- Molina Healthcare (Cleveland, OH)
- …cause and resolve outstanding issues. Creates reports and analysis based on business needs and required or available data elements. Collaborates with Health Plans ... is a general role in which employees work with multiple types of business data. Will work cross functionally across multiple business areas.… more
- Molina Healthcare (Akron, OH)
- **JOB DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to ... influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and… more
- Eaton Corporation (Beachwood, OH)
- Eaton's Corporate Sector division is currently seeking a Lead Analyst - Insurance Claims . This position will be located at our Beachwood, OH facility. We are ... to join our dynamic team as a Global Insurance Analyst . This role requires a strong ability to utilize...skills, experience, and qualifications, as well as market and business considerations. **What you'll do:** * Ensure timely and… more
- Medical Mutual of Ohio (Brooklyn, OH)
- … Business Systems Analyst III Provides the interface between clinical business teams (Case Management, Clinical Claims Review, Quality Management & STARS, ... Analyst IV Provides the interface between clinical business teams (Case Management, Clinical Claims Review,...or related field. + 5 year's experience as a business analyst . + 1 year of experience… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …as well as Medicare Advantage, Medicare Supplement, and individual plans. The Business Intelligence Programmer Analyst is responsible for transforming ... a BI project to support analytic deliverables and capabilities. The Sr. BI Programmer Analyst will have heavy interaction with our Business Analysts to ensure… more
- ManpowerGroup (Westlake, OH)
- …payers for claims and payment processing. + 5+ years of experience in a Business Analyst or related role. + High level of proficiency with Microsoft Word, ... Our client in the healthcare industry is seeking a Business Systems Analyst to join their team....Needed?** + Previous experience working with PBM or pharmacy claims processing. + 5+ years' healthcare experience with providers… more
- ManpowerGroup (Westlake, OH)
- …processing or other payment processing experience. + 5+ years of experience in a Business Analyst or related role. + High level of proficiency with Microsoft ... Our client in the healthcare industry is seeking a Business Product Analyst to join their team. As a Business Product Analyst , you will be part of the IT… more
- Insight Global (Cleveland, OH)
- Job Description Insight global is looking for a Business Analyst to work for one of our top clients, a fortune 250 company within the Manufacturing industry. The ... process of implementing Salesforce to the organization. This person should be a strong business analyst that will develop and maintain strong relationships with … more
- Elevance Health (Independence, OH)
- **Power BI Business Information Analyst Senior** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per week). Ideal ... and summarizes performance using summary statistical procedures. + Develops and analyzes business performance reports (eg for claims data, provider data,… more
- Sedgwick (Cleveland, OH)
- …of LLMs + RESTFUL APIs + Knowledge of third party administration and claims management business and technology + Oral and written communication skills ... their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our… more
- Molina Healthcare (Cleveland, OH)
- **JOB DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to ... influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and… more
- Molina Healthcare (Cleveland, 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...Health Plans. + Must have experience with Benefits configuration, claims + The team is responsible for implementation and… more
- Molina Healthcare (Akron, 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 existing health plans. + Must have experience on claims processing system, benefit configuration. + SQL knowledge is… more
- Molina Healthcare (Akron, 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 (Cleveland, OH)
- …used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables ... departments and with customers to define requirements and understand business problems. Uses advanced mathematical, statistical, querying, and reporting methods… more