• Regulatory Affairs Specialist

    Kelly Services (Beachwood, OH)
    …regulatory requirements (including product testing, clinical data, etc.), product claims and country regulatory dependencies to ensure optimized sequencing for ... approves advertising and promotion material to ensure consistency with approved claims and regulatory requirements. + Contributes to writing and editing technical… more
    Kelly Services (10/07/25)
    - Related Jobs

  • Senior Managed Care Operations (MCO) Project…

    Molina Healthcare (Columbus, OH)
    …system development lifecycle methodologies **Knowledge:** + Experienced in working with claims and claim configuration teams to streamline adjudication and resolve ... claim processing issues + Familiar with payment integrity and other...processes + Direct PM experience in Managed Care Operations ( claims , system configuration, provider data management preferred) + Demonstrated… more
    Molina Healthcare (10/05/25)
    - Related Jobs

  • Pharmacy Technician- Community Markets

    Fresh Encounter (Oak Harbor, OH)
    …Assist patients who are dropping off or picking up prescription orders and expedite processing as necessary and allowable by policy or law. + Verifies name and ... + Communicate with insurance carriers to obtain payment for prescription claims and answer patient's insurance-related questions + Prepare insurance claims… more
    Fresh Encounter (10/05/25)
    - Related Jobs

  • Clinical Fraud Investigator II - Registered Nurse…

    Elevance Health (Mason, OH)
    …+ Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and ... fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related questions as… more
    Elevance Health (10/03/25)
    - Related Jobs

  • Assistant Medical Director

    Medical Mutual of Ohio (OH)
    …and determinations. + Provides pre-determination reviews and reviews of claims determinations, providing clinical, coding and reimbursement expertise. + Ensures ... Knowledge:** + Foundational windows-based computer skills, including typing, word processing , presentation, and internet research skills. + Strong understanding of… more
    Medical Mutual of Ohio (10/02/25)
    - Related Jobs

  • Work at Home Customer Service Advisor (Ohio…

    Morley (Columbus, OH)
    …queues are time sensitive **_Nice to Have_** + Experience in medical claims reimbursements or medical billing + Conversant in health insurance industry terminology ... applicable certificates and riders, and benefits as related to inquiry processing + Knowledge of customer service techniques **_Remote Work Requirements_** +… more
    Morley (09/23/25)
    - Related Jobs

  • Senior Coordinator, Collections

    Cardinal Health (Columbus, OH)
    …to patient care + Consults with appeals department for disputed / denied claims . + Works / Understands electronic claim interchange + Understands life cycle of ... primary and secondary claims + Maintains front office support relationship + Takes...accomplishing related results as needed. + Ensures that all processing and reporting deadlines are consistently achieved. + Perform… more
    Cardinal Health (09/15/25)
    - Related Jobs

  • Lead Solar Technician - Sycamore Creek Solar

    Geronimo Power (Crawford County, OH)
    …Assist the Area Manager to administer warranties. Submit and track warranty claims . Track all on loan parts and reconcile with appropriate parties Participate ... Assist the Area Manager to administer warranties. Submit and track warranty claims . Track all on loan parts and reconcile with appropriate parties Assist… more
    Geronimo Power (08/31/25)
    - Related Jobs

  • General Clerk III

    UIC Government Services and the Bowhead Family of Companies (Cleveland, OH)
    …required. + Extensive computer/PC knowledge required including; spreadsheet software, word processing software and knowledge of MS Office Suite. + Must be ... and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual… more
    UIC Government Services and the Bowhead Family of Companies (07/18/25)
    - Related Jobs

  • Accounting Associate

    Aston Carter (Sharon Center, OH)
    …a variety of accounting and administrative functions. Responsibilities + Assist with processing of invoice entries and other various accounts payable duties. + ... protective insurance. + Assist with force account accident insurance and at-fault claims for reimbursement. + Perform additional assignments as directed by Senior… more
    Aston Carter (10/14/25)
    - Related Jobs