- Adecco US, Inc. (Columbus, OH)
- **Job Title:** Field Reimbursement Manager (FRM) - Remote with Territory Travel **Location:** Remote - Will be assigned a market to cover based on location ... on location Temp-to-hire **Position Overview** We are seeking a **Field Reimbursement Manager (FRM)** to support access and reimbursement services for a specialty… more
- Sumitomo Pharma (Columbus, OH)
- …regulatory submissions by preparing responses to agency inquiries and contributing to labeling claims . + Review Case Report Forms (CRFs) to ensure data ... highly motivated, and experienced individual for the position of Manager of Biostatistics to serve as trial statistician for...for our 401(k) plan, medical, dental, vision, life and disability insurances and leaves provided in line with your… more
- Deloitte (Dayton, OH)
- …this role ends on May 31st, 2026. Work you'll do As a Tax Manager within Deloitte's National Tax Controversy Services Interest Analyzer practice, you will be part ... ("IRS") and litigation settlement, interest reviews, and IRS refund claims . + Assist clients and Deloitte engagement teams with...are dependent on the facts and circumstances of each case . A reasonable estimate of the current range is… more
- Walmart (Wintersville, OH)
- …to address audit findings Validates claim records work with workers compensation case managers for investigation of claims Asset Protection Security Possesses ... jury duty, and voting. Other benefits include short-term and long-term disability , company discounts, Military Leave Pay, adoption and surrogacy expense… more
- Elevance Health (Mason, OH)
- …Specialist Lead** is responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the following in relation to ... cash receipts, cash application, claims audits, collections, overpayment vendor validation, and ...and correct contractual issues, if applicable. + Handles complex case research and resolution. + May perform collection activities… more
- CDM Smith (Cincinnati, OH)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...identity or gender expression), national origin, age, marital status, disability , veteran status, citizenship status, genetic information or any… more
- Sharecare (Columbus, OH)
- …eligibility, benefit education, open enrollment / new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, ... vision plans + Support for spending accounts, pharmacy, and disability . + Assistance with incentives and rewards + Aid...resolution with providers, payers or 3rd parties for: + Claims adjustments + Grievances and appeals submissions + Utilization… more
- Elevance Health (Mason, OH)
- …Specialist III** is responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the following in relation to ... adjustments. **How you will make an impact:** + Audits paid claims for overpayments using various techniques including systems-based queries, specialized reporting,… more
- Elevance Health (Mason, OH)
- …with a preference for those who have experience in healthcare data, particularly in claims , case management, or HEDIS data. + A strong grasp of statistics, ... procedures. + Develops and analyzes business performance reports (eg for claims data, provider data, utilization data) and provides notations of performance… more
- Elevance Health (Mason, OH)
- …- Monday. The **Transplant Nurse II** will be responsible for providing case and/or medical management for members receiving transplant services. Continue to learn ... preparation for advancement to the senior level. Within the case management role will within the scope of licensure...treatment plans. + Assists in problem solving with providers, claims or service issues. + Assists with development of… more