- Humana (Columbus, OH)
- …development, and 3 tier software development and technical support for critical systems . In this role, you will teach and collaborate with business stakeholders, ... + Strong experience with healthcare data, particularly clinical and claims data used in **HEDIS measurement** + Familiarity with...X12). + Advanced in SQL, SAS and other data systems + Expertise in data mining, forecasting, simulation, and/or… more
- Highmark Health (Columbus, OH)
- …standard to moderately complex problem solving and in-depth understanding of system functionality. The incumbent reviews significant amounts of information and ... recommends process improvements for efficiencies. May provide guidance to Associate level employees. **ESSENTIAL RESPONSIBILITIES** + Intake operational objectives… 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
- Elevance Health (Mason, OH)
- **Financial Operations Recovery Process Specialist** **Location:** _Virtual:_ This role enables associate to work virtually full-time, with the exception of required ... are accurate and complete. + May research operations workflow problems and system irregularities. + Assists with the development and testing of process improvement… more
- Humana (Columbus, OH)
- …across Humana to determine the access and availability of our provider network, + Systems thinker - Highly analytical with the ability to break down a problem and ... working within the healthcare field + Previous experience with medical claims + Project management experience **Additional Information** This role is considered… more
- Compass Group, North America (Oxford, OH)
- …+ Recruits and onboards frontline hires utilizing onboarding and payroll systems . + Accesses current recruitment processes and makes recommendations for improvement ... and properly executed. + Supports EEOC and law suit claims documentation and delivers training where needed on Performance...Off + Holiday Time Off (varies by site/state) + Associate Shopping Program + Health and Wellness Programs +… more
- Molina Healthcare (Cincinnati, OH)
- …member eligibility and covered benefits, Provider Portal, and status of submitted claims . * Ability to effectively communicate in a professionally setting. **Job ... in a fast paced, high volume environment **PREFERRED EDUCATION** : Associate 's Degree or equivalent combination of education and experience **PREFERRED EXPERIENCE**… more
- Molina Healthcare (Dayton, OH)
- …care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) * Advanced understanding on health care financial ... terms (eg, PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form). * Advanced… 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 ... products, or other Medical management organizations, hospitals/ Integrated Delivery Systems , health insurance, other healthcare providers, clinical group practice… more
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