- 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...do:** * Ensure timely and accurate reporting of insurance claims . * Ensure that claims are processed… more
- Public Consulting Group (Columbus, OH)
- …Project and Grants Management + Assessments and Feasibility Studies Analyzes claims for accuracy, provides client support, documents inquiries, supervises staff, ... process improvements. **Duties and Responsibilities** + Analyzes and reviews claims for accuracy, completeness and eligibility. + Provides leadership, supervision… more
- Medical Mutual of Ohio (OH)
- …to contract revenues and performance. . Performs other duties as assigned. ** Lead Provider Reimbursement Analyst ** Under minimal supervision, acts as thought ... Works on various projects related to the analysis of claims , clinical and financial data, with a focus on...and operational knowledge to produce actionable results and analysis. ** Lead Provider Reimbursement Analyst ** . Bachelor's degree… more
- HomeSafe Alliance (Columbus, OH)
- **Title:** Lead IT Business Process Analyst ( Lead Product Owner) **_HomeSafe Alliance_** is the single global household goods movement manager of over ... + Coordinate release planning with operations, customer care, supply chain, claims , and other departments. **Customer** **Feedback and Continuous Improvement:** +… more
- Molina Healthcare (Akron, OH)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... completion dates with Health Plans. + Must have experience with Benefits configuration, claims + The team is responsible for implementation and configuration of all… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …and highly contributes to team review of requirements and design documentation processes. Lead Business Intelligence Programming Analyst The Lead Business ... oriented, problem solving and troubleshooting skills. + Healthcare background preferred. Lead Business Intelligence Programming Analyst + Bachelor's Degree in… more
- Medical Mutual of Ohio (OH)
- …maintain and enhance knowledge, skills, and abilities. . Performs other duties as assigned. Lead Employer Group Consulting Analyst Lead the design and ... development and execution of new deliverables and enhancements to existing deliverables. Lead Employer Group Consulting Analyst . Bachelor's Degree in… more
- Molina Healthcare (Cincinnati, OH)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. **KNOWLEDGE/SKILLS/ABILITIES** + Develops, implements, and uses software and systems to… 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 ... of new or enhanced financial pricing strategies. This position will also lead highly complex financial pricing analyses, and provide consultation and analytic… more
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... and manage information from large data sources. + Analyze claims and other data sources (eg authorization) to identify...Python, R, etc.) to answer a given problem + Lead monthly trend presentations to plan leadership and other… more
- ManpowerGroup (Westlake, OH)
- 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 ... effectively in a fast-paced, results-oriented environment. **Job Title:** Business Product Analyst **Location:** Westlake, Ohio **Pay Range:** $70,000 - $85,000 per… 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 located at ... Experience with ARIS or other Enterprise Architecture software tool. + Ability to lead workshops with both customers and co-workers, participate in peer reviews, and… more
- Molina Healthcare (Cincinnati, OH)
- …and claims functionality. Requires assistance with schema from Tech resource or Lead Analyst . + Writes Requirements for BRDs/FRDs and Reports. + Complex ... and technical challenges. Performs research and analysis of healthcare claims data, pharmacy data, and external data to derive...and existing health plans. + Completes analysis on retroactive claims reports + Pre and post validation of complex… 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)
- **Provider Contract Cost of Care Analyst Senior** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal candidates will ... one of our Pulse Point locations. The **Provider Contract Cost of Care Analyst Senior** provides analytical support to the Cost of Care and/or Provider Contracting… 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 50 ... 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 within ... 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
- First Student (OH)
- …maintenance for over 1,100 school districts. **Position: Technical Assistance Center Analyst ** This position is responsible for providing technicians with quality ... diagnostics, troubleshooting and repair processes. The Technical Assistance Center Analyst is responsible for providing detailed call information to maintenance… more
- Molina Healthcare (Dayton, OH)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality...for business data issues as assigned by the team lead . + Analyze data sets and trends for anomalies,… more
- CVS Health (Columbus, OH)
- …who is skilled at identifying outliers through data extraction and analysis. The lead reviewer is accountable for the validation of existing Fraud Waste and Abuse ... to fraud, waste, and abuse when reviewing a new lead or referral. -Keep current with new and emerging...of data interpretation and analysis experience. -Experience with internal claims data and healthcare coding. -Must be able to… more