- CVS Health (New Albany, OH)
- …adequately and appropriately met by maintaining oversight of the administration of all clinical aspects of the Health Plan. + Provision of a cohesive OhioRISE ... and ODM. + Assisting in the review of utilization data to identify variances in patterns and providing feedback...and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting,… more
- CVS Health (Columbus, OH)
- …Members: o Through the use of care management tools and information/ data review, conducts comprehensive evaluation of referred member's needs/eligibility and ... impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. o Coordinates and… more
- CVS Health (Columbus, OH)
- …align with those objectives to achieve our operational, financial, network, clinical and relationship initiatives (internal and external version). Retains and ... Health Plan strategy, interpreting and delivering the clients Annual Plan Review data . + Active Life, Accident and Health License. **Education:** Bachelor's degree… more
- Eliassen Group (Columbus, OH)
- …portfolio to ensure operational health and customer value delivery. + Use performance data to identify trends, risks, and areas for improvement. + Implement internal ... their technology solutions, financial, risk & compliance, and advisory solutions, and clinical solutions. With offices from coast to coast and throughout Europe,… more
- CVS Health (Columbus, OH)
- …committed by insured's, providers, claimants, etc. - Researches and prepares cases for clinical and legal review. - Documents all appropriate case activity in case ... any situation. * Strong analytical and research skills using health care data . * Proficient in researching information and identifying information resources. *… more
- Merck (Columbus, OH)
- …Description** The Vaccine Customer Representative (VCR) supports customers by providing clinical information on our Company's vaccines, as well as education and ... utilizing new or existing technologies. + Demonstrated strong ability to use data to analyze trends to drive business results. **Preferred Qualifications:** +… more
- Eliassen Group (Cincinnati, OH)
- …loops for continuous learning and improvement + Proficient in using empirical data collection to benefit both team and organization + Strong critical and ... their technology solutions, financial, risk & compliance, and advisory solutions, and clinical solutions. With offices from coast to coast and throughout Europe,… more
- Cardinal Health (Columbus, OH)
- …Revenue Cycle Management manages a team focused on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and ... with IT and vendor support as necessary + Conduct regular audits of system data to ensure accuracy + Configure and maintain insurance plan details in the revenue… more
- Eliassen Group (Columbus, OH)
- …and human-centered design to reimagine banking. With a focus on innovation, data -driven solutions, and a customer-first mindset, this Fortune 100 company offers a ... their technology solutions, financial, risk & compliance, and advisory solutions, and clinical solutions. With offices from coast to coast and throughout Europe,… more
- Eliassen Group (Columbus, OH)
- …+ Strong understanding of **access controls** , **integration frameworks** , and ** data governance** . + Experience working with stakeholders across finance, IT, and ... their technology solutions, financial, risk & compliance, and advisory solutions, and clinical solutions. With offices from coast to coast and throughout Europe,… more