- Kelly Services (Mason, OH)
- …your lifestyle isn't always easy** . That's where Kelly(R) comes in. We're seeking an ** Claims Testing Analyst ** to work in Mason, OH. Sound good? Take a closer ... per hour **Why you should apply to be a** ** Claims Testing Analyst ** **:** + Competitive pay...+ Analysis experience. + Knowledge of Oracle SQL and/or Business Objects/EDW. + Knowledge of Facets + Knowledge of… more
- Belcan (Mason, OH)
- Claims Testing Analyst Job Number: 355553 Category: Finance/Accounting Description: Job Title: Claims Testing Analyst Location: Mason, OH Zip Code: 45040 ... scenarios to be keyed. * Validate the integrity of claims data in the EyeMed claims and...* Analysis experience. * Knowledge of Oracle SQL and/or Business Objects/EDW. * Knowledge of Facets * Knowledge of… more
- Molina Healthcare (Dayton, OH)
- …information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each ... Validate data to be housed on provider databases and ensure adherence to business and system requirements of customers as it pertains to contracting, network… more
- Elevance Health (Mason, OH)
- **JR144681 Business Analyst III /Senior Tester** A proud member of the Elevance Health family of companies, CarelonRx (formerly IngenioRx) leverages the power of ... live within 50 miles of one of our Elevance Health PulsePoint locations. The ** Business Analyst III/Senior Tester** will be responsible for serving as the… more
- Elevance Health (Mason, OH)
- ** Business Analyst ** A proud member of the Elevance Health family of companies, CarelonRx (formerly IngenioRx) leverages the power of new technologies and a ... of one of our Elevance Health PulsePoint locations. The ** Business Analyst III** is responsible for serving...and/or healthcare operations is required. + Exposure to PBM Claims Adjudication is a significant advantage. Please be advised… more
- Elevance Health (Mason, OH)
- …a strong, clinical-first lens to deliver member-centered, lasting pharmacy care. The **Test Analyst ( Business Analyst III)** will be responsible for serving ... **Test Analyst - Pharmacy Benefit Management (PBM)** **Location:** Alternate...as the liaison between the business and IT in translating complex business … more
- Elevance Health (Mason, OH)
- …of one of our Elevance Health PulsePoint location. The **P** **BM Formulary Analyst ll** is responsible for translating basic business needs into application ... **PBM Formulary Analyst ll** **Location** : This position will work...requirements. **How you will make an impact:** + Analyzes business needs to determine optimal means of meeting those… more
- Molina Healthcare (Dayton, OH)
- …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...methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule… more
- Molina Healthcare (Dayton, OH)
- …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 knowledge to research and resolve claim/encounter issues, pended claims and update system(s) as necessary. + Works with… more
- Molina Healthcare (Dayton, OH)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive… more
- Molina Healthcare (Dayton, OH)
- …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...in contracts and benefits configuration. + Strong background in claims is required. + Experience working on Networx, QNXT… more
- Sedgwick (Dayton, OH)
- …their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our ... Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Data Analyst **PRIMARY PURPOSE** : To create comprehensive reporting and analysis of… more
- Molina Healthcare (Dayton, OH)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits,… more
- Molina Healthcare (Dayton, OH)
- …information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each ... Validate data to be housed on provider databases and ensure adherence to business and system requirements of customers as it pertains to contracting, network… more
- Molina Healthcare (Dayton, OH)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive… more
- Molina Healthcare (Dayton, OH)
- …opportunities to support clinical savings initiatives. **KNOWLEDGE/SKILLS/ABILITIES** + Analyze claims and authorization data to identify trends or other issues ... exhibits and data visualizations to illustrate key trend drivers + Work with business owners to track performance indicators of medical interventions + Extract and… more
- Elevance Health (Mason, OH)
- …and summarizes performance using summary statistical procedures. + Develops and analyzes business performance reports (eg for claims data, provider data, ... **HEDIS Business Information Consultant** **Location:** This position will take...analysts. The position is part of the **Enterprise HEDIS Analyst Team** . It will be responsible for working… more