- 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
- Deloitte (Cincinnati, 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 (Cincinnati, OH)
- …in a collaborative environment. As an experienced Epic Resolute Hospital Billing and Claims Application Analyst Project Delivery Specialist, you will have the ... system in the Southeast region. + Conduct Epic Hospital Billing and Claims application build, testing, refinement, and issue resolution, as well as coordination… more
- System One (Fairfield, OH)
- Job Title: Guidewire Claims Business Analyst Location: Cincinnati, Ohio Type: Contract To Hire Title: Claims Insurance BA W2 ONLY NOT OPEN TO C2C ALTA is ... 100% REMOTE. Requirements: Looking for a senior BA with Claims insurance background. A Guidewire Claims Center...BA with Claims insurance background. A Guidewire Claims Center background is highly desired. Job Summary: This… more
- Molina Healthcare (Covington, KY)
- **Job Description** **Job Summary** Provides entry level analyst support for claims research activities. This role plays a pivotal role in ensuring the timely ... and accurate resolution of provider-submitted claims issues. This role requires a keen understanding of...issues. This role requires a keen understanding of medical claims processing, strong analytical skills, and the ability to… 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
- Molina Healthcare (Covington, KY)
- …and the Affordable Care Act (ACA). + Medical Coding certification. + Strong Medical Claims Audit knowledge To all current Molina employees: If you are interested in ... applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $77,969 - $128,519 / ANNUAL *Actual… more
- Molina Healthcare (Covington, KY)
- …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
- Molina Healthcare (Covington, KY)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... of new and existing health plans. + Executes retroactive claims reports + Runs fee schedule & MRDT update...submission mailbox, submit RFCs in iServe, and notify the Analyst of completion. + Researches and reviews MRDT issues… more
- Fifth Third Bank, NA (Cincinnati, OH)
- …Discover a career in banking at Fifth Third Bank. GENERAL FUNCTION: The Fraud Analyst I is a cross functional position within Fraud Operations. Fraud Analyst ... Domestic Collections - Responsible for processing and decisioning fraud check dispute claims . Includes working alerts, dispute cases and inbound call inquiries… more
- Molina Healthcare (Covington, KY)
- **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
- 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
- Molina Healthcare (Covington, KY)
- JOB DESCRIPTION Job Summary Provides entry level analyst support for provider configuration activities including accurate and timely maintenance of critical provider ... information on all claims and provider databases. Synchronizes data within multiple claims systems and validates data stored within provider databases - ensuring… more
- Elevance Health (Mason, OH)
- **Actuarial Analyst II** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing ... unless an accommodation is granted as required by law. The **Actuarial Analyst II** completes projects and performs complex actuarial studies. **How You Will… more
- Elevance Health (Mason, OH)
- **Provider Contract Cost of Care Analyst Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and ... is granted as required by law. The **Provider Contract Cost of Care Analyst Senior** is responsible for providing analytical support to the Cost of Care… more
- Molina Healthcare (Covington, KY)
- …Responsible for accurate and timely auditing of critical information on claims databases. Maintains critical auditing and outcome information. Synchronizes data ... among operational and claims systems and application of business rules as they...life cycle * Gains a deep understanding of Molina claims life cycle and all processes that affect … more
- Molina Healthcare (Covington, KY)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... Hospital payment methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule knowledge is… more
- Molina Healthcare (Covington, KY)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality department with HEDIS… more
- Molina Healthcare (Covington, KY)
- …emerging technologies. **KNOWLEDGE/SKILLS/ABILITIES** + With limited supervision, the Sr. Analyst , Data is responsible for data compilation, data management, data ... SQL, PowerBI, databricks. + Experience on ETL , healthcare specifically claims is highly preferred. **JOB QUALIFICATIONS** **Required Education** Associate degree or… more
- Molina Healthcare (Covington, KY)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable… more