• Special Investigation Unit Lead Review…

    CVS Health (Columbus, OH)
    …in a prepayment environment - Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, etc. - Researches and prepares cases ... working Behavioral Health fraud cases **Education** A Bachelor's degree, or an Associate 's degree, with an additional three years (3 years total) working on… more
    CVS Health (08/14/25)
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  • Utilization Management Senior Business…

    Molina Healthcare (Columbus, OH)
    …Perform research and analysis of complex healthcare utilization and performance date, claims data, pharmacy data, and lab data regarding utilization and cost ... similar functions for other staff. **Job Qualifications** **Required Education** Associate 's Degree or equivalent combination of education and experience **Required… more
    Molina Healthcare (08/02/25)
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  • Outpatient Coder

    Dayton Children's Hospital (Dayton, OH)
    …timeHours:40Job Details:Under general supervision of the Coding Manager, the Coding Analyst supports Dayton Children's goals for reimbursement through accurate and ... diagnostic and procedural codes for the services provided for clean claim submission Department Specific Job Details: Shift + Monday-Friday 8am-5pm (flexible)… more
    Dayton Children's Hospital (07/31/25)
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