documentation skills ... + Actively participates in all stages of project development including research , design, programming, testing and implementation to ensures the released product… more
- Cognizant (Columbus, OH)
- …IT organization and lead changes to such specifications (with senior business analyst oversight through peer reviews); Develop an informed knowledge of the business ... systems and capabilities in order to participate in project activities and research requests on an ongoing basis; Assist in obtaining consensus by facilitating… more
- Elevance Health (Mason, OH)
- **Title: Grievance/Appeals Analyst I** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... and ensures essential face-to-face onboarding and skill development. The **Grievance/Appeals Analyst I** is an entry level position in the Enterprise Grievance… more
- Evolent (Columbus, OH)
- …models and approaches aimed at quantifying and articulating our value.** **Perform research and analysis of complex healthcare claims , eligibility, and pharmacy ... contribute to Evolent's broader mission. **Collaboration Opportunities:** The Senior Analyst , Performance Suite Analytics utilizes and develops analytic tools to… more
- Molina Healthcare (Columbus, OH)
- …around Program Valuation on Molina's Risk Adjustment Actuarial team. Responsibilities include research , analysis and modeling of complex healthcare claims data, ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for...provides insights needed to support strategic investment decisions + Research and develop reports and analyses for senior management… more
- Trinity Health (Columbus, OH)
- …utilization metrics to support performance improvement. + Under general supervision, performs research and analysis of complex health care claims , pharmacy, and ... relations and more. **About the job:** Senior Decision Support Analyst for the Health Plan works with in conjunction...to established timelines. + Knowledge of health plan operations ( claims , revenue, or risk adjustment) preferred. + Advanced MS… more
- Evolent (Columbus, OH)
- …Stay for the culture. **What You'll Be Doing:** Job Description Senior Analyst , Performance Analytics - **RBM Cardiac** product focus, utilizes and develops analytic ... as well as Product Development efforts. **What You'll Be Doing:** + Analyse claims and authorization data to identify trends, calculate cost of care, and identify… more
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization ... of assigned reports, document reporting processes and procedures. + Assist with research , development and completion of special projects as requested by various… more