- Cardinal Health (Columbus, OH)
- …coders, billers and other appropriate staff. This position will also support the Director with transactional audit diligence and integration planning, as well as ... and proactively provides guidance and trainings on policies. Reporting to the Director , Ethics & Compliance, this position supervises and manages audits to determine… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- **Job Summary** We are seeking an experienced and dynamic Executive Director of R&D Global Quality to join our team. This pivotal role will be responsible for ... oversee clinical trial and submission support, lead the R&D audit program, engage with regulatory authorities, and maintain clinical...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- OhioHealth (Columbus, OH)
- …quality, productivity, coder training/education, physician onboarding/education and failed claims for the OhioHealth Network and OhioHealth Physician Enterprise. ... Position also responsible for supporting Central Billing Office as necessary regarding Claims Processing issues as it relates to coding. This position is responsible… more
- Molina Healthcare (Cleveland, OH)
- …by owning Molina's entire CMS Complaints Tracking Module (CTM) life cycle. As Director of CTM Oversight & Resolution you set the standards and controls that ... you keep complaint data synchronized across appeals & grievances, enrollment, claims , pharmacy, and quality functions. You surface systemic issues, steer partners… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- **Job Summary** The Senior Director of Quality Strategy and Operations will be responsible for developing and delivering the Global Quality strategic plan, ... improvement and governance to areas such as training and audit . Foster a culture of operational excellence, ensuring best...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Millennia Housing Management (Lakewood, OH)
- Position Overview The Regional Facilities Director (RFD) is responsible for overseeing the maintenance operations and capital infrastructure across multiple regions, ... oversee inventory control systems for maintenance supplies. + Evaluate and audit turnover procedures, ensuring consistency in materials, supplies, final product, and… more
- Molina Healthcare (Akron, OH)
- …and other guidance to assess compliance and support building regulatory compliance audit procedures. * At the direction of management, coordinates and performs ... and internal policies and procedures. * Supports the Operational Oversight Manager, Director , and team in the general development of the Operational Oversight… more
- Humana (Columbus, OH)
- …Compliance team that supports the PCO is responsibility to assess, investigate, audit and validate the mitigation of compliance risk across the organization. This ... mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance, by ensuring compliance with governmental requirements for… more
- Molina Healthcare (Akron, OH)
- …matrix, HEDIS work plans, and all product timelines. + Works with the Director to manage contacts within the plan(s) and/or Molina corporate, external auditors, ... software and medical record vendors, and other Molina departments, such as Claims , Enrollment, IT etc,. to get appropriate responses and manage contracts and… more
- Molina Healthcare (Cincinnati, OH)
- …+ Responsible for encounters accuracy & completeness (ie, Encounter Production, Audit , Production Vendor Oversight) for assigned lines of business. Responsible for ... Ability to influence across multiple organizational functions - Payment Integrity, Claims , Encounters, Finance, and Actuarial + Proven experience in managing complex… more