- Public Consulting Group (Columbus, OH)
- …Education + Recovery Services **Duties and Responsibilities** + Analyzes the development of claims assigned at each level of the adjudication process. + Outlines the ... sent with applications. + Monitors and gives direction to Claims Developer regarding specific tasks on claims ....to Claims Developer regarding specific tasks on claims . + Provides monthly reporting statistics. + Ensures adherence… more
- Flynn Restaurant Group (Independence, OH)
- **Position Description** The Liability Claims Analyst / Bodily Injury Analyst is responsible for assuring the quality and cost-effectiveness of the general ... strategy development, analysis of risk and plans to move claims to closure. **General Liability Analyst ** **Essential...1 to 3 years of experience in the claims industry, including: basic general third-party liability claims… more
- Medical Mutual of Ohio (OH)
- …companies based in Ohio. We provide peace of mind to more than 1 .6 million Ohioans through our high-quality health, life, disability, dental, vision and indemnity ... Advantage, Medicare Supplement, and individual plans.** **Responsibilities** **Provider Reimbursement Analyst II** Under general supervision, supports assigned provider network… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …companies based in Ohio. We provide peace of mind to more than 1 .6 million Ohioans through our high-quality health, life, disability, dental, vision and indemnity ... Medicare Supplement, and individual plans. The Business Intelligence Programmer Analyst is responsible for transforming business requirements into BI technical… more
- Medical Mutual of Ohio (OH)
- …companies based in Ohio. We provide peace of mind to more than 1 .6 million Ohioans through our high-quality health, life, disability, dental, vision and indemnity ... Medicare Supplement, and individual plans. **Responsibilities** Senior Employer Group Consulting Analyst Design and execute analyses and reports for clients and… more
- Prime Therapeutics (Columbus, OH)
- …our passion and drives every decision we make. **Job Posting Title** Pricing Analyst - Remote **Job Description** The Pricing Analyst maintains, provides ... with high-complexity pricing analyses. **Responsibilities** + Analyze and produce pharmacy claims data reporting of varying complexity to assess competitiveness &… more
- Prime Therapeutics (Columbus, OH)
- …passion and drives every decision we make. **Job Posting Title** Sr. Pricing Analyst - Pharmacy Network - Remote **Job Description** The Senior Pricing Analyst ... Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of… more
- Elevance Health (Mason, OH)
- **Business Information Analyst Sr.** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per week). Candidates must live within ... miles of one of Elevance's Pulse Point locations. **The Business Information Analyst Sr.** is responsible for providing utilization management services, and we're… more
- Sumaria Systems, Inc. (Fairborn, OH)
- Management Analyst Department: SAS DAYTON, OH Office: Wright Patterson AFB, OH - SAS Location: Fairborn, OH START YOUR APPLICATION ... (https://apply.hrmdirect.com/resumedirect/ApplyOnline/Apply.aspx?req\_id=3259617&source=3259617-CJB-0) Job Title: Senior Management Analyst Job Description: Management Analyst Support Perform… more
- Elevance Health (Mason, OH)
- **Business Information Analyst Sr.** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per week). Candidates must live within ... miles of one of Elevance's Pulse Point locations. The **Business Information Analyst Sr.** is responsible for analyzing, reporting and developing recommendations on… more
- Elevance Health (Mason, OH)
- **Provider Contract/CofC Analyst Sr.** **Location:** This position will work a hybrid model (remote and in-office, 1 - 2 days per week). Candidates must live ... miles of one of Elevance's Pulse Point locations. The **Provider Contract/Cost of Care Analyst Sr.** is responsible for analytical support to the Cost of Care and/or… more
- Medical Mutual of Ohio (OH)
- …companies based in Ohio. We provide peace of mind to more than 1 .6 million Ohioans through our high-quality health, life, disability, dental, vision and indemnity ... tables and/or sources. . Demonstrated success with analyzing clinical, claims , pharmacy, program and other administrative data Experience in...Our plans provide peace of mind to more than 1 .2 million Ohioans. We're not just one of the… more
- ProMedica Health System (Toledo, OH)
- …for a compliant program. Reviews, audits, and manages interfaces to ensure that claims are processed according to contracts in place. Works with medical staff office ... Officer. ACCOUNTABILITIES **All duties below are listed essential unless otherwise noted** 1 . Analyze in detail, track, and ensure ProMedica's 340b program is… more
- Prime Therapeutics (Columbus, OH)
- …years of work experience. + Prior experience as a Business Intelligence Developer/ Analyst or Data Analyst supporting business intelligence, reporting, analytics ... that may be in use in a Pharmacy Benefit Management setting ( Claims Processing, Prior Authorization, Telephony, Membership, etc.). + Consideration will be given… more
- Baylor Scott & White Health (Columbus, OH)
- …while aligning with internal SMEs and current capacities. We have over 1 million lives across multiple blocks of business and industry-leading analytics to ... support our organization. We seek a stakeholder-facing statistical analyst that will be responsible for the extraction, analysis and interpretation of data to… more
- Prime Therapeutics (Columbus, OH)
- …Title** Treasury Reporting Principal - Remote **Job Description** The Treasury Analyst Principal is responsible for managing, analyzing, and delivering Treasury ... Team and guidance to the Accounting, Finance, Information Technology and Claims operation functions. **Responsibilities** : + Develop, manage, and advance monthly… more