- Insight Global (Mason, OH)
- Job Description A large vision insurance company in the Mason, OH area is seeking a Claims Analyst . for a contract role. This person will be required to work in ... to make sure everything is set up in the testing environment for specific claims requests Running.... Skills and Requirements 2+ years of experience in claims analyst , data analyst or… more
- Cognizant (Cincinnati, OH)
- …applicant in the United States. Cognizant Technology Solutions is looking for a **"Senior QA Analyst - Healthcare Facets Testing "** to join in our team of IT ... Digital Business Assurance in Gartner Magic Quadrant! **Senior QA Analyst - Healthcare Facets Testing ** **Location: Cincinnati,... testing . . Must have 4+ years of testing experience in Enrollment Medicaid and Claims .… more
- Molina Healthcare (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 (Akron, OH)
- **Job Description** **Job Summary** The Analyst , Reimbursement is responsible for administering complex provider reimbursement methodologies timely and accurately. ... The analyst will support existing lines of business and expansion...to accurately request and analyze impact reports of affected claims . + Analyzes, interprets, and maintains configurable tables and… more
- Highmark Health (Columbus, OH)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... identifying, assessing, and mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their impact on operational processes, and implement… more
- Elevance Health (Mason, OH)
- …which they are employed. **Preferred Skills, Capabilities and Experiences:** + 837 claims experience preferred. + EDI Analyst experience preferred. + Experience ... analytics to improve the delivery of care.** **Title:** Business Analyst II **Location(s):** Latham, NY, Richmond, VA, Ashburn, VA,...ensure requirements will be incorporated into system design and testing . + Acts as liaison with users of the… more
- System One (Dayton, OH)
- Job Title: Encounters System Analyst Location: Remote Type: Contract Contractor Work Model: Remote Title: Encounters System Analyst ALTA is supporting an 8-month ... Data & Advanced Analytics, and Agile Transformation Services. The Encounters System Analyst IV is responsible for overall State and Federal(CMS) level Encounters… more
- Highmark Health (Columbus, OH)
- …business operational requirements to internal groups responsible for developing/ testing business requirements in various applications. + Coordinate, monitor, ... 3 - 5 years of experience in a Business Analyst or Business Process Analyst role or...role or experience in a related operational area (eg claims , billing, customer service, etc.) **Preferred** + 1 -… more
- Molina Healthcare (OH)
- **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom ... plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates + Assists and...collaborates with the national Risk and Quality department with testing of pre-production reporting for the assigned health plan… more
- Molina Healthcare (Cleveland, OH)
- …in all stages of project development including research, design, programming, testing and implementation to ensures the released product meets the intended ... technical teams + Appeals & Grievance, healthcare services, or claims background **Preferred License, Certification, Association** Certified Business Analysis… more