- Molina Healthcare (Cincinnati, OH)
- …functionality through project inclusion and documentation review to understand proper claims processing for the applicable solution. Validates data received ... support issues related to EDI transaction editing and custom claims processes to determine root cause of issue. Gains...claims to identify billing issues that will impact claims processing and payment. Monitor new solutions implemented to… more
- Molina Healthcare (Cincinnati, OH)
- …Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business ... rules as they apply to each database. Validate data to be housed on provider databases and ensure...and best practices while suggesting improvement processes to ensure systems are working more efficiently and improve quality. +… more
- Molina Healthcare (Cincinnati, OH)
- …Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business ... rules as they apply to each database. Validate data to be housed on provider databases and ensure...and best practices while suggesting improvement processes to ensure systems are working more efficiently and improve quality. +… more
- Molina Healthcare (Cincinnati, OH)
- …Risk Adjustment Actuarial team. Responsibilities include research, analysis and modeling of complex healthcare claims data , pharmacy data , lab data , and ... **JOB DESCRIPTION** **Job Summary** This Sr . Analyst, Healthcare Analytics role will be responsible...I or Financial/Accounting Analyst I experience desired + Multiple data systems and models + Data… more
- Molina Healthcare (Cincinnati, OH)
- …more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, ... **Job Description** **Job Summary** Sr . Analyst, Network Strategy, Pricing & Analytics guides...(including trend analysis) by utilizing NetworX Modeler and ETL systems to support negotiating strategies, modeling current and future… more
- Molina Healthcare (Cincinnati, OH)
- … systems to support executive decision-making + Mine and manage information from large data sources + Analyze claims and other data sources to identify ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Medical Economics provides support and consultation...reports, and improvement opportunities based on analyses + Provide data driven analytics to Clinical COE, Finance, Claims… more
- Molina Healthcare (Cincinnati, OH)
- … systems to support executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Medical Economics provides support and consultation...evaluate the impact of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical… more
- Molina Healthcare (Cincinnati, OH)
- … claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of ... business rules as they apply to each database. Validate data to be housed on databases and ensure adherence...information into the claim payment system and other applicable systems . + Participates in defect resolution for assigned component… 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 ... + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data systems and models + BI tools To all current Molina employees: If you… more
- City of Cincinnati (Cincinnati, OH)
- SENIOR ENGINEER/ENGINEER (NON-COMPETITIVE) Print (https://www.governmentjobs.com/careers/cincinnati/jobs/newprint/4918191) Apply SENIOR ENGINEER/ENGINEER ... and construction of engineering projects including streets, bridges, mechanical systems , utility plants, buildings and other projects, varying with assigned… more
- Elevance Health (Mason, OH)
- **Business Consultant Senior - Coordination of Benefits (COB)** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering ... through effective Coordination of Benefits (COB) for clients. The Business Consultant Senior will be responsible for translating most highly complex and varied… more
- Sedgwick (Cincinnati, OH)
- …and productivity; to provide strategic planning; to assure security and integrity of data systems ; and to manage vendors and evaluate third party and ... to support efficient technology for internal and customer use; serves as a senior management liaison with other departments within and beyond the Systems … more
- Sedgwick (Cincinnati, OH)
- …Attends regular client implementation meetings to gather and interpret critical data necessary for success. + Prepares essential documentation including overpayment ... reports, meeting minutes, and project plans. Provides regular updates to senior management and stakeholders. + Facilitates communication between clients and internal… more
- GE Aerospace (Evendale, OH)
- …business units and engineering technology groups. The IP Counsel will report to a more senior IP Counsel or deputy who reports up to the Chief IP Counsel & General ... principles to standardize work and leveraging resources efficiently + Advising on data rights issues in US government contracts and proposals + Supporting pursuit… more