- Molina Healthcare (Covington, KY)
- **JOB DESCRIPTION** **Job Summary** The Senior Business Analyst is responsible for supporting the claims processing teams by supplying regular, timely, ... and accurate reports. As the senior level team member, this role leads efforts to ensure the claims teams and other departments have access to quality claims … more
- Elevance Health (Mason, OH)
- **Proposal Develop Analyst Sr - Commercial Proposals** **Team** **Location:** This position will work a hybrid model (remote and office). The ideal candidate ... Elevance Health PulsePoint locations listed on the requisition. The **Proposal Develop Analyst Sr ** is responsible for providing technical and consultative… more
- Molina Healthcare (Covington, KY)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...and existing health plans. + Must have experience on claims processing system, benefit configuration. + SQL knowledge is… more
- Molina Healthcare (Covington, KY)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...+ Must have experience working on SQL. + Medicare claims experience is a huge plus + Medicare Fee… more
- Elevance Health (Mason, OH)
- ** Business Information Analyst Senior ** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per week). Candidates must live ... miles of one of our Pulse Point locations. The ** Business Information Analyst Senior ** is...performance using summary statistical procedures. * Develops and analyzes business performance reports (eg for claims data,… more
- Elevance Health (Mason, OH)
- ** Business Analyst Senior ** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of ... our Elevance Health PulsePoint locations. **Preferred Location:** Norfolk, VA. The ** Business Analyst Senior ** is responsible for serving as an expert in… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …time or central time zone hours.** **Primary Function/General Purpose of Position** Sr . Financial Analyst - Alternative Payment Models, leads reporting and ... analyzes data from multiple internal and external sources. Drives insights into business and market performance around alternative payment models. + Produces clear… more
- Elevance Health (Mason, OH)
- **Provider Contract Analyst Senior ** **Location:** This position will work a hybrid model (remote and in office one to two days per week). Ideal candidates will ... OH, St. Louis, MO, Grand Prairie, TX or Iselin, NJ. The **Provider Contract Analyst Senior ** is responsible for providing analytical support to the Cost of… more
- Elevance Health (Mason, OH)
- **Provider Contract Cost of Care Analyst Senior ** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal candidates ... Wilmington, DE, Tampa, FL or Nashville, TN. The **Provider Contract Cost of Care Analyst Senior ** provides analytical support to the Cost of Care and/or Provider… more
- Elevance Health (Mason, OH)
- …diploma or GED equivalent and a minimum of 3 years of Grievance & Appeals Senior analyst experience; or any combination of education and experience which would ... **Grievance/Appeals Analyst Lead** **Candidates must be located within 50...and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve or summarize… more
- Sedgwick (Cincinnati, OH)
- …their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our ... work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Data Analyst Manager **PRIMARY PURPOSE** **:** To manage a staff of data analysts;… more
- Molina Healthcare (Covington, KY)
- **JOB DESCRIPTION** **Job Summary** Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable… more