- Nestle (Solon, OH)
- …experience in two or more functional areas a plus including order management , order fulfillment, claims and deductions, warehousing, transportation, deployment, ... the organization, you are empowered to challenge the status quo, embrace risk -taking, and pioneer new ideas. Our supportive and collaborative environment encourages… more
- JPMorgan Chase (Columbus, OH)
- …by delivering high-quality products that resonate with clients. As a Product Manager in Claims and Disputes, you are an integral part of the team that innovates new ... the product's key success metrics such as cost, feature and functionality, risk posture, and reliability **Required qualifications, capabilities, and skills** + 5+… more
- OhioHealth (Columbus, OH)
- …process at GMC and RMH. **Responsibilities And Duties:** 60% The Medical Director, Risk Management ("MDRM) will provide expertise and advice to support the ... Risk Management function throughout OhioHealth. The primary...The MDRM will provide expert medical analysis of incidents, risk matters, and claims and may interact… more
- OhioHealth (Columbus, OH)
- …for ensuring smooth and efficient day to day operations of the Risk Management Department. **Responsibilities And Duties:** 15%: Coordination / Computer ... outside attorneys. See Legal Matters Maintains and ensures updated information in Risk Management Database - ORIGAMI.Provide PowerPoint presentations with graphs… more
- Premier Health (Dayton, OH)
- …is looking for an experienced RN Nurse - Risk Manager to lead our Risk Management & System Projects team in Dayton, Ohio. This pivotal role centers around ... processes for lawsuits against Premier Health + Develop and maintain proactive risk management strategies + Consult on policy development, patient outcome… more
- Molina Healthcare (OH)
- …Actuarial team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment ... to evaluate healthcare intervention program performance. Develops and presents Risk Adjustment intervention ROI, incremental conditions captured, and other program… more
- Evolent (Columbus, OH)
- …Adjustment coding team members, including coding support specialists. + Provides leadership, management , and ongoing training to Risk Adjustment coding support ... Coding Support Specialist** Evolent Care Partners is seeking a Risk Adjustment Coding Support Manager to be a core...and direction as appropriate. + Responsible for ongoing performance management of assigned direct reports. + Serves as a… more
- Molina Healthcare (Dayton, OH)
- …Condition Categories) Risk Adjustment Model + Background in supporting risk adjustment management activities and clinical informatics + Experience with ... codes are reported accurately to maintain compliance and to minimize risk and denials. **KNOWLEDGE/SKILLS/ABILITIES** + Performs on-going chart reviews and abstracts… more
- WTW (Cleveland, OH)
- …clients. + Develop new relationships with individuals responsible for insurance and risk management decisions. + Obtain referral leads from existing clients. ... propositions; sales marketing strategies and tactics; technical knowledge of insurance and risk management products, services, and value propositions; pipeline … more
- Molina Healthcare (Columbus, OH)
- …Strong Knowledge of Performance Indicators: + Experience developing queries within project management tools like Azure DevOps. + Risk Adjustment experience and ... **Job Summary** This Sr. Analyst, Healthcare Analytics role will support Molina's Risk Adjustment Analytics team. The job responsibilities include developing risk… more