• Patient Support Medical /Biller…

    IQVIA (Cleveland, OH)
    …to announce that currently we are looking for a 100% remote (work from home -WFH) contact **Patient Support Medical Claims Processing Representative** to join ... **Patient Support Medical Claims Processing ​ Representative** _Contract...improve patient outcomes and population health worldwide. Learn more at https://jobs.iqvia.com IQVIA is proud to be an equal… more
    IQVIA (05/02/25)
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  • Work at Home Customer Service…

    Morley (Columbus, OH)
    …This position starts at $13 per hour. **_What to Expect_** As a Work at Home Customer Service Advisor at Morley, you'll help customers, health care ... time | Remote - Ohio residents_** Looking for a work-from- home opportunity that will help you make the move...are time sensitive **_Nice to Have_** + Experience in medical claims reimbursements or medical more
    Morley (05/31/25)
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  • Assistant General Counsel - At

    Cardinal Health (Columbus, OH)
    …a leading mail order supply company focused on diabetic patients, (3) Cardinal Health at - Home , a direct-to- home medical supplies distributor, and (4) ... - Home Solutions ("AHS") business clients, a leading home healthcare medical supplies provider serving people...with critical products and services required for hospital-level care at home . Candidates should be adaptable, team-oriented,… more
    Cardinal Health (05/29/25)
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  • Specialized Technical Automotive Consultant (Work…

    Morley (Columbus, OH)
    …experience + Typing skills **_Remote Work Requirements_** + Ohio resident + High-speed internet access at home that you are able to connect to via Ethernet or ... and leverage your extensive auto tech experience in a work-from- home role at Morley? Support a domestic...+ Receive a steady paycheck and excellent benefits including medical , dental, vision and life insurance; 401(k) with match;… more
    Morley (05/29/25)
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  • Corporate Medical Director - Medicare…

    Humana (Columbus, OH)
    …with health insurance organizations, hospitals and other healthcare providers, patient interaction, etc. **Work at Home Guidance** To ensure Home or Hybrid ... The Corporate Medical Director (CMD) relies on medical background to review health claims and...Home /Office associates must meet the following criteria: + At minimum, a download speed of 25 Mbps and… more
    Humana (04/24/25)
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  • Medical Director - Care Plus - Florida

    Humana (Columbus, OH)
    …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background,... Specialty + A current and unrestricted license in at least one jurisdiction and willing to obtain additional… more
    Humana (04/24/25)
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  • Medical Director - Medicaid N. Central

    Humana (Columbus, OH)
    …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement… more
    Humana (05/14/25)
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  • Medical Director (Marketplace)

    Molina Healthcare (OH)
    …retrospective reviews of claims and appeals and resolves grievances related to medical quality of care. + Attends or chairs committees as required such as ... Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of policies and… more
    Molina Healthcare (06/06/25)
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  • Director, Grievance and Appeals

    Humana (Columbus, OH)
    …degree + Strong knowledge of CMS Grievance regulations **Additional Information** Work at Home /Remote Requirements **Work- At - Home Requirements** + ... efficiencies + Collaborates with upstream business partners such as Claims , Clinical Guidance, and the Provider Network to identify...Home /Office associates must meet the following criteria: + At minimum, a download speed of 25 Mbps and… more
    Humana (05/30/25)
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  • Senior Encounter Data Management Professional

    Humana (Columbus, OH)
    …skills to make an impact** **Required Qualifications** **5 years of medical claims processing/auditing or encounter data management experience** **Demonstrated ... team leadership experience** **Demonstrated experience in managing projects effectively** ** Medical claims experience** **Additional Information** **_This position… more
    Humana (05/31/25)
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