UNKNOWN

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This position is responsible for auditing charge capture, posting infusion and injection charges, preparing Good Faith Estimates (GFEs), insurance claim audits and working with various departments to maintain revenue integrity across the revenue cycle. Key Responsibilities: Works collaboratively with teams involved in front-end, mid-cycle, and back-end revenue functions, as well as all departments responsible for revenue generation.

Fulton County Health Center

Revenue Integrity Analyst, Full-Time

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REVENUE INTEGRITY ANALYST, Full-time

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The Healthcare Outcomes Research Analyst (Business Information Consultant) is responsible for conducting healthcare data analyses and retrospective observational studies to evaluate clinical and pharmacy programs, healthcare utilization, and total cost of care. Applies advanced statistical methodologies, including propensity score matching (PSM), difference-in-differences (DiD), regression analysis, and risk adjustment, to assess program effectiveness, healthcare utilization, and outcomes.

Elevance Health Inc

Healthcare Outcomes Research Analyst (Business Information Consultant)

The Senior Analyst researches medical policies, investigates complex claims and editing issues, and collaborates with customers and internal teams to identify solutions. This role reviews edit and audit groupings to help ensure the appropriate application of codes, criteria, modifiers, and claim dispositions in alignment with customer policies and requirements.

Accenture Plc

Health Admin Services Senior Analyst

Configuration Data Analyst duties: Represent Product Configuration on cross-functional project teams to implement new Government/Medical-Surgical products. Partner with IT Configuration on Global Configuration requirements, perform data analysis, prototyping, and testing support for Government client setup requests.

Global Channel Management

Sr. Configuration Data Analyst

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Gainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits. Complex Document & Report Generation: Design and develop complex, dynamic PDF and reporting solutions using Python including healthcare forms, tables, charts, conditional content, multi-page reports, and automated data-driven document generation.

YEAR

Gainwell Technologies LLC

Senior Professional Data Analyst - (Hybrid - Columbus, OH)

Associate or bachelor's degree in Accounting, Finance, Business Administration, Healthcare Administration, or closely related field or in lieu of degree, four (4) additional years of relevant work experience may be considered. 4+ years recent revenue cycle, hospital reimbursement, Ambulatory Surgical Center, Behavioral Health, third party payor contracting, and appeals writing.

Elevate Patient Financial Solutions Inc

Managed Care Appeals Analyst

Supports, cooperates with, and implements specific procedures and programs for: Safety, including universal precautions and safe work practices, established fire/safety/disaster plans, risk management, and security, report and/or correct unsafe working conditions, equipment repair and maintenance needs. Collaborates with the TA Manager to execute a recruitment strategy that includes job posting optimization, recruiting marketing channel development, job board procurement, digital and non-digital employment marketing, comprehensive recruitment campaign planning and talent planning.

Fisher-Titus Health

Revenue Cycle Analyst

By combining proactive risk management, data-driven pricing models, hands-on claims management, and strong partnerships with policyholders, Strategic Comp delivers customized workers' compensation programs that give businesses greater control over their costs while supporting safer, more productive workplaces. Strategic Comp, a member of Great American Insurance Group, specializes in innovative workers' compensation solutions designed to help employers reduce risk, control claims costs, and improve workplace safety outcomes.

Great American Insurance Company

Actuarial Analyst

Collaboration: Builds strong working relationships across Benefits, Total Rewards, The Benefits / Total Rewards Business Analyst is expected to develop deep knowledge of the organization''s benefit programs and use financial, operational, claims, utilization, and vendor data to evaluate program performance and support Total Rewards decision-making. This role combines a strong understanding of employee benefit programs with financial and analytical capabilities to evaluate program performance, support forecasting and budgeting, fulfill regulatory and financial reporting requirements, and provide insights that support Total Rewards strategy and decision-making.

FirstEnergy Corp

Analyst II - HR Benefits

As key member of the Information Technology (IT) team, involved in all aspects of providing oversight, coordination and operational delivery of the healthcare information technology for The Christ Hospital (TCH), this role leads the selection, development, implementation and adoption of advanced clinical and financial systems for the Ambulatory process units of The Christ Hospital. The individual must be able to work autonomously while concurrently building technical and best practice process linkages to ensure TCH maintains leadership in Patient Safety, Quality, and Cost Effectiveness.

The Christ Hospital

EHR Applications Analyst - CBO IT Clinical Solutions - Full Time - Days

As an Accounts Receivable Analyst you will deliver Back End Revenue Cycle Management (RCM) services, including Billing and Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.

Deloitte Touche Tohmatsu Ltd

Accounts Receivable Analyst

The successful candidate will act as the critical link between the client''s TIBCO engineering team, data team, and business stakeholders - analyzing existing TIBCO BusinessWorks (BW) workflows across claims, UM/CM, enrollment, and reference data systems, and determining the correct target state design (Java/Spring Boot API microservice, batch/ELT job, or other pattern) for each process as part of the migration off TIBCO. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with CGI's legal duty to furnish information.

CGI Inc

Senior Integration Analyst

Leveraging our 350-year heritage, MSIG USA brings the financial strength, expertise, and global footprint to offer commercial insurance solutions that address your business’s unique risks. The Claims Compliance Analyst supports the Claims Regulatory & Compliance function by monitoring, analyzing, and helping ensure adherence to federal and state claim-related regulatory requirements.

MSIG Holdings

Compliance Analyst

The Distribution Portfolio and Utility Coordination (DPUC) Team manages Distribution investments and shared-use activities to ensure safe, compliant, and financially optimized outcomes while protecting FirstEnergy''s assets, supporting reliable service, and fulfilling regulatory and stakeholder commitments. Headquartered in Akron, Ohio, FirstEnergy includes one of the nation''s largest investor-owned electric systems, more than 24,000 miles of transmission lines that connect the Midwest and Mid-Atlantic regions, and a regulated generating fleet with a total capacity of more than 3,500 megawatts.

Financial Analyst - WV & MD Engineering Services - Fairmont MonPower Transmission

Deloitte

We strive to be a company that serves as a source of "power" that supports people around the world who are trying to do things based on their own initiative and that helps people expand their own potential. We are looking for qualified individuals with diverse backgrounds, experiences, continuous improvement values, and a strong work ethic to join our team.

Honda Motor Co Ltd

Dealer Analyst

Supports corporate and departmental strategies and goals in alignment with regulatory specifications for the annual Healthcare Effectiveness Data and Information Set (HEDIS) lifecycle processes for all lines of business (Commercial, Marketplace, Medicare Advantage, and Medicaid), including HEDIS audit submission, Consumer Assessment of Healthcare Providers and Systems (CAHPS) and Health Outcomes Survey (HOS). Supports corporate and departmental strategies and goals in alignment with regulatory specification for the annual Healthcare Effectiveness Data and Information Set (HEDIS) lifecycle processes for all lines of business (Commercial, Marketplace, Medicare Advantage, and Medicaid), including HEDIS audit submission, Consumer Assessment of Healthcare Providers and Systems (CAHPS) and Health Outcomes Survey (HOS).

Medical Mutual

HEDIS Quality Improvement Analyst

Apply advanced analytical techniques and business acumen to evaluate deal projections, benchmark performance, and assess financial impacts using utilization data, cost trends, contract valuation, and competitive analysis. 3-4 years of experience as a Provider Reimbursement Analyst or equivalent progressive health care administration experience with an emphasis on Provider Contracting/Network Management.

Hospital Reimbursement Analyst

Experience: 2-4 years of experience in plant manufacturing environment with key focus on accounts payable, inventory management, cost accounting, and data analysis, Systems Exposure: Direct experience using mid-to-enterprise ERP platforms (e.g., NetSuite, SAP, Hyperion HFM or QAD) and modern procurement databases (Concur or Coupa) is highly preferred. Excel / Google Sheets Proficiency: Intermediate spreadsheet skills (XLOOKUP, VLOOKUP, Pivot Tables) to easily clean and analyze production databases and support management reporting.

Claims Analyst Jobs in Ohio

Revenue Integrity Analyst, Full-Time Fulton County Health Center

REVENUE INTEGRITY ANALYST, Full-time Fulton County Health Center

Healthcare Outcomes Research Analyst (Business Information Consultant) Elevance Health Inc

Health Admin Services Senior Analyst Accenture Plc

Sr. Configuration Data Analyst Global Channel Management

Senior Professional Data Analyst - (Hybrid - Columbus, OH) Gainwell Technologies LLC

Managed Care Appeals Analyst Elevate Patient Financial Solutions Inc

Revenue Cycle Analyst Fisher-Titus Health

Actuarial Analyst Great American Insurance Company

Analyst II - HR Benefits FirstEnergy Corp

EHR Applications Analyst - CBO IT Clinical Solutions - Full Time - Days The Christ Hospital

Accounts Receivable Analyst Deloitte Touche Tohmatsu Ltd

Senior Integration Analyst CGI Inc

Compliance Analyst MSIG Holdings

Financial Analyst - WV & MD Engineering Services - Fairmont MonPower Transmission FirstEnergy Corp

Accounts Receivable Analyst Deloitte

Dealer Analyst Honda Motor Co Ltd

HEDIS Quality Improvement Analyst Medical Mutual

Hospital Reimbursement Analyst Medical Mutual

Finance and Operations Analyst Formlabs Inc

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