- Cognizant (Columbus, OH)
- …sector where you will utilize your expertise in MS Excel to efficiently manage and process commercial claims . This remote position offers the flexibility of ... our training regimen._ **Key Responsibilities-** + _Claims Processing:_ Review, validate, and process healthcare claims submitted by providers in accordance with… more
- Molina Healthcare (OH)
- …in Connecticut** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost ... programming, SQL Server Reporting Services (SSRS), Medinsight, RxNavigator, Crystal Reports, Executive Dashboard, and other analytic / programming tools as needed. +… more
- Molina Healthcare (Cleveland, OH)
- …affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable ... Server Analytic Services (SSAS), Business Intelligence tools (Medinsight, PowerBI), and Executive Dashboard. * Generate hospital performance analytics tools on a… more
- Molina Healthcare (Columbus, OH)
- …affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable ... Server Analytic Services (SSAS), Business Intelligence tools (Medinsight, PowerBI), and Executive Dashboard. + Generate hospital performance analytics tools on a… more
- Humana (Columbus, OH)
- …**Key Responsibilities:** + Lead large-scale product efforts focused on improving claims processing and related systems, ensuring these efforts support Humana's ... and measurable value realization, especially when navigating complex, high-volume claims environments. + Partner closely with architecture, operations, compliance,… more
- Cardinal Health (Columbus, OH)
- …broader access to innovative therapies. + ** Claims Adjudication:** Oversee the claims adjudication process , ensuring timely and accurate processing of ATSP ... cell & gene space (among other areas). The _Sr. Advisor, Payor Engagement Executive (Cell & Gene Specialty Pharmacy)_ will focus on payor engagement and negotiation.… more
- Ankura (OH)
- …structured, defensible processes for fiduciaries, courts, and stakeholders in high-volume claims environments. Role Overview The Trust and Mass Torts Senior Managing ... Director role is an executive level position that sells, leads and manages complex...the firm's activities and initiatives + Manage the invoicing process , including collections, for consulting engagements + Build relationships… more
- Norstella (Columbus, OH)
- Senior RWD Analytic Consultant Company: Norstella Location: Remote , United States Date Posted: Jan 6, 2026 Employment Type: Full Time Job ID: R-1665 **Description** ... offerings leveraging Norstella's unified Real World Data asset, NorstellaLinQ, a combination of claims , lab, SDOH and EMR data. You will be joining an organization… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …self-insurance and commercial insurance plans through a partnership with the markets, claims management and pro-active risk management to include the minimization of ... program. Lines of business include professional liability, general liability, executive risk, property, cyber liability, crime, reinsurance for the captive,… more
- Guardian Life (Columbus, OH)
- …adoption. + Report and communicate progress, opportunities, and risks to executive stakeholders, delivering insights and recommendations in a clear, actionable ... logs. + Deliver solutions that enhance underwriting risk assessment, claims auto-adjudication, and customer servicing. Operational Excellence + Establish scalable… more