- Highmark Health (Columbus, OH)
- …the case, telephonic peer to peer discussions may be required. The incumbent ensures compliance to NCQA, URAC, CMS, DOH, and DOL regulations at all times. In ... for member and provider determination notifications all while adhering to required compliance standards (NCQA, URAC, CMS, DOH, and DOL regulations, etc.). Ensure… more
- CBRE (Independence, OH)
- …implemented. + Monitors HSE (Health and Safety and Environmental) regulatory compliance within the account, market area, or assigned area of responsibility. ... that will support management's efforts to improve and maintain compliance as required. + Assists in identifying opportunities to...to staff and employees as an HSE subject matter expert . + Other duties may be assigned. \#GWSFMS **What… more
- Target (Columbus, OH)
- …remerchandising new product and maintaining a brand space following new sets + Be an expert and dedicated owner of assigned areas to ensure sales floor is zoned, in ... Always demonstrate a culture of ethical conduct, safety and compliance + Work in a safe manner at all...pick up (OPU) and Drive-up (DU) and maintain a compliance culture while executing those duties, such as … more
- Walmart (Groveport, OH)
- …on logistics and company policiesstandards and procedures monitoring associate compliance with logistics and company policies standards and procedures distributing ... this to the development execution and improvement of action plans by providing expert advice andguidance to others in the application of information and best… more
- Datavant (Columbus, OH)
- …Maintain a quality assurance program + Play a key role in ensuring coding compliance and accuracy + Monitor the performance of the Risk Adjustment Operations both ... vendors + Provides expertise as it relates to coding compliance for new and existing services, while ensuring ...experience in risk adjustment both ACA and MA. + Expert knowledge of Risk Adjustment . + Research and… more
- Molina Healthcare (OH)
- …our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of Coordination of Benefits (COB) claim pricing and processing. This role ... Medicaid COB claims for correct secondary pricing logic and compliance with configuration and regulatory rules. + Analyze claim...to COB claim reviews. + Act as subject matter expert for Medicaid COB claim adjudication, configuration testing, and… more
- Walmart (North Canton, OH)
- …shopping carts Identifies other issues related to regular service Ensures compliance with Occupational Safety and Health Administration OSHA and Environmental ... adapting to competing demands organizational changes and new responsibilities Models compliance with company policies and procedures and supports company standards… more
- Paychex (Cincinnati, OH)
- …your passion and unleash your potential. Overview Executes strategy, process, compliance , training, and budgets within defined vertical markets. The primary focus ... growth in the defined vertical market. Oversees the process, compliance , and training associated with the designated field reps...partnerships to meet expectations. + Acts as subject matter expert and primary point of contact for the Sales… more
- Eliassen Group (Columbus, OH)
- …with a specific focus on SAP Fieldglass. You'll act as a functional expert , working with cross-functional teams to analyze, design, and implement system solutions ... that align with business goals and compliance standards. You will support Fieldglass configuration and integrations, handle enhancement requests, and help manage the… more
- Deloitte (Columbus, OH)
- …+ Ensure that all cloud solutions follow internally defined security and compliance controls. + Define standards and best practices by conducting POCs for ... and deploy new cloud environments. + Serves as a subject matter expert on major IT environment upgrades, enhancements, new functionality, capacities, performance,… more