- Humana (Columbus, OH)
- …and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to ... first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex… more
- Humana (Columbus, OH)
- …+ 2 or more years of project leadership experience + Strong experience with healthcare data, particularly clinical and claims data used in **HEDIS ... and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to… more
- Walmart (Wintersville, OH)
- …its relevance to the enterprise strategy Describes the interdependence of support functions and line operating functions Identifies the primary operational functions ... records work with workers compensation case managers for investigation of claims Asset Protection Security Possesses knowledge of Asset protection policies practices… more
- Evolent (Columbus, OH)
- …will be part of a team who thrives on driving analysis and support for Evolent's fast growth and innovative risk-based Performance Suite business. **Collaboration ... Medical Cost Action Planning work to identify, size, and support new programs aimed at reducing cost of care...clean and consistent tracking of Evolent's covered membership and claims + Synthesize complex analyses into succinct presentations for… more
- Walmart (Huber Heights, OH)
- …the Individual: Demonstrates and encourages respect for others drives a positive associate and customermember experience for all embraces differences in people ... price comparisons of parts equipment and travelrelated expenditures Submits warranty claims Completes and submits forms for example expense vouchers weekly summaries… more
- Cardinal Health (Columbus, OH)
- …the interpretation and application of relevant laws (eg, Anti-Kickback, False Claims Act, HIPAA, Antitrust) + Demonstrate excellent communication skills and ability ... practices + Communicate in a professional and persuasive manner with appropriate support for legal advice + Work independently supporting business clients on complex… more
- Humana (Columbus, OH)
- …and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to ... first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex… more
- Humana (Columbus, OH)
- …Clinical Certifications, CPC, CCS, CFE, AHFI). + Understanding of healthcare industry, claims processing and investigative process development. + Experience in a ... and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to… more
- Humana (Columbus, OH)
- …and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to ... expectations. + Conducts executive-level briefings and presents solution recommendations in support of state-level initiatives. + Supports Medicaid IT leadership in… more
- Humana (Columbus, OH)
- …and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to ... Establishes metrics, provides data analyses, and works directly to support business intelligence. Evaluates industry, economic, financial, and market trends… more