- Molina Healthcare (Columbus, OH)
- …and distribute standard reports on schedule + Position reports to AVP, Payment Integrity Analytics **JOB QUALIFICATIONS** **REQUIRED EDUCATION** : + Bachelor's ... and/or Project management experience. + Managed Care experience - **_specifically within Payment Integrity , Claims Payment , Provider Relations Experience_**… more
- Molina Healthcare (Columbus, OH)
- …work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/ program management. **Job ... of external vendors. + Focuses on process improvement, organizational change management, program management and other processes relative to the business. + Leads and… more
- Molina Healthcare (Columbus, OH)
- …This role focuses on identifying and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will ... lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +...6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization… more
- Meta (Columbus, OH)
- …click "Apply to Job" online on this web page. **Required Skills:** Project Manager , Business Integrity Responsibilities: 1. Partner with product, engineering and ... to successfully identify, design, implement and test various safety and integrity initiatives. 2. Coordinate projects, making detailed plans to accomplish goals… more
- Molina Healthcare (Columbus, OH)
- …workflows and controls across intake, adjudication, adjustments, appeals/grievances, and payment integrity . + Technology Enablement: Oversee requirements, ... (Healthcare/Claims)** + Deep understanding of claims lifecycle, EDI transactions, payment integrity , provider data, appeals/grievances, and audit/compliance… more
- GovCIO (Columbus, OH)
- …reserves the right to modify base salary (as well as any other discretionary payment or compensation program ) at any time, including for reasons related to ... **Overview** GovCIO is currently hiring a Configuration Manager to support our client's contract needs. This position is fully remote and located within the… more
- Nelnet (Columbus, OH)
- Nelnet Business Services (NBS), a division of Nelnet, Inc., provides payment technology, education services, and learning management solutions to education and ... for people where they live, learn and work. The Head Start National Sales Manager serves as the official Head Start sales representative for FACTS Education Services… more
- Huntington National Bank (Columbus, OH)
- …and transparency. + Develop and execute a comprehensive ongoing monitoring program for Commercial Card Issuing and sponsorship activities. + Review operational ... sponsorship partners, ensuring compliance with regulations and Huntington's commitment to integrity . + Maintain expertise in Commercial Card compliance and related… more
- Turner & Townsend (Columbus, OH)
- …and fun company culture. Our clients value our proactive approach, depth of expertise, integrity and the quality we deliver. As a result, our people get to enjoy ... Description** **Turner & Townsend** is seeking an experienced **Cost Manager / Quantity Surveyor** to provide cost control and...on our key technology client's large-scale data center construction program . To be successful in this role you must… more
- Coinbase (Columbus, OH)
- …that make up this group which include Product Foundations (ie Identity, Payment , Risk, Proofing & Regulatory, Finhub), Machine Learning, Customer Experience, and ... embedding growth pods directly within teams across the organization. As an Engineering Manager on our team, you'll be driving this transformative shift within the… more
- Molina Healthcare (Columbus, OH)
- …level of care, inpatient readmission, and any opportunity identified by the payment Integrity analytical team; makes decisions and recommendations pertinent to ... for medical claim review activities. Responsible for ensuring timely claims payment processes, providing counsel to members regarding coverage and benefit… more
- Molina Healthcare (Columbus, OH)
- …Level of Care, Inpatient Readmission, and any opportunity identified by the Payment Integrity analytical team; requires decision making pertinent to clinical ... database + Provides supporting documentation for denial and modification of payment decisions + Independently re-evaluates medical claims and associated records by… more
- PNC (Columbus, OH)
- …on a regular basis. Some responsibilities may be performed remotely, at the manager 's discretion. As a part of the Retail Lending Digital organization, the Retail ... Lending Payments team is working to design and deliver a best-in-class Payment 's journey across all channels for our customers. You will be responsible for… more
- Nutanix (Columbus, OH)
- …reserves the right to modify base salary (as well as any other discretionary payment or compensation program ) at any time, including for reasons related to ... technologies and automation to achieve our goals. You will report to the Manager of Hybrid Cloud Operations, a dedicated mentor committed to supporting your… more
- GovCIO (Columbus, OH)
- …reserves the right to modify base salary (as well as any other discretionary payment or compensation program ) at any time, including for reasons related to ... and hardware) in networked or stand-alone configurations, maintains system integrity , and upgrades systems and/or servers as required. May...Virtual video interview conducted via video with the hiring manager and/or team + Camera must be on +… more
- GovCIO (Columbus, OH)
- …reserves the right to modify base salary (as well as any other discretionary payment or compensation program ) at any time, including for reasons related to ... to gather reporting requirements. + Ensure data accuracy and integrity in reports and dashboards. + Support infrastructure (on-prem...Virtual video interview conducted via video with the hiring manager and/or team + Camera must be on +… more
- GovCIO (Columbus, OH)
- …reserves the right to modify base salary (as well as any other discretionary payment or compensation program ) at any time, including for reasons related to ... standards, desktop management, software deployment, systems administration, and data integrity and recovery. Broad direct contact and work with...Virtual video interview conducted via video with the hiring manager and/or team + Camera must be on +… more
- Ryder System (Columbus, OH)
- …A FUTURE At Ryder, our most important competitive advantage is our people. _CULTURE- INTEGRITY - FAMILY_ . As an Operations Trainee, you'll be part of a dynamic team, ... cost savings, customer retention, and metric-based initiatives. This requires the Manager Trainee to work cross functionally across Operations, Asset Management,… more
- Huntington National Bank (Columbus, OH)
- …privacy standards and other industry standards and practices. + Work with Portfolio Manager to deliver IAM program strategy, roadmap, objectives, and key ... regulatory requirements and laws such as, but not limited to, Payment Card Industry (PCI), Federal Financial Institutions Examination Council (FFIEC), Sarbanes-Oxley… more
- Nutanix (Columbus, OH)
- …reserves the right to modify base salary (as well as any other discretionary payment or compensation program ) at any time, including for reasons related to ... globe. This team is committed to enhancing the cybersecurity integrity of our organization while fostering a supportive and...enhance our security posture. You will report to the Manager , Security Engineering, who is committed to empowering team… more