Procurement Analyst Pinnacle Technical ResourcesProcurement AnalystCincinnati,, Ohio$25–$35 / hourContractorThe specific compensation for this position will be determined by 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.
Claims Analyst - REMOTE Ryder System IncClaims Analyst - REMOTEColumbus, OHRemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( https://wd5.myworkday.com/ryder/d/task/2998$46522.htmld ) to log in to Workday to apply using the internal application process.
NewHospital Billing Claims & Remittance Analyst StratAcuity Staffing Partners IncHospital Billing Claims & Remittance AnalystCleveland, OH$100,000–$110,000 / yearIn terms of professional development, Everforth Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. Everforth Apex also offers a HSA (Health Savings Account on the HDHP plan), a SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions, a corporate discount savings program and other discounts.
Warranty Claims Analyst (In Person) DAYTON FREIGHT LINES, INCWarranty Claims Analyst (In Person)Dayton, OHDevelop a clear understanding of the warranty processes of Dayton Freight Lines, Inc. (DFL), its suppliers, and Original Equipment Manufacturers (OEMs) for vehicle equipment and component parts. Manages and oversees Warranty Operations to ensure timely and accurate processing of all warranty claims to meet suppliers and OEMs guidelines.
Claims Analyst Arrive LogisticsClaims AnalystColumbus, OHYou will leverage advanced industry knowledge and business acumen to optimize claims operations, ensure financial integrity, and mentor junior team members, acting as a key cross-functional leader to protect the company's interests and drive strategic outcomes. This includes skillfully negotiating settlements, precisely processing all related financial transactions, and analyzing claims trends to identify recurring issues and significant financial exposure, with actionable findings presented to leadership.
Claims Analyst Confident Staff SolutionsClaims AnalystCleveland, OhioCompany Overview: Confident Staff Solutions is a leading staffing agency in the healthcare industry, specializing in providing top talent to healthcare organizations across the country. Our team is dedicated to helping healthcare facilities improve patient outcomes and achieve their goals by connecting them with highly skilled and qualified professionals.
Claims Analyst Arrive Logistics LLCClaims AnalystColumbus, OHYou will leverage advanced industry knowledge and business acumen to optimize claims operations, ensure financial integrity, and mentor junior team members, acting as a key cross-functional leader to protect the company's interests and drive strategic outcomes. This includes skillfully negotiating settlements, precisely processing all related financial transactions, and analyzing claims trends to identify recurring issues and significant financial exposure, with actionable findings presented to leadership.
Claims Benefit & Disability Analyst I Medical MutualClaims Benefit & Disability Analyst ICleveland, OhioResponsible for department administrative duties that may include departmental scanning projects, ordering supplies and purchase requests, check handling, preparing and mailing monthly, quarterly and annual statements. Whether you are working remote or in the office, employees have access to on-site fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available.
EPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full Time SolutionHealthEPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full TimeOHEpic Application Analysts 2-4 require current Epic training status (certification, accreditation, and/or proficiency) in primary application required, with a combination of current Epic training statuses in additional area(s) in application maintenance and development required in upper levels. Ideal candidates will possess strong experience as analyst with expert knowledge and experience in leading system analysis with special emphasis on system methodologies, projects management and business process reengineering related to information systems required.
Logistics Analyst - Financial Support & Cargo Claims Penske CorporationLogistics Analyst - Financial Support & Cargo ClaimsBeachwood, OHWillingness to travel as necessary, work the required schedule, work at the specific location required, complete Penske employment application, submit to a background investigation (to include past employment, education, and criminal history) and drug screening are required. Position Summary: The Logistics Analyst manages the auditing, payment integrity, and continuous improvement of freight billing, final mile delivery charges, and cargo claims.
Claims Testing Analyst Global Channel ManagementClaims Testing AnalystCincinnati, OhioClaims Testing Analyst duties: Work with cross functional departments to ensure system is ready for testing scenarios to be keyed. Analyze and document clear and concise testing results so there is a smooth transition to claims and payments production systems.
Excess & Surplus -Claims Analyst Cincinnati Financial CorpExcess & Surplus -Claims AnalystCincinnati, OH$75,000–$110,000 / year167109'',''true'',''167109'',''false'',''Submission for the position: Excess & Surplus -Claims Analyst - (Job Number: 2600678)'',''false'',''167109'',''false'',''true'',''Excess & Surplus -Claims Analyst'',''2600678'',''US-OH-Fairfield'',''!*! The Cincinnati Specialty Underwriters (CSU) Claims department seeks a claims analysts I-III to manage property and casualty claims and litigation files, assist in product development and provide underwriting support.
Epic Senior Systems Analyst - Hospital Billing and Claims OhioHealth CorpEpic Senior Systems Analyst - Hospital Billing and ClaimsOHPartners closely with operational leaders and end users to translate business requirements into reliable Epic configuration, integrations, and reporting-supporting safe patient care, efficient revenue cycle operations, and regulatory compliance while achieving Service Level Agreements (SLAs) relative to the supported applications. Job Description Summary: The Senior Systems Analyst Epic will play a crucial role in designing, building, testing, deploying, and supporting Epic applications to optimize clinical and operational workflows.
Epic Senior Systems Analyst - Homecare Billing, Hospital Billing, Hospital Claims OhioHealth CorpEpic Senior Systems Analyst - Homecare Billing, Hospital Billing, Hospital ClaimsOHPartners closely with operational leaders and end users to translate business requirements into reliable Epic configuration, integrations, and reporting-supporting safe patient care, efficient revenue cycle operations, and regulatory compliance while achieving Service Level Agreements (SLAs) relative to the supported applications. Job Description Summary: The Senior Systems Analyst Epic will play a crucial role in designing, building, testing, training, deploying, and supporting Epic applications to optimize clinical and operational workflows.
Claims AI Business Analyst IV CareSourceClaims AI Business Analyst IVDayton, OH$94,100–$164,800 / yearJob Summary: The Claims AI Business Analyst IV is responsible for driving end-to-end process transformation initiatives across Claims Operations by leveraging automation and artificial intelligence (AI) to improve efficiency, reduce costs, and enhance quality. CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level.
Auto Claims Adjuster Allstate Insurance CompanyAuto Claims AdjusterOH$47,500–$69,800 / yearThrough our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products. National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers' evolving needs.
Claims testing Global Channel ManagementClaims testingMason, OhioClaims testing duties: Liaison to the Senior Analysts and Manager of the Claims Testing team to identify claims processing discrepancies due to system setup issues that require cross functional partnership and retesting. Work with cross functional departments to ensure system is ready for testing scenarios to be keyed.
Claims Reporting Specialist II Cincinnati Financial CorpClaims Reporting Specialist IICincinnati, OH$45,000–$53,000 / year167370'',''true'',''167370'',''false'',''Submission for the position: Claims Reporting Specialist II - (Job Number: 2600695)'',''false'',''167370'',''false'',''true'',''Claims Reporting Specialist II'',''2600695'',''US-OH-Fairfield'',''!*! superior time management skills to maintain own workflow, juggle multiple reports simultaneously, meet strict deadlines, and avoid fines/penalties.
Actuarial Analyst Great American Insurance CompanyActuarial AnalystCincinnati, OHBy 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.
Commercial Auto/Garage Claims Specialist Universal Shield Insurance GroupCommercial Auto/Garage Claims SpecialistDublin, OhioUniversal Shield Insurance Group offers an industry-competitive benefits package, including health insurance with a company-contributed HSA, dental insurance, vision coverage, short term disability insurance, long term disability insurance, AD&D insurance, Employee Assistance Program (EAP), and other lifestyle and family-friendly and work/life balance benefits. Universal Shield Insurance Group (and its member companies - Universal Fire & Casualty Insurance Company (www.ufcic.com) and Shield Indemnity Inc (www.shieldindemnity.com)) has an opening for an experienced Commercial Casualty Claims Adjuster.
Epic Certified Resolute Professional Billing & Claims Senior Consultant Accenture PlcEpic Certified Resolute Professional Billing & Claims Senior ConsultantColumbus, OHThe Advanced Technology Centers (ATCs) make tremendous impact in solving our clients' business problems leveraging Innovation, Intelligence, Industry insights, new IT and new technology skills. For our clients, the Network provides the strength of our geographic diversity, greater resilience, and seamless access to the deepest industry knowledge, the latest in Gen AI solutions, and tech expertise from around the world.
Claims Director MegaCorp LogisticsClaims DirectorCincinnati, OH$125,000–$150,000 / yearThis role provides strategic leadership for claims operations, team performance, process improvement, and complex claim resolution while partnering with internal and external stakeholders to minimize risk, maximize recovery opportunities, and ensure exceptional customer service. Develop and maintain claims reporting, dashboards, analytics, KPIs, and operational insights for leadership while identifying trends related to cargo loss, shortages, damages, carrier performance, customer disputes, documentation gaps, and claim outcomes.
NewPharmacy Program Optimization Analyst AndHealthPharmacy Program Optimization AnalystColumbus, OHFull timeIdentify and address missing claim data, working collaboratively with FQHC partners, TPAs, and pharmacy operations teams to investigate root causes of unpaid or uncaptured claims and implement sustainable long-term solutions to improve paid claim rates. Exceptional problem-solving skills, with a demonstrated ability to identify complex issues, conduct root cause analysis, and implement effective, long-term resolutions.
Sr Test Analyst PBM Elevance HealthSr Test Analyst PBMMason, OHIf this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a 'sensitive position' work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Benefit Analyst - Employee Benefits Large Group Kapnick & Company, IncBenefit Analyst - Employee Benefits Large GroupMaumee, OHSupport large employer groups (typically 100+ lives) across a variety of funding arrangements, including fully insured, self-funded, level-funded, reference-based pricing (RBP), and alternative solutions such as direct primary care (DPC). In this role, youll partner with large, sophisticated employer clients-diving deep into claims data, uncovering cost drivers, and helping shape smarter benefit strategies.
Commercial Insurance Analyst - Remote CSAA Insurance GroupCommercial Insurance Analyst - RemoteOHRemote$110,700–$123,000 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arkansas - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers, Nebraska - Home Teleworkers {+ 20 more}. Pursuit or completion of industry-relevant continuing education, including graduate degrees, MBS, risk and insurance designations from The Institutes (AINS, AIC, ARM, CPCU, etc.), or actuarial exams and designations (ACAS, FCAS, CERA).
Senior Medical Data Analyst Global Channel ManagementSenior Medical Data AnalystMason, OhioSenior Medical 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.
NewSr Test Analyst PBM (Business Analyst Iii) Elevance HealthSr Test Analyst PBM (Business Analyst Iii)Mason, OHIf this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a 'sensitive position' work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Sr. Configuration Data Analyst Global Channel ManagementSr. Configuration Data AnalystMason, OhioConfiguration 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.
NewMedical Billing Data Analyst North Central Mental Health Services, Inc.Medical Billing Data AnalystColumbus, OH$27This role requires strong analytical skills, attention to billing detail and the ability to reconcile financial and claims data across multiple payer sources. Full-time Medical Billing Data Analyst to support accurate charge capture, detailed data entry, claim reconciliation and compliance with payer and federal guidelines.
Sr Test Analyst PBM Elevance Health IncSr Test Analyst PBMSeven Hills, OHIf this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a 'sensitive position' work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Encounters Data Analyst III CareSourceEncounters Data Analyst IIIOH$83,000–$132,800 / yearCareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. Job Summary: Encounters Data Analyst III is responsible to perform analysis of all data into, out of and within CareSource in support of Encounters Revenue and Remediation efforts.
Grievance and Appeals Analyst I Elevance HealthGrievance and Appeals Analyst IMason, OhioThe Grievance/Appeals Analyst I will be this is an entry level position in the Enterprise Grievance & Appeals Department that reviews, analyzes and processes non-complex pre service and post service grievances and appeals requests from customer types (i.e. member, provider, regulatory and third party) and multiple products (i.e. HMO, POS, PPO, EPO, CDHP, and indemnity) related to clinical and non clinical services, quality of service, and quality of care issues to include executive and regulatory grievances. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Grievance/Appeals Analyst I (US) Elevance HealthGrievance/Appeals Analyst I (US)Mason, OhioThe Grievance/Appeals Analyst I will be this is an entry level position in the Enterprise Grievance & Appeals Department that reviews, analyzes and processes non-complex pre service and post service grievances and appeals requests from customer types (i.e. member, provider, regulatory and third party) and multiple products (i.e. HMO, POS, PPO, EPO, CDHP, and indemnity) related to clinical and non clinical services, quality of service, and quality of care issues to include executive and regulatory grievances. Utilizes guidelines and review tools to conduct extensive research and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve or summarize and route to nursing and/or Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health.
Data Scientist II - Lead Population Health Analyst (PFK) Nationwide Children's HospitalData Scientist II - Lead Population Health Analyst (PFK)Columbus, OHCONTINUOUSLY: Audible speech, Color vision, Decision Making, Depth perception, Flexing/extending of neck, Hand use: grasping, gripping, turning, Hearing acuity, Interpreting Data, Peripheral vision, Problem solving, Reaching above shoulder, Repetitive hand/arm use, Seeing - Far/near, Sitting. This individual will serve as an internal expert in program evaluation and causal inference, applying rigorous statistical and quasi-experimental methods (e.g., propensity score matching, difference-in-differences) to healthcare data, including claims and electronic medical record (EMR) data.
Payor Pricing Analyst (Bioplus) Elevance HealthPayor Pricing Analyst (Bioplus)Mason, OHMinimum Requirements: Requires a BA/BS in Finance, Economics, Healthcare Administration, or a related field and a minimum of 3 years of experience in healthcare reimbursement, pricing, specialty pharmacy, infusion services, payor contracting, or financial analytics; or any combination of education and experience which would provide an equivalent background. Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we deliver an elevated experience, affordability, and personalized support throughout the consumer's treatment journey.
Senior Sustainability & Marketing Analyst Amcor PlcSenior Sustainability & Marketing AnalystOH$85,600–$128,400 / yearThis role is responsible for administering key sustainability platforms, driving data quality and integrity across manufacturing sites, leading life cycle assessment (LCA) work, managing regulatory and compliance programs, supporting both internal and external reporting obligations, competitive intelligence, and marketing initiatives that support customer engagement and business development. The ideal candidate brings strong analytical skills, cross-functional communication ability, organized, and a proactive approach to managing complex, multi-stakeholder programs in a fast-paced environment, This position partners closely with Commercial, R&D, Operations, and Corporate Sustainability to support strategic decision-making and customer-facing initiatives.
Benefits Analyst Rocket SoftwareBenefits AnalystColumbus, OHRemote$73,000–$90,000 / yearThe analyst collaborates with internal teams, vendors, and carriers to maintain accurate systems, resolve employee inquiries, and contribute to continuous improvement initiatives. The Benefits Analyst supports the administration, and analysis of U.S. and global benefit programs to enhance the employee experience and align with the company’s total rewards philosophy.
AB Testing Analyst Lead The Progressive CorpAB Testing Analyst LeadOH$98,400–$131,200 / yearFor ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/ . Experience designing and evaluating A/B tests, randomized test and control frameworks, and other statistical approaches relevant to measurement and decision support.
NewActuarial Analyst II Elevance HealthActuarial Analyst IIMason, OHMinimum Requirements: Requires a BA/BS degree and to have passed a minimum of three Society of Actuaries (SOA) or Casualty Actuarial Society (CAS) actuarial exams and a minimum of 1 year related experience; or any combination of education and experience, which would provide an equivalent background. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Medicaid Analyst Stride, Inc.Medicaid AnalystColumbus, OhioPartnering across Special Programs, Accounting, and Government Affairs to establish best-in-class billing workflows, maximize allowable services under the Medicaid Program and ensure all payments are accurately forecasted, collected, and recorded. · Collaborate with Special Programs to identify billable student services and code encounters per state and federal program guidelines Prepare, submit, reconcile, and resubmit claims to state and federal agencies, ensuring timely payment.
Hospital Reimbursement Analyst Medical MutualHospital Reimbursement AnalystCleveland, OhioApply 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.
Subrogation Analyst Elevance Health IncSubrogation AnalystMason, OHWe are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. Minimum Requirements: Requires minimum of 2 years of experience in Third Party Liability or Workers Compensation subrogation or related field; or any combination of education and/or experience, which would provide an equivalent background.
NewSr Test Analyst PBM (Business Analyst III) Elevance Health IncSr Test Analyst PBM (Business Analyst III)Mason, OHIf this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a 'sensitive position' work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Benefit Analyst - Employee Benefits Large Group Kapnick Insurance GroupBenefit Analyst - Employee Benefits Large GroupToledo, OHSupport large employer groups (typically 100+ lives) across a variety of funding arrangements, including fully insured, self-funded, level-funded, reference-based pricing (RBP), and alternative solutions such as direct primary care (DPC). In this role, you'll partner with large, sophisticated employer clients-diving deep into claims data, uncovering cost drivers, and helping shape smarter benefit strategies.
NewLitigation Analyst Core Specialty Insurance ServicesLitigation AnalystCincinnati, OhioAdjust and manage claims brought against security companies, private investigators and alarm installation and monitoring companies, from receipt of claim or suit through resolution or trial/appeal. Maintain claim files, notes and documentation which comply with both internal guidelines and external regulations to include analysis of liability, damages, adequacy of reserves and outline of plan or next steps.
Senior Analyst US Healthcare Payer Domain Tata Consultancy Services LtdSenior Analyst US Healthcare Payer DomainMason, OH$100,000–$140,000 / yearThe candidate will play a critical role in analyzing payer-side business processes including claims, enrollment, membership, and benefits, while collaborating with business and technology teams to deliver scalable healthcare solutions. We are seeking a highly experienced Senior Analyst with strong expertise in the US Healthcare Payer domain.
Senior Analyst Pharmacy (PBM) Tata Consultancy Services LtdSenior Analyst Pharmacy (PBM)Mason, OH$100,000–$140,000 / yearThe candidate will play a critical role in analyzing pharmacy benefit workflows, gathering business requirements, and supporting end-to-end delivery pharmacy solutions. We are seeking an experienced Senior Analyst with strong expertise in the Pharmacy Benefit Management (PBM) domain.
Finance and Operations Analyst Formlabs IncFinance and Operations Analystmillbury, OHExperience: 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.
Payor Pricing Analyst (BioPlus) Elevance Health IncPayor Pricing Analyst (BioPlus)Mason, OHMinimum Requirements: Requires a BA/BS in Finance, Economics, Healthcare Administration, or a related field and a minimum of 3 years of experience in healthcare reimbursement, pricing, specialty pharmacy, infusion services, payor contracting, or financial analytics; or any combination of education and experience which would provide an equivalent background. Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we deliver an elevated experience, affordability, and personalized support throughout the consumer's treatment journey.