- 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
- Molina Healthcare (Cincinnati, OH)
- …quality improvement** + Experience working directly with **clinicians, nurses, or case management teams** + Familiarity with risk adjustment, value-based care ... into technical solutions. This role works closely with clinicians, utilization management teams, and business stakeholders to gather requirements and deliver… more
- Molina Healthcare (Dayton, OH)
- …quality improvement** + Experience working directly with **clinicians, nurses, or case management teams** + Familiarity with risk adjustment, value-based care ... into technical solutions. This role works closely with clinicians, care management teams, and business stakeholders to gather requirements and deliver actionable… more
- EFI Global (Columbus, OH)
- …in failure analysis and forensic engineering plus 2 years in insurance and/or risk management services industry.** **Skills & Knowledge** **Excellent oral and ... **Collaborates with sales and operations managers, architects, developers, insurance adjusters, claims managers and attorneys to develop demand for your professional… more
- Ford Motor Company (Cincinnati, OH)
- …Lead the review, approval, tracking, and resolution of Alerts. * Assess risk and guide function-based, data-driven quality decisions. **Quality Issues** * Assist ... Drive issue resolution and summarize completion to achieve PV signoff. **Change Management ** * Participate in the Manage-The-Change process to ensure quality changes… more
- Molina Healthcare (Columbus, OH)
- …business and other IT teams to deliver successful and certifiable Medicaid Management Information Systems solutions. * Works closely with EPMO, business stakeholders ... **Required Experience** 7-9 years Application Design, Development Experience and, Management , Healthcare Industry **Preferred Experience** 10+ years, Healthcare Industry… more
- Premier Health (Troy, OH)
- …position will be responsible for billing and collection of third party claims , posting of billing and collection transactions, and ensuring appropriate self-pay ... the air; doesn't have to finish things before moving on; can comfortably handle risk and uncertainty. + Interpersonal Savvy (31):relates well to all kinds of people,… more
- Fujifilm (Columbus, OH)
- …and handle a large volume of contracts, to ensure agreements mitigate legal risk and support business objectives. + Advise, counsel and report to Division General ... Counsel and senior business management on general legal and regulatory risks affecting the...respect to healthcare regulatory compliance, anti-kickback statutes, the False Claims Act, US government programs and contracting compliance requirements,… more
- Meta (Columbus, OH)
- …a key contributor to Meta's Global Energy Team, specifically the Clean Energy Asset Management Team. You will be responsible for managing a portfolio of clean and ... 4. Respond to counterparty inquires and manage contract amendments, collateral, force majeure claims , and other issues as needed 5. Surface and resolve issues in… more
- J&J Family of Companies (Cincinnati, OH)
- …reviews and providing expert regulatory feedback for specifications, device testing, risk management , and other relevant documentation in accordance with ... applicable regulations and guidance documents in product development, support of claims , content labeling, and promotional materials. + Assists in the development… more