- 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
- Elevance Health (Columbus, OH)
- …+ **Real-time Decisioning & Analytics (RDA)** + **Cost of Care / Payment Integrity ** + **Care Management / Utilization Management (CM/UM) Modernization** ... ** Manager , Medical Director - Transformation Initiatives** Location: This...preferred. + Experience advising medical cost management, utilization management, payment integrity , or provider performance programs preferred.… 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
- Lincoln Financial (Columbus, OH)
- …#:** 75260 **The Role at a Glance** We are excited to bring on an **Account Manager ** to our Retirement Plan Services business line to work from home or partially in ... of a growing and evolving team. As an Account Manager , you will work closely with our Relationship Managers,...+ Free financial counseling, health coaching and employee assistance program + Tuition assistance program + Work… more
- Lincoln Financial (Columbus, OH)
- …**The Role at a Glance** Lincoln has an opening for a **Relationship Manager ** who is passionate about helping plan sponsors and financial professionals deliver the ... best retirement plan experience possible. As a Relationship Manager , you will lead an experienced and dynamic service...+ Free financial counseling, health coaching and employee assistance program + Tuition assistance program + Work… 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
- Huntington National Bank (Columbus, OH)
- …banking or payments industry. + Knowledge of payments processing, payment networks, and relevant regulatory frameworks. Preferred Qualifications: + Certifications ... such as Certified Risk Manager (CRM), Certified Risk Professional (CRP), or Certified Information...of commitment to quality work product and organizational ethics, integrity and compliance + Strong interpersonal skills and 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
- 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 ... 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
- 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
- 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)
- …Mainframe teams to complete application installs/decommissions + Work with Portfolio Manager deliver IAM projects and key milestones. + Consult with business ... (AD), public key infrastructure (PKI), privileged accounts and integration application program interface (API) capabilities. + Track record acting with integrity… more