- RxBenefits (OH)
- …is highly valued. Candidates with exposure to **pharmacy data, healthcare claims , or other highly regulated data environments** will bring especially relevant ... for this role is $111,200 - $139,000 annually. Final compensation rates will be determined based on various factors,...business goals._ _We are committed to fair and equitable compensation practices. The final salary offered to the selected… more
- Humana (Columbus, OH)
- …Certifications, CPC, CCS, CFE, AHFI). + Understanding of healthcare industry, claims processing and investigative process development. + Experience in a corporate ... be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of...recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all… more
- Molina Healthcare (Akron, OH)
- …supervised learning and rule-based logic to detect potentially incorrectly paid claims . + Contribute to improve data quality, perform data audits, identify ... the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.… more
- Molina Healthcare (Columbus, OH)
- …SQL, PowerBI, databricks. + Experience on ETL , healthcare specifically claims is highly preferred. **JOB QUALIFICATIONS** **Required Education** Associate degree or ... the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.… more
- Molina Healthcare (Columbus, OH)
- …services, pharmacies, and health plan providers in resolving member prescription claims , prior authorizations, and pharmacy service access issues. * Articulates ... the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V… more
- Molina Healthcare (OH)
- …work on set schedule) Looking for a RN with experience with appeals, claims review, and medical coding. JOB DESCRIPTION Job SummaryProvides support for clinical ... the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V… more
- Humana (Columbus, OH)
- …leadership experience + Strong experience with healthcare data, particularly clinical and claims data used in **HEDIS measurement** + Familiarity with **CMS Stars ... be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of...recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all… more
- Molina Healthcare (Dayton, OH)
- …of pharmacy prior authorization requests and/or appeals. * Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any other ... the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V… more
- Humana (Columbus, OH)
- …Certifications, CPC, CCS, CFE, AHFI). + Understanding of healthcare industry, claims processing and investigative process development. + Experience in a corporate ... be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of...recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all… more
- Humana (Columbus, OH)
- …Qualifications** + Experience completing accounting procedures or financial analysis/reporting with claims or other healthcare data + High School Diploma or GED ... be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of...recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all… more