- Molina Healthcare (OH)
- **JOB DESCRIPTION** **Job Summary** The Senior Business Analyst is responsible for supporting the claims processing teams by supplying regular, timely, and ... reports. As the senior level team member, this role leads efforts to ensure the claims teams and other departments have access to quality claims data through… more
- 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
- Prime Therapeutics (Columbus, OH)
- …work efforts + Desire and ability to educate and advance the business systems analyst practice within the Claims IT team and across the organization + Strong ... It fuels our passion and drives every decision we make. **Job Posting Title** IT Business Systems Analyst Sr **Job Description** The Business Systems … 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
- Molina Healthcare (OH)
- **Job Description** **Job Summary** Serves as claims subject matter expert. Assist the business teams with reviewing claims to ensure regulatory requirements ... are appropriately applied. Manages and leads major claims projects of considerable complexity and volume that may be initiated through provider inquiries or… 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
- Medical Mutual of Ohio (OH)
- …rate loading. . Performs other duties as assigned. **Qualifications** **Provider Reimbursement Analyst II** . Bachelor's degree in business or healthcare ... Works on various projects related to the analysis of claims , clinical and financial data, with a focus on...relational databases. . Knowledge of provider contracting. **Provider Reimbursement Analyst III** . Bachelor's degree in business … 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
- Intermountain Health (Columbus, OH)
- …understanding and knowledge of the concepts and principals outlined within the Business Analyst Body of Knowledge (BABOK) guide. **Physical Requirements:** ... **Job Description:** As a Business Systems Analyst , you will work...projects. Requirements may be specific to healthcare insurance products, claims , sales activities or other service-related processes; all in… 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
- Elevance Health (Mason, OH)
- **Clinical Content Analyst ** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal candidates will live within 50 miles ... MO, Wallingford, CT, Grand Prairie, TX or Louisville, KY. The **Clinical Content Analyst ** will be responsible for driving the development and execution of the… more
- UIC Government Services and the Bowhead Family of Companies (Wright Patterson AFB, OH)
- **Overview** ENTERPRISE ARCHITECT/ BUSINESS ANALYST (EAS): Bowhead is seeking an experienced Enterprise Architect/ Business Analyst to join our team ... candidates with Department of Defense Architecture Framework (DoDAF) and military business process experience are highly encouraged to apply. **Responsibilities** +… 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
- The Hartford (Columbus, OH)
- …is looking to transform its data exchange capabilities and processes. The Sr Business Analyst will partner with product owners to achieve business ... degree preferred, and at least five experience in a Business Analyst role + Experience working in...holistically. + Experience and or exposure to Group Benefits, Claims and The THAA systems a plus. Compensation The… more
- Medical Mutual of Ohio (OH)
- …Medicare Supplement, and individual plans. **Responsibilities** Senior Employer Group Consulting Analyst Design and execute analyses and reports for clients and ... technical and non-technical audiences, analytic results and conclusions including the business impacts of various courses of action, Tracking and prioritizing… more
- Sumitomo Pharma (Columbus, OH)
- …and to clean up historical utilization that is routinely submitted with Medicaid claims . In addition, the analyst will load Medicaid claim information into ... dynamic, highly motivated, and experienced individual for the position of ** Analyst , Medicaid Rebates.** This individual contributor role is responsible for… 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 live ... 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 Care… more