• Pharmacy Operations Manager

    Walgreens (Ashtabula, OH)
    …pharmacy errors and the Continuous Quality Improvement Program. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent ... payment rejections. Follows-up with insurance companies as well as medical providers and conducts or participates in 3rd party audit. + Assists and supports Store Manager and Pharmacy Manager in analyzing and seeking to improve pharmacy financials, operational… more
    Walgreens (10/14/25)
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  • Pharmacy Intern Grad

    Walgreens (Cuyahoga Falls, OH)
    …enhancements to pharmacy systems to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent ... payment rejections. Follows-up with insurance companies as well as medical providers and participates in 3rd party audit. + Follows-up with medical providers' offices to clarify prescribed medications, dosages, refills, interactions and allergies to suggest… more
    Walgreens (10/11/25)
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  • Disability Representative Sr.

    Sedgwick (New Albany, OH)
    …: **At Sedgwick,** **caring counts** **. We're a global leader in claims management, and we're looking for experienced, compassionate professionals to join us ... you'll be a trusted guide for individuals navigating complex disability claims . You'll use your expertise to assess medical documentation, determine benefits,… more
    Sedgwick (10/01/25)
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  • General & Product Liability Complex Claim Examiner…

    Sedgwick (Dayton, OH)
    …- Hybrid **PRIMARY PURPOSE** : To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims ... involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service… more
    Sedgwick (09/23/25)
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  • Workers' Compensation Specialist

    Leaffilter (Hudson, OH)
    …and other relevant parties to facilitate information exchange and expedite claim processing . Track, compile, and analyze data on claims frequency, severity, ... DEI Committee, Women's Committee. Position Summary: The Workers' Compensation Specialist manages claims from intake to resolution, serving as a resource and liaison… more
    Leaffilter (10/14/25)
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  • Accounts Receivable, Customer Service Operations

    Cardinal Health (Columbus, OH)
    …and transmitting claims using billing software including electronic and paper claim processing + Following up on unpaid claims within standard billing cycle ... for verifying patient insurance and benefits, preparing and submitting claims to payers, correcting rejected claims , following...and submitting claims to payers, correcting rejected claims , following up on unpaid and denied claims… more
    Cardinal Health (09/05/25)
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  • Director, Appeals & Grievances (Remote)

    Molina Healthcare (Columbus, OH)
    …appeals experience. **Required Experience** * 7 years experience in healthcare claims review and/or member appeals and grievance processing /resolution, including ... Medicare standards and requirements related to non-contracted provider dispute/appeals processing . * Establishes member and non-contracted provider grievance/dispute and… more
    Molina Healthcare (09/26/25)
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  • Associate Director, MSAT, Downstream Drug…

    Otsuka America Pharmaceutical Inc. (Columbus, OH)
    …as the primary technical subject matter expert (SME) for downstream processing (chromatography, TFF/UFDF, viral clearance/filtration, etc.). + Lead and manage the ... regulatory submissions (IND, BLA, MAA, etc.) related to downstream processing . + Collaborate closely with Upstream MSAT, Validation MSAT,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
    Otsuka America Pharmaceutical Inc. (07/18/25)
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  • Manager, Supply Chain

    Otsuka America Pharmaceutical Inc. (Columbus, OH)
    …in ERP system. + Manage 3PL processes for inventory, returns and claims , recall activities and reporting, and product destructions. + Manage inventory reporting ... distribution state license submissions and renewals with Legal and processing vendor. + Manage international and intercompany order and...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
    Otsuka America Pharmaceutical Inc. (09/10/25)
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  • Risk Administrative Assistant

    First Student (Cincinnati, OH)
    …industry has to offer.** **About the Position** **Key Responsibilities:** + Support Claims Adjusters in the intake, documentation, and processing of ... regulations. + Maintain accurate and up-to-date electronic claim files in the claims management system. + Prepare and send claim-related communications such as… more
    First Student (10/11/25)
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