- The Hartford (Columbus, OH)
- …business process efficiency through triaging, automation and AI tooling, drive risk selection and prospecting prioritization, and embed advanced analytics of all ... and develop staff and effectively calibrate the approach to staffing including budget management + Lead the identification of new data sources and embed modern AI… more
- Burns & McDonnell (Columbus, OH)
- …and project related items. + Assist in the development of internal and external project risk reviews with the Project Management team and consult with the Legal ... administration, including Request for Information (RFI's), submittals, meeting minutes, change management , and claims mitigation. + Support project cost… more
- O'Neal Industries, Inc. (Hamilton, OH)
- …the provider assessment report and other required documents. + Conducts supplier risk assessments in alignment with product management to ensure comprehensive ... Description ESSENTIAL DUTIES AND RESPONSIBILITIES SUPPLIER PROCESS MANAGEMENT + Develops and administers the supplier scorecard process in conjunction with Quality… more
- Fifth Third Bank, NA (Cincinnati, OH)
- …strict servicing guidelines throughout the defaultcycle. Responsible and accountable for risk by openly exchanging ideas and opinions, elevating concerns, and ... drive a positive customer experience. While operating within the Bank's risk appetite, achieves results by consistently identifying, assessing, managing, monitoring,… more
- Highmark Health (Columbus, OH)
- …analytical and communication skills Preferred + Associate's Degree + 3 years with claims processing and data management + Past auditing and strong ... areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in… more
- Ricoh Americas Corporation (Parma, OH)
- …are capable and qualified. + Utilizes methods such as Lean, Six Sigma, and risk management tools to monitor and drive process improvement activities. + Works ... personnel. Job Duties and Responsibilities **Quality System Development and Management ** + Manages and continuously improves the organization's quality systems,… more
- CVS Health (Columbus, OH)
- …each and every day. Are you a strategic thinker with a passion for risk analysis and underwriting excellence? Join our dynamic team as an **Underwriter** , where ... driving business growth. What You'll Do + **Lead with Insight:** Analyze and assess risk for new and renewal employer group contracts across a diverse book of… more
- CVS Health (New Albany, OH)
- …- Reviews prior claims to address potential impact on current case management and eligibility. - Assessments include the member's level of work capacity and ... and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member… more
- Molina Healthcare (OH)
- …contracted provider network. They are responsible for network management including provider education, communication, satisfaction, issue intake, access/availability ... occur to discuss and resolve issues related to utilization management , pharmacy, quality of care, and correct coding. *...2 - 3 years customer service, provider service, or claims experience in a managed care setting. * Working… more
- HUB International (Cincinnati, OH)
- …a leading full-service global insurance broker and financial services firm providing risk management , insurance, employee benefits, retirement and wealth ... Our Benefit Consultants are responsible for the overall strategic management of a block of current clients; the primary...Care Reform + Lead and develop strategy based on claims data analytics + Listen and counsel on key… more