- Walmart (Groveport, OH)
- **Position Summary ** **Are you currently a Walmart associate ?** Please login to your Workday account and use the Find Jobs report to apply for this job. + Find Jobs ... buildings and food safety audits Creates audit reports Acts as an associate interface for workers compensation issues Obtain necessary records Analyzes and reports… more
- CVS Health (Columbus, OH)
- …members or providers regarding services via telephone, fax, EDI. - Utilizes Aetna system to build, research and enter member information. - Screens requests for ... internally and externally to enhance effectiveness of medical management services (eg, claim administrators, Plan Sponsors, and third-party payers as well as member,… more
- Highmark Health (Columbus, OH)
- …supporting the Epic Resolute Hospital Billing application. Responsibilities include business/ systems analysis, requirements definition and documentation, system ... design, and problem resolution. The analyst communicates with system end-users to understand issues and implement solutions. **ESSENTIAL RESPONSIBILITIES** + Plans,… more
- CVS Health (Columbus, OH)
- …heart, each and every day. **Position Summary** As a Care Management Associate you will be supporting comprehensive coordination of medical services including Care ... other Specialty Programs. + Utilizes Med Compass and Aetna systems to build, research and enter member information as...+ May assist in the research and resolution of claims payment issues - Supports the administration of the… more
- JPMorgan Chase (Columbus, OH)
- …goals in the dynamic environment of financial services. As an Experience Design Senior Associate in Claims , Disputes and Fraud Operations, you will play a ... Your strong understanding of the financial services industry and JPMC's IT systems will contribute to the continuous improvement of our offerings, navigating complex… more
- Molina Healthcare (Akron, OH)
- …the credentialing database necessary for processing of recredentialing applications. * Reviews claims payment systems to determine provider status, as necessary. ... and request any missing information. * Updates credentialing software systems with required information. * Requests recredentialing applications from providers… more
- Ryder System (Etna, OH)
- …from a Ryder Supply Chain Employee: https://RyderCareers.Video/Warehouse-Job We want the right Warehouse Associate to join us at Ryder and work in the Safest Supply ... products (Excel, Word, and PowerPoint) + Knowledge of WMS systems preferred + Experience operating forklift equipment preferred +...loads not picked up by the carrier, and damage claims + Coordinates processing of export orders, filling out… more
- Highmark Health (Columbus, OH)
- …inquiries concerning oral, injectable and infusion medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly ... information system . + Enter all authorizations into the Argus IPNS information system to allow claim adjudication. + Complete other assigned duties as… more
- Highmark Health (Columbus, OH)
- …for basic to moderately complex problem solving and understanding of system functionality. The incumbent reviews significant amounts of information and analyzes ... or Business Process Analyst role or experience in a related operational area (eg claims , billing, customer service, etc.) **Preferred** + 0 - 1 year in the Health… more
- OhioHealth (Columbus, OH)
- …review and oversight of practitioner claim trends from the organization's claims /incidence database. In partnering with System Quality, this role also ... **We are more than a health system . We are a belief system .**...reputational, or financial. This position will include reviewing potential claims for reporting to the OGC. This role is… more