- Manulife (OH)
- …to ensure documentation is in accordance with our established guidelines. + Assist management with various research projects pertaining to risk assessment. + ... and complaints. + Review underwriting fraud referrals for appropriateness and assist management with book of business reviews. + Review contestable claims … more
- Parker Hannifin Corporation (Cleveland, OH)
- …with the goal to develop skillsets in supervision, team leadership, and management . While in program, rotational assignments are structured to expose participants to ... suppliers, and may assist with bid evaluations, cost analyses, price justification, and risk assessment of suppliers. + May assist with supplier negotiations on new… more
- Elevance Health (Norwood, OH)
- …by law._ The **LTSS Service Coordinator-RN Clinician** is responsible for overall management of member's case within the scope of licensure, develops, monitors, ... face-to-face functional assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health,… more
- Nestle (Solon, OH)
- …the organization, you are empowered to challenge the status quo, embrace risk -taking, and pioneer new ideas. Our supportive and collaborative environment encourages ... you?** You will lead recipe creation, re-formulation, rapid prototyping, and management of vendor relationships/interactions. You will work hands-on with our Pilot… more
- Republic Finance, LLC (Groveport, OH)
- …risk analysis, making credit decisions, administering loan closings, and processing insurance claims . Your management abilities shine as you assist the Branch ... for an entry-level position with a clear path to management ? Do you want to be part of a...of the ins and outs of branch operations and management . Then, you pay that knowledge forward when you… more
- CVS Health (Columbus, OH)
- …ensuring alignment with strategic goals. + **Drive innovation** in cost management through the development of analytical models, policies, and programs. + ... **Partner with Network Management ** to analyze contracted rates and identify actionable insights that optimize provider reimbursement and control medical costs. +… more
- Prime Therapeutics (Columbus, OH)
- …systems, particularly those that may be in use in a Pharmacy Benefit Management setting ( Claims Processing, Prior Authorization, Telephony, Membership, etc.). + ... the best technologies to use for our environment considering future direction, risk , consistency and return on investment. + Takes into account the technology… more
- Kyndryl (Columbus, OH)
- …on engagements, while enduring profitability and understanding and containing risk **Client Engagement:** + Lead C-level client engagements and consultative ... oversight of delivery, ensuring high performance and customer satisfaction **Leadership, Management , People:** + Lead by example; Fostering a culture of continuous… 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 ... and making recommendations based on in-depth analysis on medical and pharmacy claims and utilization to identify trends and key indicators that ultimately result… more
- The Cigna Group (Independence, OH)
- …of communication with matrix partners including but not limited to, Claims Operations, Medical Management . Credentialing, Legal, Medical Economics, Compliance, ... or Independence, OH area.** The **Director** **,** **Provider Contracting Network Management ** serves as an integral member of the Provider Contracting Team… more