- Sedgwick (Dayton, OH)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Medicare Specialist ( Remote ) **PRIMARY PURPOSE** **:** To coordinate, ... analyze and facilitate Medicare Compliance and Medicare Set-Aside (MSA) functions within the assigned team. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** +… more
- Trinity Health (Columbus, OH)
- …Full time **Shift:** **Description:** This position is fully remote **Why Mount Carmel?** With five hospitals (https://www.mountcarmelhealth.com/find-a-location/) , ... (https://www.mcmg.mountcarmelhealth.com/) , a college of nursing (https://www.mccn.edu/) , a Medicare Advantage plan (https://www.medigold.com/) , and extensive outreach and… more
- Medical Mutual of Ohio (OH)
- … Medicare Supplement, and individual plans. **Responsibilities** **Membership Services Specialist I** Processes routine and/or less complex enrollment and billing ... **_This position has the option to work hybrid or fully remote ; Ohio residents preferred._** Founded in 1934, Medical Mutual is the oldest and one of the largest… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Medical Mutual' s ... to generate varied and moderately complex materials. **Responsibilities** **Member Communications Specialist II** . Writes and edits content for varied and… more
- Medical Mutual of Ohio (OH)
- …quarterly on-site requirement in Brooklyn, OH_** **Responsibilities** **Business Systems Specialist I** Works with management, external vendors, and Information ... staff. . Performs other duties as assigned. **Business Systems Specialist II** Works with management, external vendors, and Information...keyboard, mouse and headset. + Whether you are working remote or in the office, employees have access to… more
- Medical Mutual of Ohio (Brooklyn, OH)
- The Sr. Organizational Development Specialist designs, develops and implements broad scope/complex employee- and leadership-level organizational development (OD) and ... hybrid role in Brooklyn, OH. **Responsibilities** The Sr. Organizational Development Specialist will be critical in developing Medical Mutual's organizational change… more
- Highmark Health (Columbus, OH)
- …Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but ... (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment… more
- Highmark Health (Columbus, OH)
- …Plan and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and/or Affordable Care Act (ACA) using skills including but ... Coding, medical coding, clinical terminology and anatomy/physiology, and Centers for Medicare and Medicaid Services (CMS) coding guidelines. Works closely with team… more
- Merck (Columbus, OH)
- …with a driven, customer-focused, and collaborative team. As an Oncology Sales Representative/ Specialist , you will be a key member partnering with customers to ... Team Leader, Key Account Manager, Nurse Educator, Field Reimbursement Associate, Medicare Account Executive, and more. **Minimum Requirements:** + Bachelor's degree… more
- Medical Mutual of Ohio (Columbus, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Medical Mutual' s ... individual policies in the market. . Performs other duties as assigned \#LI- REMOTE **Education and Experience:** * Bachelor's degree in marketing, business or… more
- Medical Mutual of Ohio (Brooklyn, OH)
- **_The Claims/Customer Care Specialist - TPA position allows you the flexibility to work at home as long as you reside within a 50-mile radius of the Brooklyn, Ohio ... fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Medical Mutual' s… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Medical Mutual' s ... experience. . 7 years progressive experience as a Corporate Communications Specialist , or equivalent journalism or corporate communications experience, preferably in… more
- Humana (Columbus, OH)
- …will be responsible for leading the operational performance of Value-Based Specialist Programs within the Service Fund organization. Overseeing a team of ... and practices available to collect, integrate, analyze, and present Value-Based Specialist Program data to create insightful and actionable business information.… more
- Somatus (Toledo, OH)
- Overview **Somatus offers a Hybrid Telehealth environment with a combination of remote days and visits to members' homes.** This position will be focused on high ... on a monthly basis Qualifications _Required_ + Experience working with Medicare , Medicaid or Special Needs populations. + Medical Assistant, Licensed Practical… more
- CVS Health (Columbus, OH)
- …personal, convenient and affordable. Requisition Job Description Position Summary This is a full-time remote role with a requirement to reside in any state in CST or ... and recommendations as indicated- Make referrals to Social Worker and/or BH specialist as indicated Required Qualifications + 3+ years clinical experience required… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …compliance risk areas highlighted by the Office of Inspector General (OIG), Medicare , State Medicaid, State Insurance Fraud, Managed Care or Governmental Value-Based ... networking + Ensures that the Director, Compliance is apprised of local, remote and client-network emerging issues, adverse outcomes and/or deficiencies that could… more