- OhioHealth (Columbus, OH)
- …and in our communities. **Job Description Summary:** Provides receptionist/clerical support assuring patient flow, comfort and satisfaction. Primary responsibilities ... (EMR) system, data entry of patient information and insurance verification, providing support to staff members as assigned. The Office Specialist is well organized,… more
- AmeriHealth Caritas (Columbus, OH)
- … Experience preferred + SIU and/or State Medicaid regulatory compliance;work experience preferred. + Knowledge and; proficiency in claims adjudication ... using the Internet, data analysis tools, etc., to analyze aberrant; claims billing and practice patterns. + Analyzes data as...and requirements; federal, state, civil and criminal statutes. + Experience with decision support tools used for… more
- CVS Health (Columbus, OH)
- …accreditation requirements. + Apply clinical criteria and policies to member/provider claims and coordinate clinical resolutions with MD support . **Performance ... Quality, CPHQ preferred. + Background in Managed Care. + Familiarity with claims processing workflows. + Experience with quality improvement, PIPs, ANE… more
- CenterWell (Columbus, OH)
- …and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to ... Medical Director, Primary Care relies on medical background and reviews health claims . The Medical Director, Primary Care work assignments involve moderately complex… more
- Abbott (Columbus, OH)
- …and scientists. **The Opportunity** The Editorial Lead, reporting to the Associate Creative Director for Creative Operations, leads will oversee our editorial ... Supervise and mentor a small team of editors, providing guidance, feedback, and support to ensure consistent editorial excellence. + Review and edit content for… more
- Humana (Columbus, OH)
- …data sources, creating pivot tables and summarizing data into reports and dashboards + Experience working with claims data + Experience working with big ... and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to… more
- Sysco (Northwood, OH)
- …the performance management process and work with functional leaders on their associate reviews and evaluations. Provide training and consultation, as necessary. + ... company policies and procedures. + Provide day-to-day direction and support to HR staff across Region as needed, including...compliance. Perform investigations and prepare written responses to EEOC claims , unemployment claims , etc. + Work with… more
- Walmart (Groveport, OH)
- …systems related field (eg, computer science, management information systems) OR 6 months experience as a Walmart Logistics associate and 6 months experience ... **Position Summary ** **Are you currently a Walmart associate ?** Please login to your Workday account and...andor in writing eg customers suppliers associates Coordinate and support security measures to safeguard information against accidental or… more
- Elevance Health (Cincinnati, OH)
- …provide an equivalent background. **Preferred Skills, Capabilities and Experiences:** + FEP Claims or Customer Service experience highly preferred. + Strong ... week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office… more
- AmeriHealth Caritas (Dublin, OH)
- …are maintained across corporate, regional, and local operations. **Work Arrangement:** + Hybrid - The associate must be in the office at least 2 to 3 days per week ... Oversee provider contract data submission for accurate system configuration and claims payment. + Manage internal operations and coordinate corporate functions… more