- Molina Healthcare (Columbus, 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
- The Hartford (Columbus, OH)
- Sr Data Scientist - GD07AE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working ... Step into the future with The Hartford as a Data Scientist / Sr Data ...Join a team that's pioneering AI-driven solutions in underwriting, claims processing, and customer service, transforming how we operate… more
- The Hartford (Columbus, OH)
- Sr Data Scientist - GD07AEData Scientist - GD08AE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages ... Step into the future with The Hartford as a Data Scientist / Sr Data ...Join a team that's pioneering AI-driven solutions in underwriting, claims processing, and customer service, transforming how we operate… more
- Molina Healthcare (Columbus, 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 (Columbus, 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
- The Hartford (Columbus, OH)
- …The Customer Operations Data Science & Analytics team is seeking a Senior Analyst to support analytics across the Contact Center Operations (CCO) Portfolio for ... Sr Consultant Perf Analytics - GB07AE We're determined...as we help shape the future. The Customer Operations Data Science & Analytics team engineers end-to-end analytic and… more
- Molina Healthcare (Columbus, 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 (Columbus, 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 (Columbus, 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 (Columbus, 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
- Evolent (Columbus, OH)
- …manner that fosters expertise and cooperation.** **Process and validate raw unadjudicated claims data .** **Use programming skills to explore, examine and ... **Familiarity with value-based care and utilization management- Preferred.** **Understanding of data systems and the critical thinking skills to solve… more
- Walgreens (Canal Winchester, OH)
- …accordance with Company policies and procedures. Responsible for operating pharmacy systems to obtain patient and drug information and process prescriptions. Assists ... pharmacy technicians and Fulfillment Specialists in the operation of pharmacy systems . Models and delivers a positive customer experience. **Job Responsibilities:**… more
- Evolent (Columbus, OH)
- …care/service + Familiarity with value-based care and utilization management + Understanding of data systems and the critical thinking skills to solve new ... activities as well as Product Development efforts. **What You'll Be Doing:** + Analyse claims and authorization data to identify trends, calculate cost of care,… more
- Elevance Health (Columbus, OH)
- ** Claims Data Reporting Specialist Senior ** **Location:** Middletown, NY; Columbus, GA; Indianapolis, IN; Richmond, VA; Grand Prairie, TX (preferred). This ... and adaptable workplace. Alternate locations may be considered. The **Reporting Specialist Senior ** is responsible for researching and collecting data for… more
- Molina Healthcare (Columbus, 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
- JPMorgan Chase (Columbus, OH)
- …Conducted security assessments and implemented best practices to protect sensitive data in financial systems . **Preferred qualifications, capabilities, and ... Chase within the Consumer and Community Banking - Fraud. Claims & Disputes Tech team, you lead and manage...the form of cash and/or forfeitable equity, awarded in recognition of individual achievements and contributions. We also offer… more
- Molina Healthcare (Columbus, 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
- Turner & Townsend (Columbus, OH)
- … data center design and construction processes, including MEP systems , and structural elements. + Excellent communication, negotiation, and interpersonal skills. ... **Job Description** **Turner & Townsend is** seeking an experienced ** Senior Cost Manager / Quantity Surveyor** to join our...join our team, leading cost management for a high-profile data center campus project for a major technology client.… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- **Position Summary** The Senior Manager of Field Technology will lead the design, optimization, and delivery of field sales reporting platforms and tools. This role ... in ensuring that our field teams have seamless access to accurate, actionable data to drive performance. The role focuses on managing field-facing technology … more
- Trinity Health (Columbus, OH)
- …+ Under general supervision, performs research and analysis of complex health care claims , pharmacy, and lab data regarding network utilization and cost ... candidates will have knowledge of Health Plans in decision support, data analytics, or governmental or managed care reimbursement. **Why MediGold?** MediGold… more