• IRE Grievance & Appeals Mgr II

    Elevance Health (Cincinnati, OH)
    ** Manager II Grievance/ Appeals ** **- Claims Support** **Office Locations:** _The selected candidate must reside within a reasonable commuting distance of the ... unless an accommodation is granted as required by law._ The ** Manager II Grievance/ Appeals ** responsible for management oversight of grievances and appeals … more
    Elevance Health (07/15/25)
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  • Director, Appeals & Grievances (Medicare)

    Molina Healthcare (Cleveland, OH)
    …leading, organizing and directing the activities of the Medicare Duals Grievance and Appeals Unit that is responsible for reviewing and resolving member and provider ... complaints, appeals , and claim disputes, and communicating resolution to members,... and grievance processing/resolution, including 3 years in a manager role. * Experience with Medicare Regulations, Medicare Duals,… more
    Molina Healthcare (07/20/25)
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  • Director, Appeals & Grievances (Medicare…

    Molina Healthcare (Akron, OH)
    …and directing the activities of the Medicare Contracted Provider Post-Pay Claim Appeals and Disputes in accordance with the standards and requirements established by ... the activities of the Medicare Contracted Provider Post-Pay Claim Appeals and Disputes that is responsible for reviewing and... and grievance processing/resolution, including 2 years in a manager role. * Experience reviewing all types of medical… more
    Molina Healthcare (07/18/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Cleveland, OH)
    …request authorization. Strongly prefer candidates with a background in appeals and grievances. Excellent computer multi-tasking skills and good productivity ... office with internet connectivity of high speed required **Job Summary** Clinical Appeals is responsible for making appropriate and correct clinical decisions for … more
    Molina Healthcare (08/02/25)
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  • Development Manager (Part-Time)

    WestCare Foundation (Dayton, OH)
    Development Manager (Part-Time) Job Details Job Location Dayton - 624 Xenia - Dayton, OH Position Type Part Time Education Level High School Salary Range $30.00 - ... Hourly Job Category Sales Description Position Summary: The Development Manager is responsible for all annual major gift and...print and media materials used for fundraising campaigns and appeals (ie, website, press releases, appeals , PSA's,… more
    WestCare Foundation (07/12/25)
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  • Field Reimbursement Manager

    Adecco US, Inc. (Cincinnati, OH)
    Adecco is assisting a local client recruiting for **Field Reimbursement Manager ** opportunities in **Cincinnati, OH** . This is an excellent opportunity to join a ... and a mission to make a real difference in healthcare. If **Field Reimbursement Manager ** sounds like something you would be interested in, and you meet the… more
    Adecco US, Inc. (07/29/25)
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  • Field Reimbursement Manager

    Adecco US, Inc. (Columbus, OH)
    Adecco is assisting a local client recruiting for **Field Reimbursement Manager ** opportunities in **Remote - Work From Home (NY-based territory)** . This is an ... and empowers healthcare providers with critical reimbursement education. If **Field Reimbursement Manager ** sounds like something you would be interested in, and you… more
    Adecco US, Inc. (07/08/25)
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  • Product Manager Power Components

    Ralliant (Columbus, OH)
    **Job Title:** Product Manager **Location:** Remote, USA **Job Summary:** As a key contributor within Hengstler-Dynapar, the **Product Manager ** will guide the ... aligns with the company's business objectives while collaborating cross-functionally. The Product Manager will work closely with all functions within our company to… more
    Ralliant (07/23/25)
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  • Benefits Manager

    Materion (Cleveland, OH)
    …opportunity to grow. Join us! We are looking for a dedicated and knowledgeable Benefits Manager to join our Human Resources team. The Benefits Manager will be ... COBRA administration, Retirement Savings Plan, and Pension Plan. The Benefits Manager will also assist with planning and interpretation of pertinent company… more
    Materion (07/10/25)
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  • LTSS Service Coordinator (Case Manager )

    Elevance Health (Mason, OH)
    **LTSS Service Coordinator (Case Manager )** **Hiring statewide across Ohio** **Location** : This field-based role enables associates to primarily operate in the ... + Assists and participates in appeal or fair hearings, member grievances, appeals , and state audits. **Minimum Requirements:** + Requires BA/BS degree and a… more
    Elevance Health (07/15/25)
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