- Elevance Health (Mason, OH)
- **PBM Compliance Manager ( Claims Audit)** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... is granted as required by law. The **PBM Compliance Manager ( Claims Audit)** is responsible for coordinating...claims is preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that… more
- Sedgwick (Columbus, OH)
- …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Asst. Claims Manager - Liability **PRIMARY PURPOSE** : To ... limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health savings account, and… more
- CommuniCare Health Services Corporate (Akron, OH)
- …Indiana, Maryland, Virginia, West Virginia, Pennsylvania). Due to continued growth, CommuniCare Health Services is currently recruiting for a Claims Validator / ... all managed care claims on their assigned caseload with the appropriate insurance carrier. The position requires working with the CBO cash collections team, CBO… more
- Elevance Health (Mason, OH)
- **Clinical Documentation and Claims Integrity Director** **Location:** Alternate locations may be considered. This position will work a hybrid model (remote and ... ideal candidate will live within a commutable distance from our PulsePoint locations. CareBridge Health is a proud member of the Elevance Health family of… more
- Elevance Health (Mason, OH)
- **A proud member of the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health Options, offers superior clinical mental ... + Provide subject matter expertise in US healthcare, especially in claims adjudication, encounter submissions, and resolution of transaction rejections (eg, 999,… more
- Sedgwick (Dublin, OH)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Assistant **Our teams connect! We collaborate onsite and have a ... world's most reputable brands. + An assigned mentor and manager who will guide you on your career journey....dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health … more
- Western Digital (Columbus, OH)
- …and recommend appropriate courses of action. + Coordinate property and casualty insurance claims control function at all locations. + Continuous review ... is exposed) through supervision and coordination of loss prevention, asset protection, insurance , and claims control. Domestic and/or international travel may be… more
- Elevance Health (Columbus, OH)
- …respond to emails/instant messages in a timely fashion. + Knowledge of health insurance /benefits, medical management process, care management, and utilization ... **Telephonic NICU Nurse Case Manager II** **Location: Virtual: This role enables associates...monitor, and evaluate care plans designed to optimize member health care across the care continuum. Performs duties telephonically.… more
- CVS Health (Columbus, OH)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...heart, each and every day. **Position Summary** As the Manager Account Services, you will be the single point… more
- Elevance Health (Columbus, OH)
- **Telephonic RN Nurse Case Manager I** **Sign On Bonus: $3000** **Location: This role enables associates to work virtually full-time, with the exception of required ... states; therefore Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager I** is responsible for performing care management within the scope of… more