• Sr Analyst, Business

    Molina Healthcare (Dayton, OH)
    …working with complex, often highly technical teams + Appeals & Grievance , healthcare services, or claims background **Preferred License, Certification, Association** ... Certified Business Analysis Professional (CBAP), Certification from International Institute of Business Analysis preferred To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.… more
    Molina Healthcare (08/08/25)
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  • Associate Medical Director

    Elevance Health (Cincinnati, OH)
    …determinations for services requested. + Makes medical necessity determinations for grievance and appeals appropriate for their specialty. + Ensures consistent use ... of medical policies when making medical necessity decisions. + Brings to their supervisors attention, any case review decisions that require Medical Director review or policy interpretation. **Minimum Requirements:** + Requires MD or DO and Board certification… more
    Elevance Health (08/08/25)
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  • Performance Quality Analyst I - Carelon Rx PBM

    Elevance Health (Mason, OH)
    …within the healthcare or insurance industries. + Familiarity with claims processing, grievance , and appeals processes in healthcare or insurance sectors. + Excellent ... communication skills for documenting and presenting audit findings and recommendations. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $23.02 to $28.78. Locations: Nevada In addition to… more
    Elevance Health (08/08/25)
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  • Performance Quality Analyst I - CarelonRx PBM

    Elevance Health (Mason, OH)
    …data sets for insightful recommendations. + Familiarity with claims processing, grievance , and appeals processes in healthcare or insurance sectors. + Proficiency ... in applying data analysis tools and techniques to support service quality improvements. + Excellent communication skills for documenting and presenting audit findings and recommendations. Please be advised that Elevance Health only accepts resumes for… more
    Elevance Health (08/08/25)
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  • Ombudsman Triage Coordinator - PE Ombudsman

    Cleveland Clinic (Cleveland, OH)
    …CMS and CC Enterprise guideline and regulations pertaining to complaint and grievance process. Minimum Qualifications for the ideal future caregiver include: + ... Associate's Degree OR minimum of 5 years administrative, customer service and/or call center experience. + Proficiency with spreadsheet, word processing and database software Preferred qualifications for the ideal future caregiver include: + Complaint… more
    Cleveland Clinic (08/08/25)
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  • Plant Manager

    Alkegen (Sebring, OH)
    …environment, including involvement in labor relations, contract interpretation, grievance resolution, and fostering constructive relationships with union ... representatives. + Experience with ISO 9001, IATF, ISO 14001, and ISO 45001 systems implementation and compliance. + Demonstrates strong leadership presence with the ability to inspire, engage, and hold teams accountable. + Highly analytical and data-driven;… more
    Alkegen (08/07/25)
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  • Off Shift Production Supervisor

    Howmet Aerospace (Cleveland, OH)
    …Managing employee and labor relations effectively including contract administration, grievance handling and day-to-day employee complaints/issues. + Meeting or ... exceeding production goals, which includes monitoring output, safety, on time delivery, and people initiatives within a traditional unit supervisor role. + Directing the implementation of Howmet Aerospace Business System initiatives (lean manufacturing)… more
    Howmet Aerospace (08/07/25)
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  • HR Manager

    Wabtec Corporation (Warren, OH)
    …labor relations experience: including union relations, contract negotiations and grievance resolution strongly preferred + Prior HR Business partnership experience, ... preferably in a manufacturing environment strongly preferred + Strong oral and written communication skills + Strong interpersonal and leadership skills + Ability to influence & engage at all levels of the business + Demonstrated ability to analyze and resolve… more
    Wabtec Corporation (08/02/25)
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  • Asst Plant Mgr

    Parker Hannifin Corporation (Hicksville, OH)
    …in the administration of a collective bargaining agreement including grievance investigation, responses and participation in contract negotiations desirable. The ... essential functions have been provided as example of the type of work performed by employees assigned to this job classification. The company reserves the right to modify the work assignments and/or to make reasonable accommodations so that qualified employees… more
    Parker Hannifin Corporation (08/02/25)
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  • Customer Service Representative

    CVS Health (Columbus, OH)
    …claim referrals, new claim handoffs, nurse reviews, complaints (member/provider), grievance and appeals (member/provider) via target system. Educates providers on ... our self-service options; Assists providers with credentialing and re-credentialing issues. Responds to requests received from Aetna's Law Document Center regarding litigation; lawsuits. Handles extensive file review requests. Assists in preparation of… more
    CVS Health (07/31/25)
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