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Operations Research Analyst jobs in Dayton, OH

Operational Excllence Support Services Analyst

Dayton, OH 45402 (Downtown area)
Build strong cross-functional working relationships with operational departments, markets, support partners, and other areas in which collaboration is...

Reimbursement Analyst

Dayton, OH 45402 (Downtown area)
§ Calculate, verify and enter provider-specific age-sex adjusted capitation rates by fund class on a monthly basis in accordance with capitation deadlines
Desired Experience: Time Management, Leadership Experience, Excel

Operations Analyst - Claims

Dayton, OH 45402 (Downtown area)
Research and resolve provider claim issues and escalations by analyzing system configuration, payment policy, and claims data.
Desired Experience: Microsoft Word, Time Management, Microsoft Powerpoint, ICD-10, CPT Coding, ICD-9

Provider Appeals Specialist

Dayton, OH 45402 (Downtown area)
Prepare all clinical edit appeals for review by computer research, print claim from Facets system, and print off all the code descriptions to assist the...

Sr. Health Partner Operations Analyst

Dayton, OH 45402 (Downtown area)
Maintains working knowledge of industry measure sets, including but not limited to the Merit-based Incentive Payment System (MIPS), Ohio Department of...
Desired Experience: Time Management, Microsoft Powerpoint, Power BI, Project Management, SQL, SharePoint, Managed Care

Sr. Claims Analyst

Dayton, OH 45402 (Downtown area)
§ Constructively interact with other departments such as Enrollment, Medical Management and Provider Operations to facilitate claim processing
Desired Experience: Time Management

Senior Healthcare Analyst- Consumer Analytics

Dayton, OH 45402 (Downtown area)
Review reports and data for pattern identification, special cause variation identification, trend analysis, or other techniques that will reveal intelligence...
Desired Experience: Qualtrics, Data Analysis, R, SAS, Python, SQL

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