- 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...for serving as the client relationship liaison between a business unit and the IT department; and work with… more
- Molina Healthcare (Covington, KY)
- …are aligned as well as work with operational leaders within the business to provide recommendations for process improvements and opportunities for cost savings. ... committee structure and timing with key partner organizations. Interpret customer business needs and translate them into application and operational requirements. +… more
- 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 ... reporting risks of all types. DUTIES & RESPONSIBILITIES: + All Claims started within five business days of receipt from loss mitigation or foreclosure. + Filing… 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 ... focus on delivering services to clients, without additional expectations related to business development or promotion. Their employment is tied to their role on… 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
- Molina Healthcare (Covington, KY)
- **Job Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan ... business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +...+ At least 6 years of experience as a Business Analyst or Program Manager in a… more
- Molina Healthcare (Covington, KY)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...of new and existing health plans. + Executes retroactive claims reports + Runs fee schedule & MRDT update… 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 ... Fraud Communication, and Domestic Collections teams based on staffing and business needs. Fraud Detection - Responsible for analyzing and decisioning alerts… more
- Molina Healthcare (Covington, KY)
- …lines of business and expansion into new states. The Lead Analyst , Reimbursement will be primarily responsible for implementation, maintenance, and support of ... **Job Description** **Job Summary** The Lead Analyst , Reimbursement is responsible for administering complex provider reimbursement methodologies timely and… more
- Molina Healthcare (Covington, KY)
- …are aligned as well as work with operational leaders within the business to provide recommendations for process improvements and opportunities for cost savings. ... committee structure and timing with key partner organizations. Interpret customer business needs and translate them into application and operational requirements. +… 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 ...data stored within provider databases - ensuring adherence to business and system requirements as it pertains to contracting,… more
- Molina Healthcare (Covington, KY)
- …Maintains critical auditing and outcome information. Synchronizes data among operational and claims systems and application of business rules as they apply ... database. Validate accuracy of configuration and ensure adherence to business and system requirements of customers as it pertains...life cycle * Gains a deep understanding of Molina claims life cycle and all processes that affect … 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
- Molina Healthcare (Covington, KY)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule… 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)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...as a QNXT SME. + Networx / Pricer and claims experience is highly preferred. + SQL is highly… more
- Molina Healthcare (Covington, KY)
- …used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables ... departments and with customers to define requirements and understand business problems. Uses advanced mathematical, statistical, querying, and reporting methods… 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 ... and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality...overall markets and LOB. + Work in an agile business environment to derive meaningful information out of complex… 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
- 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