- Molina Healthcare (Akron, OH)
- …and software programs. * Must have a deep understanding of the Claims , Encounters, Pharmacy, Enrollment, Supplemental data etc. processes to assure data validation, ... 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
- Evolent (Columbus, OH)
- …+ Participates in continuing education initiatives. + Collaborates with Claims , Quality Management and Provider Relations Departments as requested. + ... be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health… more
- Evolent (Columbus, OH)
- …to ensure clean and consistent tracking of Evolent's covered membership and claims + Synthesize complex analyses into succinct presentations for communication to key ... be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health… more
- Humana (Columbus, OH)
- …They will work closely with IT, the pricing software vendor, CIS BSS, claims operations, and other business teams involved in the administration of Medicare business ... 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
- JPMorgan Chase (Columbus, OH)
- …external events, including catering and transportation + Process invoices and T&E expense claims for team members, ensuring all policies are followed and items are ... Those in eligible roles may receive commission-based pay and/or discretionary incentive compensation , paid in the form of cash and/or forfeitable equity, awarded in… more
- Molina Healthcare (Cincinnati, OH)
- …experience. + Managed Care experience - **_specifically within Payment Integrity, Claims Payment, Provider Relations Experience_** + Experience working in a cross ... 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 (Akron, OH)
- …+ Develop custom health plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates + Assists and collaborates with the national ... 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 (Dayton, OH)
- …focused reviews and recommends corrective actions. + Conducts retrospective reviews of claims and appeals and resolves grievances related to medical quality of care. ... 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 (Cleveland, OH)
- …Architectural compliance and governance. **Knowledge/Skills/Abilities** + Healthcare knowledge in Claims Processing and Payments + Develops software (hands on code ... 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)
- …**I** **E** **N** **C** **E:** + 1 year of Molina experience, health claims experience, OR one year of customer service/provider service experience in a managed ... 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