- CommuniCare Health Services Corporate (Blue Ash, OH)
- …to continued growth, CommuniCare Health Services is currently recruiting for a Claims Validator / Biller to support our Central Billing Office team. PURPOSE/BELIEF ... STATEMENT The position of Managed Care Claims Validator / Biller is responsible for accurate and...cash collections team, CBO cash posting team, Business Office Manager , Regional Director of Finance, MDS, Case Management, and… more
- Elevance Health (Cincinnati, OH)
- **Title: Claims Representative I** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our ... PulsePoint locations. The ** Claims Representative I** will be responsible for successfully completing...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Mason, OH)
- ** Manager II Grievance/Appeals - Claims Support** This position will work in a hybrid model (remote and office). Ideal candidates will live within 50 miles of ... one of our PulsePoint locations. The ** Manager II Grievance/Appeals** is responsible for management oversight of...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Mason, OH)
- ** Manager I - Grievances & Appeals - Provider Disputes** **Location** : This position will work a hybrid model (in office 1-2 days per week). The ideal candidate ... Ohio, Connecticut, Maine, Missouri, Virginia, Indiana, Kentucky or New York. The ** Manager I - Grievances & Appeals** is responsible for the management oversight… more
- American Heart Association (Cincinnati, OH)
- …The American Heart Association has an excellent opportunity for a **Clinical Data Manager ** in our **National Center** office. Location of the selected candidate is ... for you to be able to integrate data from different sources (clinical, claims , patient-reported survey data, food vendors). The Database Designer is responsible for… more
- Deloitte (Cincinnati, OH)
- Operations & Technology Transformation Manager , Guidewire PolicyCenter Integration Technical Lead What we do Operations and Technology Transformation delivers market ... on June 30, 2024 Work you'll do As an OTT Insurance Transformation Manager , you will bring considerable technical expertise to deliver effective solutions to… more
- Walgreens (Hamilton, OH)
- …events that reflect the unique communities we serve as requested by Store Manager , Healthcare Supervisor, or District Manager . Operations + Counsels patients and ... that elements of Good Faith are present. + Collaborates with Store Manager to define and develop new strategic business opportunities. + Maintains information… more
- Walgreens (Cincinnati, OH)
- …others accountable for efficient workflow. + At the direction of the Pharmacy Manager or pharmacist, prepares, and files reports and records required by the company ... maintenance of pharmacy department equipment. In collaboration with Pharmacy Manager , responsible for recordkeeping and ensuring security safeguards are in-place.… more
- Molina Healthcare (Covington, KY)
- …Analytics and Reporting team. Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost ... various departments including, but not limited to, IT; Finance; Claims , Call Centers; and UM. * Manages team of...+ **Azure Cloud** + **Managed Care industry experience - Claims , Enrollment, Provider, and Utilization data.** To all current… more
- Sedgwick (Cincinnati, OH)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Telephonic Case Manager **Must hold an active OH RN license and live in Ohio in ... support systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker, attorney and supervisor. + Identifies issues… more
- Deloitte (Cincinnati, OH)
- …real estate companies. Work you'll do As an OTT Insurance Transformation Manager , you will bring considerable industry and technical expertise to deliver effective ... one of the following Insurance sub service areas: User experience, Integration, Claims , Billing & Payments, Policy Administration, Underwriting or Distribution + 4… more
- Republic Finance, LLC (Springdale, OH)
- …in the financial services industry for you, apply to be an Assistant Branch Manager today! *Please note that this position is 100% onsite. ABOUT REPUBLIC FINANCE We ... A DAY IN THE LIFE OF AN ASSISTANT BRANCH MANAGER (ABM) We give you all of the tools...making credit decisions, administering loan closings, and processing insurance claims . Your management abilities shine as you assist the… more
- Elevance Health (Cincinnati, OH)
- …ET; 1-2 late nights per month required 11:30am - 8:00pm ET The **Nurse Case Manager II** is responsible for care management within the scope of licensure for members ... care management treatment plans. + Assists in problem solving with providers, claims or service issues. + Assists with development of utilization/care management… more
- ASRC Industrial Services (Cincinnati, OH)
- …Regional Corporation (ASRC), an Alaska Native Corporation (ANC) established under the Alaska Native Claims Settlement Act of 1971. As part of an ANC, EQM is a ... position is to manage hazardous waste site projects as a Response Manager or Project Manager (PM) in support of the firm's various cleanup and remediation… more
- Molina Healthcare (Covington, KY)
- …software and medical record vendors, and other Molina departments, such as Claims , Enrollment, IT etc,. to get appropriate responses and manage contracts and ... + Maximizes use of information from multiple sources, including claims /encounters, pharmacy, utilization management, clinical indicators, industry benchmark, and/or… more
- Molina Healthcare (Covington, KY)
- …Analytics and Reporting team. Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost ... integrity * Interact with various departments including, but not limited to, IT; Finance; Claims , Call Centers; and UM. * Manages team of Data Analysts * Acts as… more
- Elevance Health (Mason, OH)
- **Account Service Manager Sr - Pharmacy Account Management** **Location:** This position will work a hybrid model (remote and office). The ideal candidate must live ... to worksite and other locations as necessary. The **Account Service Manager Sr** is responsible for providing highly advanced account management representation… more
- Elevance Health (Mason, OH)
- Cost of Care Manager - Healthcare Networks (JR127712) **Location:** This position requires you to reside within 50 miles of a relevant, open Elevance Health ... from your local office location 1 - 2 days/week. The **Cost of Care Manager ** leads and manages multiple cost of care initiatives enterprise wide (eg local, within… more
- The Walsh Group (Cincinnati, OH)
- **Overview** Walsh is currently seeking a **Senior** **Project Equipment Manager ** for a large bridge project in Cincinnati, OH. This individual can sit out of ... Cincinnati, OH or Chicago, IL. The Senior Project Equipment Manager is primarily responsible for managing all equipment-related matters on their assigned project or… more
- KPMG (Cincinnati, OH)
- **Business Title:** Manager , Commercial Contracts **Requisition Number:** 116976 - 70 **Function:** Business Support Services **Area of Interest:** **State:** OH ... your future as we are, join our team. KPMG is currently seeking a Manager , Contracts to join our Enterprise Commercial Contracting team. Responsibilities: + Apply a… more