- Elevance Health (Columbus, OH)
- …Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Investigator Senior** is responsible for the independent ... contracting. **How will you make an impact:** + Claim reviews for appropriate coding , data mining, entity review, law enforcement referral, and use of proprietary… more
- Intermountain Health (Columbus, OH)
- …trigger list, timeframes for assessing patient, and pre-screen criteria. Review of medical records , focused reports and/or referral information to gather ... **Job Description:** The Social Work Care Manager works collaboratively with physicians and other members of the health care team to improve the health of patients… more
- Elevance Health (Mason, OH)
- …and post implementation audits of providers, claims processing and payment, benefit coding , member and provider inquiries, enrollment & billing transactions and the ... and incentive bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits, 401(k) +match,… more