- Sedgwick (Cincinnati, OH)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Director Complex Claims **PRIMARY PURPOSE** **:** To be responsible for ... managing SIU investigations of complex fraud schemes involving providers, vendors, attorneys and others;...degree from an accredited college or university preferred. Fraud Claims Law Associate (FCLA), Certified Insurance Fraud Investigator (CIFI),… more
- J&J Family of Companies (Cincinnati, OH)
- …Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less ... Posting Locations:** Cincinnati, Ohio, United States of America **Job Description:** ** Director , Health Economics and Market Access - Endomechanical and Energy**… more
- Molina Healthcare (Covington, KY)
- …with federal and state laws. Negotiates and services larger and more complex market/national/group-based providers in accordance with company standards in order to ... expectations * Evaluates, negotiates and supports larger and more complex market/national/group-based providers in compliance with company standards while meeting… more
- Molina Healthcare (Cincinnati, OH)
- …contracting negotiations and understanding of alternative arrangements. Maintains critical Complex provider information on claims and provider databases. ... federal, state and local regulations. Responsible for contracting/re-contracting of Complex contracts with Alternative Payment Methods including but not limited… more