- Centene Corporation (Columbus, OH)
- … business process analysis, preferably in healthcare (ie documenting business process, gathering requirements) or claims payment/analysis experience. Advanced ... of provider reimbursement methodologies. Knowledge of managed care information or claims payment systems preferred. Previous structured testing experience… more
- Robert Half Technology (Westlake, OH)
- Description We are looking for a skilled Business Systems Analyst to join our team in Westlake, Ohio. This role is ideal for someone who thrives on analyzing ... experience in healthcare with providers and/or payers, focused on claims and payment processing. * At least 5 years...* At least 5 years of experience in a Business Analyst or similar role. * Proficiency… more
- Highmark Health (Columbus, OH)
- …+ Bachelor's Degree **EXPERIENCE** **Required** + 5 - 7 years of experience in a Business Analyst or Business Process Analyst role or experience ... communicating report status to customers and management, and resolves business problems related to automated systems and...in a related operational area (eg claims , billing, customer service, etc.) **Preferred** + 3 -… more
- The Greentree Group (Beavercreek, OH)
- Financial System Business Analyst /Subject Matter Expert (SME) + Are you a tech enthusiast who loves solving complex problems? + Do you have a keen eye for detail ... from you! ABOUT THE OPPORTUNITY As a Financial System Business Analyst /Subject Matter Expert (SME) you will...track record in support of the Air Force Financial Systems Office at Wright Patterson Air Force Base, Ohio.… more
- Rocket Software (Columbus, OH)
- …BELIEVE in what they're doing!** **Job Description Summary:** The Senior Benefit Analyst is responsible for building and delivering both global and local benefit ... in line with the global total rewards philosophy. The Senior Benefits Analyst supports the design, administration, and analysis of Americas' and global benefit… more
- CGI Technologies and Solutions, Inc. (Columbus, OH)
- …discrepancies and transmission issues - Works with other Financial Analysts and Business Analyst to verify successful MAT transmissions and LOCCS responses. ... **Financial Analyst ** **Category:** Business Analysis (functional and...accurate completion of Section 8 voucher processing and special claims review. Approval of monthly vouchers, submit approved vouchers… more
- Elevance Health (Cincinnati, OH)
- …corrective action plan process. + Demonstrates ability to audit multiple lines of business , multiple functions, and multiple systems . + Analyzes and interprets ... **Performance Quality Analyst II** **Location:** This role requires associates to...Included are processes related to enrollment and billing and claims processing, as well as customer service written and… more
- UIC Government Services and the Bowhead Family of Companies (Wright Patterson AFB, OH)
- **Overview** Bowhead seeks a Cybersecurity Network Defense Analyst to join our team in Dayton, OH. The Cybersecurity Network Defense Analyst uses data collected ... alongside Warning Intelligence Analysts and Engineers. The Cybersecurity Network Defense Analyst will work in the Attack Sensing and Warning (AS&W) division… more
- Evolent (Columbus, OH)
- …selves to work. That's one reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ... **Lead Analyst , Performance Analytics - Oncology & Member Product Focus**...Lead in-depth analyses of healthcare data - including authorizations, claims , membership, and clinical outcomes to identify cost drivers,… more
- Molina Healthcare (Cincinnati, OH)
- …not limited to coverage, reimbursement, and processing functions to support systems solutions development and maintenance. This role includes coordination with ... are aligned as well as work with operational leaders within the business to provide recommendations for process improvements and opportunities for cost savings.… more
- Molina Healthcare (Cincinnati, OH)
- JOB DESCRIPTION Job Summary Provides senior level analyst support for medical economics analysis activities, including extracting, analyzing and synthesizing data ... * Extracts and compiles data and information from various systems to support executive decision-making. * Mines and manages...and manages information from large data sources. * Analyzes claims and other data sources to identify early signs… 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 ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...information into the claim payment system and other applicable systems . + Participates in defect resolution for assigned component… more
- Norstella (Columbus, OH)
- Sr. Medical Analyst , RWD Company: MMIT Location: Remote, United States Date Posted: Nov 20, 2025 Employment Type: Full Time Job ID: R-1548 **Description** At ... to extract meaningful insights from **real-world data (RWD)** sources, including ** claims , laboratory results, billing codes, and electronic health records (EHRs)**… more
- Walgreens (Perrysburg, OH)
- …number of stores. In partnership with 3rd party vendors and internal business partners, will ensure compliance with all applicable regulations (DOT, etc.) Works ... accident reporting, uses on line tools to enter accident claims . + Creates and analyzes basic reports to support.... + Creates and analyzes basic reports to support business execution. Develops business tools and maintains… more
- Molina Healthcare (Cleveland, OH)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... develop payment strategies that give incentives to providers and healthcare systems that deliver better health, more affordably. Performs research, financial… more
- Molina Healthcare (Cleveland, OH)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... develop payment strategies that give incentives to providers and healthcare systems that deliver better health, more affordably. Performs research, financial… more
- Elevance Health (Mason, OH)
- …Coordinates research and responds to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues and to ... eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing… more
- Highmark Health (Columbus, OH)
- …management programs. Furthermore, the incumbent will utilize advanced knowledge of corporate systems and data sources across Highmark's business units, coupled ... a general understanding of data flows from various corporate systems (eg, claims , billing, lab, and Rx),...experience in support of a Marketing function or Data Analyst role or in a business environment… more
- Public Consulting Group (Columbus, OH)
- …change, improve access to health care, maximize program revenue, improve business processes, and achieve regulatory compliance. Services: + Third Party Administrator ... Services + Enhance Health and Public Safety Services + Claims Processing Services and Solutions + Consulting and Advisory...Management: Document, track, and report defects using bug tracking systems , and work with developers to ensure issues are… more