- Elevance Health (Mason, OH)
- …Representative I** will be responsible for coordinating cases for precertification and prior authorization review. **How you will make an impact:** + Managing ... benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization, and post service requests. + Refers cases… more
- Elevance Health (Mason, OH)
- …Capabilities and Experiences** + Experience with medical benefits verification and prior authorization. + Understanding of Payor Policy requirements. + Prior ... bonus programs (unless covered by a collective bargaining agreement), medical, dental , vision, short and long term disability benefits, 401(k) +match, stock… more
- GE Aerospace (Peebles, OH)
- **Job Description Summary** Perform the daily operations of program manager to ensure reliability and consistency on the production line. Impacts departmental ... instructions. + Developing in-depth knowledge of a technical discipline. Uses prior experience and acquired technical expertise to execute policy/strategy. +… more
- PNC (Cleveland, OH)
- …on a regular basis. Some responsibilities may be performed remotely, at the manager 's discretion. As a Senior Portfolio Analytics and Strategy Analyst, you will be ... and presentation. . Math, statistics, quantitative analysis background preferred. . Prior banking experience and/or prior anti-fraud experience, specifically… more
- Bon Secours Mercy Health (Fairfield, OH)
- …anxiety. + Contacts referring physician (or other appropriate medical personnel) for clarification prior to performing an exam if there is a suspicion that the exam ... duty to comply with applicable laws and regulations, and reporting to Manager (or Corporate *Responsibility line) any suspected unethical, fraudulent, or unlawful… more
- CenterWell (Columbus, OH)
- …A minimum of five years' experience as a product owner or similar role + Prior experience with call center operations and KPIs in a lead capacity + Proficiency with ... telephony protocols (SIP, VoIP), AI-driven voice analytics, and voicebots. + Prior experience developing telephony features to streamline workflows and maximize talk… more
- Bon Secours Mercy Health (Lorain, OH)
- …policies. + Contacts referring physician (or other appropriate medical personnel) for clarification prior to performing an exam if there is a suspicion that the exam ... duty to comply with applicable laws and regulations, and reporting to Manager (or Corporate Responsibility line) any suspected unethical, fraudulent, or unlawful… more
- Pacific Northwest National Laboratory (Columbus, OH)
- …innovative Compensation Consultant. This position reports to the Compensation Manager . The Compensation Consultant contributes to PNNL's financial and operational ... If you are offered employment at PNNL, you must pass a drug test prior to commencing employment. PNNL complies with federal law regarding illegal drug use. Under… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …anxiety. + Contacts referring physician (or other appropriate medical personnel) for clarification prior to performing an exam if there is a suspicion that the exam ... duty to comply with applicable laws and regulations, and reporting to Manager (or Corporate *Responsibility line) any suspected unethical, fraudulent, or unlawful… more
- Pacific Northwest National Laboratory (Columbus, OH)
- …Succession Planning, Recruiting, Learning, HR Help Desk, Health & Safety, Manager Experience, Employee Self Service, Payroll, Benefits, Compensation, Time and Labor, ... If you are offered employment at PNNL, you must pass a drug test prior to commencing employment. PNNL complies with federal law regarding illegal drug use. Under… more