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You may qualify if you meet one of the following: GS-7: You must have completed or will complete a 4-year course of study leading to a bachelors from an accredited institution AND must have documented Superior Academic Achievement (SAA) at the undergraduate level in the following: a) Grade Point Average 2.95 or higher out of a possible 4.0 as recorded on your official transcript or as computed based on 4 years of education or as computed based on courses completed during the final 2 years of curriculum; OR 3.45 or higher out of a possible 4.0 based on the average of the required courses completed in your major field or the required courses in your major field completed during the final 2 years of your curriculum. GS-9: You must have completed 2 years of progressively higher-level graduate education leading to a masters degree or equivalent graduate degree: a) Grade Point Average - 2.95 or higher out of a possible 4.0 as recorded on your official transcript or as computed based on 4 years of education or as computed based on courses completed during the final 2 years of curriculum; OR 3.45 or higher out of a possible 4.0 based on the average of the required courses completed in your major field or the required courses in your major field completed during the final 2 years of your curriculum.

YEAR

United States Air Force

Operations Research Analyst

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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.

Medical Mutual

Professional Reimbursement Analyst

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What You'll Do: Responsible for supporting, optimizing, and maintaining revenue cycle and Electronic Medical Records (EMR) systems impacting patient access, charging, coding, billing, claims processing, reimbursement, and collections. Serves as the liaison between Revenue Cycle operations, Health Information Management (HIM), Information Technology (IT), clinical departments, and external vendors to support system performance, workflow optimization, and financial outcomes.

Crystal Clinic Orthopaedic Center

Revenue Cycle Systems Analyst

ADAPTED_NOW

The specific compensation for this position will bedeterminedby several factors, including the scope, complexity, and location of the role, as well as the cost of labor in the market; the skills, education, training, credentials, and experience of the candidate; and other conditions of employment. Work collaboratively on a variety of TPP project work, directly communicating with vendors and the LOBs and maintain and independently complete project work as assigned.

HOUR

Pinnacle

Procurement Analyst

Our steadfast focus on developing niche expertise in product design, loss control and claim services has made National Interstate one of the most respected names in commercial transportation insurance today. Our offerings include traditional insurance and innovative alternative risk transfer (ART) programs, including more than a dozen group captive programs catering to niche wheels markets.

National Interstate Corporation

Actuarial Analyst

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The Kiewit Power Market builds major EPC and bid-build natural gas power plants, solar fields, nuclear facilities and energy storage systems while also providing extensive power delivery services like transmission lines, substations and underground distribution throughout North America. We offer our fulltime staff employees a comprehensive benefits package that's among the best in our industry, including top-tier medical, dental and vision plans covering eligible employees and dependents, voluntary wellness and employee assistance programs, life insurance, disability, retirement plans with matching, and generous paid time off.

Kiewit Corp

Finance Analyst - Power Market

In this high-level individual contributor role, you will utilize your business, industry, competitive, client, and technical knowledge to formulate pricing strategy and to execute financial modeling of comprehensive pricing offers that include retail network, mail order, specialty, and pharmaceutical manufacturer rebates for PBM client contracts. Your success will be determined by your ability to communicate client pricing to internal and external partners in support of accurate pricing implementation and to minimize service warranties and performance guarantee payouts.

CVS Health offers a world of promising job opportunities across a diverse range of careers in everything from corporate and pharmacy roles to retails positions. No matter where you work at CVS Health, your unique skills, talents and abilities are welcome and valued. We recognize and reward greatness and want our employees to know their work is making a difference in the lives of millions. Join us today. Together we can continue making innovative, high-quality health and pharmacy services safe, affordable and accessible – for all.

CVS Health Corp

Pharmacy Benefits Management (PBM) Underwriting, Senior Analyst

The position will serve as liaison between the PDE Reporting Team, PDE Eligibility/Reconciliation and all entities involved directly or indirectly with PDE to ensure timely and accurate resolution of PDE Rejections. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Senior Analyst, Financial Operations - PDE Reporting

Relevant work experience includes but is not limited to a working knowledge of financial acumen, understanding of SAP and FERC uniform system of accounts, reporting and forecasting processes, rate and regulatory filings, accounting, taxes, capital markets, credit rating agency protocols, and financial statement analysis. 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.

First Energy

Analyst Accounting Policy And Controls

The role involves reviewing enrollment files, researching discrepancies, processing transactions, supporting members/providers, and working with internal teams and third-party vendors to resolve eligibility and billing issues. The Billing Membership Analyst will support enrollment, eligibility, and premium billing operations while ensuring transactions are accurately processed and reconciled in accordance with regulatory and business requirements.

We are a $125 Million, NMSDC-certified Minority & Woman owned Workforce Solutions Company headquartered in the DC metro area with presence across US with global presence - Canada, Mexico, India, UK, Malaysia, Indonasia, Hongkong, Singapore, UAE. We are specialized in providing Workforce Solutions, SOW project delivery, Engineering Solutions, Creative Services. We currently support 100+ Fortune companies globally and across multiple industry segments. We are currently supporting several massive programs across industry segment nationally/globally (Intel, Ally, AMD, QUALCOMM, Morgan Stanley, Kraft/ Mondelez, MNP, Amdocs, Dell, SanDisk, Medtronic, Becton Dickinson, GE, Lockheed Martin, UTC, L-3 Communications, Caterpillar, BMW, Mercedes Benz, National Grid, Dominion, Energy Future Holdings, PSEG, 3M, Fidelity, Aetna, Humana, Johnson & Johnson, Pfizer, Merck etc). 
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender, identity, national origin, disability, or protected veteran status.

LanceSoft Inc

Billing Membership Analyst

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The Lead Analyst, Sales Operations will be instrumental in providing overall analytical support to the sales and commercial teams, analyzing industry and internal data, identifying and recommending areas of opportunity and developing advanced tools and reporting to enable sales force effectiveness. Pioneering trusted medical solutions to improve the lives we touch: Convatec is a global medical products and technologies company, focused on solutions for the management of chronic conditions, with leading positions in Advanced Wound Care, Ostomy Care, Continence Care, and Infusion Care.

ConvaTec

Lead Analyst, Sales Force Effectiveness

Exceptional candidates gravitate to Summa because of its culture, passion for delivering excellent service to our patients and families commitment to our philosophy of servant leadership, collegial working relationships at every level of the organization and competitive pay and benefits. CCA with one (1) year coding experience in an acute care setting with a 60% or better score on the outpatient coding test and completion of medical terminology and anatomy and physiology courses.

SummaCare Inc

CoderBilling Analyst Revenue Cycle Operations

You must have completed a 4 year course of study leading to a bachelors from an accredited institution AND must have documented Superior Academic Achievement (SAA) at the undergraduate level in one of the following: a) Class Standing - upper third of the graduating class based on completed courses in the college, university, or major subdivision; b) Grade Point Average - 2.95 or higher out of a possible 4.0 as recorded on your official transcript or as computed based on 4 years of education or as computed based on courses completed during the final 2 years of curriculum; OR 3.45 or higher out of a possible 4.0 based on the average of the required courses completed in your major field or the required courses in your major field completed during the final 2 years of your curriculum. Prepares economic analysis of routine portions of operating systems, including conducting research of historical cost data of analogous weapon; use of a variety of cost factors for contracting studies, flying hours, reimbursable programs and/or other major missions assigned to the installation; analysis of current resources utilization and projection of future resource requirements for segments of the activity; and research and completion of routine and/or continuing cost studies.

COST ANALYST

The Analyst actively listens to and questions customers, thinking critically to accurately initiate disputes, performing moderate risk analysis, and ensuring compliance with Uniform Commercial Code (UCC) and Regulation E and Regulation Z claims. The base salary for this position is reflective of the range of salary levels for all roles within this pay grade across the U.S. Individual salaries within this range will vary based on factors such as role, relevant skillset, relevant experience, education and geographic location.

Fifth Third Bank

Bilingual Dispute Intake Analyst

Dispute Intake Analyst

Drive metric definitions for the domain into the dbt layer, in partnership with data engineering and BI, so that definitions live in models rather than in a Looker filter, a spreadsheet, or an analyst's head, and so any headline number can be traced to where it is computed and what it excludes. Set the analytical direction for a domain: decide the canonical metrics, which sources are authoritative for which question, what gets modeled in dbt versus answered ad hoc, and the validation required before a result goes to a client or an executive.

GiftHealth Inc

Lead Data Analyst

PART_TIME

This role partners with operational and leadership teams to monitor key performance indicators, strengthen revenue cycle workflows, and ensure compliance with payer requirements and applicable regulations. Produce and analyze monthly, quarterly, and ad hoc reporting for internal and external customers to ensure timely processing of insurance claims, expected payer reimbursement, and key performance metrics such as days in AR.

Quadax, Inc.

Project Analyst

Supports the creation and ongoing maintenance of the 2-100 Small Group, AFA and IVL conversion prototype controls for both Traditional and HNO products by utilizing the Small Group product database/general report and plan set up resources. SR Analyst, Product Engineer will set up the plans using a prototype control in CCI and PMA application to support the Small Group plans set up case install automation process.

Senior Analyst, Product Engineer

168188'',''true'',''168188'',''false'',''Submission for the position: Planning Analytics & Risk Management - Modeling Analyst - (Job Number: 2600770)'',''false'',''168188'',''false'',''true'',''Planning Analytics & Risk Management - Modeling Analyst'',''2600770'',''US-OH-Fairfield'',''!*! The role is responsible for researching business challenges and applying data, analytics, and predictive modeling techniques to help improve underwriting, pricing, claims, and operational decision-making to support profitable growth.

Cincinnati Financial Corp

Planning Analytics & Risk Management - Modeling Analyst

We have more than 1,000 employees in a distributed workforce environment across 12 offices-Fairfield, CA; Mountain View, CA; Cheshire, CT; Jacksonville, FL; Tallahassee, FL; Tampa, FL; Chicago, IL; Jersey City, NJ; Marlton, NJ; Cincinnati, OH; Houston, TX; Sheboygan, WI-who are tackling the industry's toughest challenges.    . We champion belonging and inclusion for all identities, including, but not limited to, race, ethnicity, religion, sexual orientation, age, veteran status, ability status, gender, and country of origin, striving to create a culture where all individuals feel valued, respected, and empowered to bring their authentic selves to work.

Claims Analyst Jobs in Ohio

Operations Research Analyst United States Air Force

Professional Reimbursement Analyst Medical Mutual

Revenue Cycle Systems Analyst Crystal Clinic Orthopaedic Center

Procurement Analyst Pinnacle

Actuarial Analyst National Interstate Corporation

Finance Analyst - Power Market Kiewit Corp

Pharmacy Benefits Management (PBM) Underwriting, Senior Analyst CVS Health Corp

Senior Analyst, Financial Operations - PDE Reporting CVS Health Corp

Analyst Accounting Policy And Controls First Energy

Billing Membership Analyst LanceSoft Inc

Lead Analyst, Sales Force Effectiveness ConvaTec

CoderBilling Analyst Revenue Cycle Operations SummaCare Inc

COST ANALYST United States Air Force

Bilingual Dispute Intake Analyst Fifth Third Bank

Dispute Intake Analyst Fifth Third Bank

Lead Data Analyst GiftHealth Inc

Project Analyst Quadax, Inc.

Senior Analyst, Product Engineer CVS Health Corp

Planning Analytics & Risk Management - Modeling Analyst Cincinnati Financial Corp

Consumer Affairs Analyst SageSure Insurance Managers

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