- Cognizant (Columbus, OH)
- …: + Review claim system data and verify against UB or HCFA paper or EDI information. + Evaluate medical records to determine if the service rendered was medically ... appropriate and criteria compliance. + Analyze claim and line-item edits, including warning messages, to determine payment eligibility. + Manage all tasks within designated timeline to meet internal and external SLAs. + Other duties as assigned by management.… more
- The Hertz Corporation (Columbus, OH)
- …the ability to improve metrics adherent to traditional HLE success such as EDi conversion, Utilization, RPD, RPT, etcetera. + Ability to conduct high level business ... conversations and negotiate pricing, generate proposals, and conduct follow up measures. + Maximize opportunities to convert new business and growth from existing account base. + Develop and maintain a pipeline of new business leads though sales activity,… more
- Robert Half Technology (Westlake, OH)
- …understanding on the underlying structure of claims transactions. Experience with Healthcare EDI standards such as 835s. Experience with job scheduling tools such as ... ActiveBatch. Requirements Microsoft SQL Server, .NET, C# - Sharp Technology Doesn't Change the World, People Do.(R) Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at… more
- Cardinal Health (Dublin, OH)
- …and pharma business segment regarding interfaces, dashboards, alerts and monitoring, EDI , data dumps, and Integration solutions/ fixes and knowledge transfer. + ... Facilitates the team through the analysis of, and makes recommendations towards, complex business decisions, providing guidance to internal stakeholders on best practices in warehouse, distribution, and inventory technologies. + Demonstrates knowledge of… more
- Molina Healthcare (OH)
- …with claim recovery audits and regulatory reporting requirements (Medicaid). Exposure to EDI transactions (837, 835) and COB data exchange protocols. Experience with ... SQL. **PHYSICAL DEMANDS:** Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions.… more
- NASCO (Columbus, OH)
- …market, regulatory requirements, and industry standards (HIPAA, HITrust, CMS, FHIR, HL7, EDI ) + Hands-on experience with AI/ML model deployment, data governance, and ... responsible AI practices + Proven ability to define and execute a hybrid data strategy and investment plan in a commercial SaaS environment + Effective communication skills, both verbal and written, including the ability to communicate appropriately across all… more
- Molina Healthcare (Dayton, OH)
- …Oversees plan-specific fee schedule management. + Develops strategies to improve EDI /MASS rates. + Provides oversight of Provider Services and coordinates activities ... with Provider Association(s) and Joint Operating Committee Management. May also have responsibility for provider problem research, resolution, and prevention. + Provides accountability for Delegation Oversight function in the Plan. + Provides oversight of the… more
- Insight Global (Columbus, OH)
- …manufacturing processes, production lines, customers, customer requirements, capacity limits and EDI transactions. Ability to learn and document plant processes and ... recommend how they could be improved or automated. Ability to train end users of varied positions and levels of technical ability. Understanding of how schedule changes will impact the end user(s) Ability to professionally manage multiple production lines and… more
- Molina Healthcare (Akron, OH)
- …cloud offering/solutions + ITIL (Information Technology Infrastructure Library) Foundation + EDI (Electronic Data Interchange) - Experience in Healthcare + ETL ... (Extract, Transform and Load) - Strategy and tool experience + TOGAF Foundation + Experience configuring, troubleshooting and Administration of the following tools: + Edifecs Platform + Salesforce Platform + Sitecore Platform + MuleSoft and Apigee + QNXT… more
- Cardinal Health (Columbus, OH)
- …Order Express (Web Order Entry), Manhattan, SAP MDG, IBM MDM, IDM, EDI , ECM, etc.) and middleware applications. **Anticipated salary range:** $121,600.00 - ... $173,700.00 **Bonus eligible:** Yes **Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings plan +… more