- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- …use of medical information content. + Consider technology and AI to support workflow improvement **Qualifications** **Education and Experience :** + Advanced ... and external regulations. This position reports directly to the Associate Director, CNS Scientific Communications. **Job Description** **Key Responsibilities… more
- Humana (Columbus, OH)
- …+ years of quality improvement, developing & advancing enterprise strategy, insurance operations experience , ie: claims , UM, CM, call center, enrollment, etc. + ... and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to… more
- Humana (Columbus, OH)
- …Management Services - Inpatient, Office, ER, Telehealth, Home Health, and minor procedures + Experience with the Claims Life Cycle + Experience with ... coding/auditing Professional Inpatient Claims + Experience in Select Coder, 3M Travel: While this is a remote position, occasional travel to Humana's offices for… more
- Zurich NA (Columbus, OH)
- …Insurance Apprentice, including an Associate Degree and 7 or more years of experience in the Claims , Consulting, Risk Engineering or Underwriting area AND * ... improvement. **Basic Qualifications** * Bachelors Degree and 7 or more years of experience in the Claims , Consulting, Risk Engineering or Underwriting area OR… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- …seek to shape and implement best practices, ensure efficient processes, and support the delivery of high-quality medical plans. This role ensures alignment between ... planning teams to enhance collaboration across Otsuka + Consider technology and AI to support workflow improvement + Serve as a key point of contact for senior… more
- Humana (Columbus, OH)
- …team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business and expansion ... 2+ years of experience with Optum WebStrat or PSI applications + Experience reviewing facility claims + Prior professional experience utilizing Microsoft… more
- Humana (Columbus, OH)
- …Knowledge of internal Medical Coverage Policies and Claims Payment Policies + CAS claims processing experience + Experience in data analysis and trend ... and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to… more
- Humana (Columbus, OH)
- … experience + Experience working inside a pharmacy + Process improvement experience + Pharmacy claims experience **Additional Information** As part of ... and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to… more
- Fifth Third Bank, NA (Cincinnati, OH)
- … in Disputes, Fraud, Banking, or a related field preferred. + Associate 's degree or equivalent work experience . + Strong analytical, problem-solving, ... previously filed dispute. This may include specialized disputes, including denied claims , reassertions, repeat offenders, and Private Bank client customers. The… more
- Humana (Columbus, OH)
- …organization focused on continuously improving consumer experiences **Preferred Qualifications** o Associate 's or Bachelor's Degree o Prior experience with ... inbound call center or related customer service experience o Previous experience processing medical claims o Bilingual (English and Spanish); with the… more
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