- Molina Healthcare (Cincinnati, OH)
- …advanced SQL queries to extract, validate, and analyze healthcare data, including claims , authorization, pharmacy, and lab datasets. * Build and maintain efficient ... technical decisions. **JOB QUALIFICATIONS** **Required Education** * Bachelor's or Associate 's degree in Data Science, Computer Science, Analytics, Information… more
- Parker Hannifin Corporation (Cleveland, OH)
- …Apply Now > Save JobJob Saved SUMMARY: The Supply Chain Leadership Development Associate (SCM LDA) is a role that combines the development aspects of Parker's ... between suppliers and company personnel. + Negotiate and settle damage claims , rejections, losses, return of materials, over-shipments, cancellations and engineering… more
- 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 ... to travel and participate in legal proceedings, arbitrations, depositions, etc. ** Preferred Qualifications** 1-3 years experience working on health care fraud,… more
- Molina Healthcare (Dayton, OH)
- …advanced SQL queries to extract, validate, and analyze healthcare data, including claims , pharmacy, and lab datasets. + Build and maintain efficient ETL pipelines ... eligibility) to guide technical decisions. REQUIRED EDUCATION: + Bachelor's or Associate 's degree in Data Science, Computer Science, Analytics, Information Systems,… more
- Humana (Columbus, OH)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... and/or home health or post acute services such as inpatient rehabilitation. ** Preferred Qualifications** + Knowledge of the managed care industry including Medicare… more
- ProMedica Health System (Toledo, OH)
- …practices, including regulatory changes or updates. Reviews medical record documentation and claims data to ensure compliance with CMS and payer guidelines and ... or less radius for required in person meetings. REQUIRED QUALIFICATIONS Education: Associate degree, preferably in a health information management or related field.… more