- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- **Job Summary** We are seeking an experienced and dynamic Executive Director of R&D Global Quality to join our team. This pivotal role will be responsible for ... ready, oversee clinical trial and submission support, lead the R&D audit program, engage with regulatory authorities, and maintain clinical data integrity.… more
- Humana (Columbus, OH)
- …and help us put health first** Humana is seeking a forward-thinking Associate Director for Human Resources Technology to join our HRIT leadership team. In this ... Manage third-party vendors and contracts-including SLAs, renewals, and RFPs-ensuring service quality, cost-effectiveness, and future scalability. + Collaborate with… more
- OhioHealth (Columbus, OH)
- …for the coordination of any new inpatient, outpatient or professional payment methodology impacting coding, abstracting, and hospital or professional reimbursement. ... The HIM Coding Director acts as liaison with other departments/practices to support...liaison with other departments/practices to support coding of new services /practices. He/She will have operational responsibilities within Revenue Cycle… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …protocols which align with Bon Secours Mercy Health's overall compliance audit and compliance responsibilities relative to hospital revenue cycle services ... processing policies and procedures for the development of compliance internal monitors and audit protocols and the prevention of fraud, waste and abuse. + Develops… more
- Humana (Columbus, OH)
- …Compliance team that supports the PCO is responsibility to assess, investigate, audit and validate the mitigation of compliance risk across the organization. This ... mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance, by ensuring compliance with governmental requirements for… more
- PNC (Strongsville, OH)
- …24x7 support. Job Duties include but not limited to; * Working with the Director or Senior Manager of Enterprise Event Management and all response teams to develop ... aspect of business continuity. Partners with the business in relationships with audit and government regulators on business continuity issues. + Leads a functional… more
- Molina Healthcare (Cincinnati, OH)
- …+ Responsible for encounters accuracy & completeness (ie, Encounter Production, Audit , Production Vendor Oversight) for assigned lines of business. Responsible for ... costs. + Ability to influence across multiple organizational functions - Payment Integrity, Claims, Encounters, Finance, and Actuarial + Proven experience in… more
- ProMedica Health System (Toledo, OH)
- REPORTING RELATIONSHIPS/SUPERVISORY RESPONSIBILITIES This position reports to the Director , Professional Coding, Audit & Education has no direct reports. ... and medical terminology. In-depth knowledge of reimbursement systems and prospective payment methodologies. Must be detail orientated and have the ability to… more