• Grievances & Appeals Representative

    Humana (Columbus, OH)
    …ability to read, write, and speak English and Spanish o Experience with the Claims Administration System (CAS) o Experience working with MHK (MedHOK) o Knowledge ... focused on continuously improving consumer experiences **Preferred Qualifications** o Associate 's or Bachelor's Degree o Prior experience with Medicare o… more
    Humana (11/21/25)
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  • Director, Plan Operations & Administration

    AmeriHealth Caritas (Dublin, OH)
    …corrective actions as needed. + Oversee provider contract data submission for accurate system configuration and claims payment. + Manage internal operations and ... and local operations. **Work Arrangement:** + Hybrid - The associate must be in the office at least 2...coordinate corporate functions supporting claims processing and encounter data submissions. + Maintain current… more
    AmeriHealth Caritas (11/21/25)
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  • Editorial Lead

    Abbott (Columbus, OH)
    …and scientists. **The Opportunity** The Editorial Lead, reporting to the Associate Creative Director for Creative Operations, leads will oversee our editorial ... and ensure content meets compliance standards. + Track and update Veeva claims , ensuring accurate documentation and timely communication of changes to relevant… more
    Abbott (11/18/25)
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  • Authorization Specialist

    UPMC (Steubenville, OH)
    …work and to avoid a negative financial impact. + 3. Utilizes 18+ UPMC system and insurance payor or contracted provider web sites to perform prior authorization, ... + 1. Resolves basic authorization edits to ensure timely claim filing and elimination of payor rejections and or...hospital, doctor's office, or ambulatory clinic) + OR an Associate 's degree and 1 year of experience in a… more
    UPMC (11/13/25)
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  • Parking Attendant, Shuttle Driver (Riverside)

    OhioHealth (Columbus, OH)
    **We are more than a health system . We are a belief system .** We believe wellness and sickness are both part of a lifelong partnership, and that everyone could ... to owners when appropriate. * Track all vehicles with valet lot sheet and valet claim tickets, include all information in both documents. * Keep entry areas clear of… more
    OhioHealth (11/09/25)
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  • Lead Pharmacy Technician-Pharmacy Dept-St.…

    Bon Secours Mercy Health (Youngstown, OH)
    …Proficient Processing Prescriptions Dispensing Prescriptions Robotic Dispensing Systems Performance Improvement Packaging Medications Insurance Claim ... dispensing practices by maintaining and optimizing pharmacy automation and/or IT systems and ensuring compliance of new staff training." *Assures the accurate… more
    Bon Secours Mercy Health (10/22/25)
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  • Operations Manager

    Voltyx (West Chester, OH)
    …energy, data centers, and industrial industries.** At Electric Power Systems , we specialize in electrical acceptance testing, commissioning, and maintenance ... the testing, commissioning and maintenance of electrical distribution and transmission systems for clients. Provide technical support for technicians in the field.… more
    Voltyx (10/14/25)
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  • Technology Lead

    Humana (Columbus, OH)
    …outside of Finance. The Technology Implementation Lead gathers and documents business system and functional requirements, influences system design to optimize ... field + 2 or more years of project leadership experience + Knowledge of Systems Development Life Cycle - setup, testing, requirements, etc. + Experience in IT… more
    Humana (11/24/25)
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  • FEP Performance Specialist (US)

    Elevance Health (Cincinnati, OH)
    …+ Trains associates on all upskilling of customer service and claims to include providing professional medical service facility correspondence, usage of ... needs for associates by conducting side by side training to enhance associate performance and increase member satisfaction outcomes. + Assists Training Quality and… more
    Elevance Health (11/22/25)
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  • Branch Operations Supervisor

    Lowe's (Grove City, OH)
    …team. This role also engages with associates to assist them through associate relations related issues experienced with the organization and/or with other associates ... near misses and injuries, and equipment incidents; completes accident reports for associate injuries Team Leadership * Assists associates with HR related issues… more
    Lowe's (11/15/25)
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