- Fifth Third Bank, NA (Cincinnati, OH)
- …related experience. + Prior PC experience to include advanced Excel, Word and Access. Claims Analyst I At Fifth Third, we understand the importance of ... opening. GENERAL FUNCTION: Responsible for completing and filing investor/insurer claims within required guidelines in order to recoup 5/3's...of the default cycle. This results in approximately 200 claims being filed on a monthly basis and $30.0… more
- Prime Therapeutics (Columbus, OH)
- …future of pharmacy with us. **Job Posting Title** Specialty & Home Delivery Program Claims Analyst - Remote **Job Description** The Specialty & Home Delivery ... Program Claims Analyst is responsible for serving as a Claims Operations subject matter expert on system functionality which may include implementations,… more
- Deloitte (Columbus, OH)
- …who wants to work in a collaborative environment? As an experienced Epic Resolute PB Claims Analyst you will have the ability to share new ideas and collaborate ... onsite client service delivery. Work you'll do/Responsibilities As a Project Delivery Senior Analyst (PDSA) at Deloitte, you will work within an engagement team and… more
- Deloitte (Cleveland, OH)
- …work in a collaborative environment. As an experienced Epic Resolute Hospital Billing Analyst Project Delivery Specialist, you will have the ability to share new ... ideas and collaborate on projects without the extensive demands of travel. The Project Delivery Talent Model is designed for professionals with specialized skills that align to a current client need. Team members focus on delivering services to clients,… more
- Fifth Third Bank, NA (Cincinnati, OH)
- …ensuring compliance with Uniform Commercial Code (UCC) and Regulation E and Regulation Z claims . The Analyst uses various bank and vendor systems to research ... Third Bank. GENERAL FUNCTION: Under general supervision, the Dispute Intake Analyst provides outstanding customer service while capturing accurate customer account… more
- Carrington (Columbus, OH)
- …amazing team and work remote from home! The Loss Claim Recovery Analysis Analyst is responsible for performing financial reconciliation on all liquidated loans and ... processes up to and including Loss Mitigation, Bankruptcy, Foreclosure, Conveyance and Claims in addition to mortgage servicing state, federal and agency guidelines… more
- Molina Healthcare (Cincinnati, OH)
- …Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan financial ... and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed… more
- Elevance Health (Cincinnati, OH)
- **Grievance/Appeals Analyst II** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... unless an accommodation is granted as required by law._ The **Grievance/Appeals Analyst II** is responsible for reviewing, analyzing and processing non-complex and… more
- Baylor Scott & White Health (Columbus, OH)
- + **JOB SUMMARY** The Risk Adjustment Analyst Sr is responsible for monitoring and oversight of the end-to-end encounter management workflow. This position analyzes ... and outbound encounter process. + Monitors and oversees the end-to-end claims encounter management workflow. + Identifies and interprets encounter data, submission… more
- CGI Technologies and Solutions, Inc. (Columbus, OH)
- **Financial Analyst ** **Category:** Business Analysis (functional and technical) **Main location:** United States, Ohio, Columbus **Position ID:** J0825-1828 ... Description:** Under the management of the Finance Manager, the Financial Analyst carries out processing and financial administration for the assigned contracts.… more
- CVS Health (Columbus, OH)
- …it all with heart, each and every day. **Position Summary** Claim Audit Quality Analyst is responsible for ensuring the accuracy and quality of claim audits across ... multiple areas within Meritain. This role demands a deep understanding of claims , plan documents, eligibility, coverages, and the unique requirements of various… more
- Elevance Health (Independence, OH)
- **Performance Quality Analyst II** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while ... is granted as required by law. The **Performance Quality Analyst II** is responsible for driving service quality excellence...Included are processes related to enrollment and billing and claims processing, as well as customer service written and… more
- Prime Therapeutics (Columbus, OH)
- …our passion and drives every decision we make. **Job Posting Title** Pricing Analyst Senior - Remote **Job Description** The Senior Pricing Analyst participates ... 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
- Zurich NA (Columbus, OH)
- Senior Performance Analyst I 128611 Zurich North America is seeking an intellectually curios Claims Finance Consultant to join our Claims Finance team! The ... ideal candidate can work in one of our claims offices Addison, Atlanta, Dallas, Maitland, Omaha, Overland Park,...at other Zurich office locations in the US The Claims Finance Consultant is responsible for the creation of… more
- Molina Healthcare (Cincinnati, OH)
- **Job Description** **Job Summary** The Lead Analyst , Reimbursement is responsible for administering complex provider reimbursement methodologies timely and ... existing lines of business and expansion into new states. The Lead Analyst , Reimbursement will be primarily responsible for implementation, maintenance, and support… more
- Prime Therapeutics (Columbus, OH)
- …build the future of pharmacy with us. **Job Posting Title** Data & Reporting Analyst - Remote **Job Description** The Data & Reporting Analyst is responsible ... and modeling + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + Experience in the implementation of… more
- Prime Therapeutics (Columbus, OH)
- …build the future of pharmacy with us. **Job Posting Title** Health Informatics Analyst **Job Description** The Health Informatics Analyst leverages data and ... organizational growth. **Responsibilities** + Analyze, mine, and document complex healthcare claims and authorizations data sets to identify patterns and trends… more
- Evolent (Columbus, OH)
- …for the mission. Stay for the culture. **What You'll Be Doing:** **Lead Analyst , Performance Analytics - Oncology & Member Product Focus** **Overview:** Evolent is ... seeking an experienced and strategic **Lead Analyst , Performance Analytics** to lead data-driven initiatives focused on oncology and member-centric products. This… more
- ClarkDietrich (West Chester, OH)
- …and benefits. Join the ClarkDietrich team by applying to the Credit & Treasury Analyst position at our West Chester, OH location. The Credit & Treasury Analyst ... coverage + Coordinate the annual insurance renewal process and support claims management + Maintain accurate records of all insurance policies, certificates,… more
- Humana (Columbus, OH)
- …and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer Business and System Support team ... it expands to accommodate the increased responsibilities. The Provider Hospital Reimbursement Analyst r will be primarily responsible for maintenance and support of… more