Claims Analyst Jobs in Dayton, OH

The Senior Analyst, Medical Economics is responsible for analyzing key business issues related to cost, utilization, and revenue for Molina Healthcare products. This role involves conducting complex a...

The Project Manager III is responsible for managing medium to high complexity projects, ensuring successful delivery and adherence to project milestones. This role involves collaboration with stakehol...

The Senior Manager, Payment Integrity Data Analytics is responsible for leading predictive analytic projects related to Payment Integrity and Fraud Waste Abuse (FWA). This role involves collaborating...

The Lead Configuration Analyst at EyeMed is responsible for managing health insurance benefits within the Facets claim adjudication system, optimizing benefit setup, and troubleshooting claim errors...

The Configuration Architect (Pricing) is responsible for defining and overseeing the development of custom configuration solutions, ensuring alignment with business requirements. This role involves co...

The Lead Data Analyst (Medicare Stars) is responsible for designing and implementing data processes and solutions to support informed business decisions. This role involves statistical analysis of str...

The Lead Analyst for Config Info Management is responsible for the accurate implementation and maintenance of critical information on claims databases. This role involves synchronizing data across ope...

The EDI Application Architect II is responsible for defining and overseeing the development of scalable and reusable application solutions in alignment with enterprise architecture standards. This rol...

The Manager, Grievance and Appeals Service Integration is responsible for leading the strategic integration of regulatory, operational, and technical initiatives within the Grievance and Appeals funct...

The Sr Actuarial Analyst (Medicare) is responsible for estimating liabilities, establishing premium rates, and conducting financial analysis and reporting. This role involves collaborating with actuar...

The Sr Analyst, Business Quality is responsible for interfacing with customers to develop complex project requirements, preparing system design specifications, and managing project teams. This role in...

The Epic Certified Professional Billing Expected Reimbursement Contracts Specialist at Deloitte is responsible for configuring and maintaining billing and contracts reimbursement systems while ensurin...

The Sr Analyst, Provider Config (SQL) is responsible for maintaining accurate provider information across claims and provider databases, ensuring data synchronization and adherence to business rules...

The Configuration Architect is responsible for defining and overseeing the development of custom configuration solutions, ensuring alignment with business requirements and project goals. This role inv...

The Process Improvement Analyst will support the Aerospace Systems Directorate in their digital transformation efforts by crafting and executing communication strategies that promote awareness and ado...

The Business Change Manager - Medicare Risk Adjustment is responsible for leading projects that support the Medicare Risk & Recovery Revenue Management team. This role involves identifying issues, dev...

The Senior Business Intelligence Analyst will lead advanced business analysis and develop innovative solutions for business operations. This role involves collaborating with internal and external cust...

The Senior Accountant in the SEC Reporting department is responsible for quarterly and annual financial reporting, researching and implementing new accounting pronouncements, and ensuring compliance w...

The Lead Analyst for Config Info Management is responsible for the accurate implementation and maintenance of critical information on claims databases. This role involves synchronizing data among oper...

The Accountant IV - CSMV is responsible for preparing and reviewing complex journal entries, account reconciliations, and financial reporting in compliance with GAAP and federal regulations. This role...

The Business Development Account Executive is responsible for identifying, cultivating, and partnering with community organizations, networking groups, and associations to promote Medicare and ACA sal...

The Business Consultant - Pharmacy Benefit Management is responsible for translating complex business needs into application software requirements while leading teams of analysts on various projects...

The Lead Acquisition Analyst SME will assist government procurement agencies in developing acquisition strategies and managing the entire acquisition life cycle. This role involves applying knowledge...

The Senior Financial Analyst will oversee daily operations in the accounting functions and provide insights for improvements in financial accounting and reporting processes. This role involves managin...

The Director of Revenue Integrity is responsible for leading and overseeing the revenue cycle for both the hospital and physician enterprise at Wilson Health. This role focuses on optimizing financial...