- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Compliance (UM) Coordinator 2 issues notice of adverse benefit determination letters for ... Medicaid line of business to ensure adherence to contractual...us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and… more
- Banner Health (OH)
- …**Privacy Policy :** Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy) EOE/Female/Minority/Disability/Veterans Banner Health ... with State Pay Transparency Rules. Innovation and highly trained staff. Banner Health recently earned Great Place To Work(R) Certification (TM) . This recognition… more
- Banner Health (OH)
- …**Privacy Policy :** Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy) EOE/Female/Minority/Disability/Veterans Banner Health ... with State Pay Transparency Rules. Innovation and highly trained staff. Banner Health recently earned Great Place To Work(R) Certification (TM) . This recognition… more
- Banner Health (OH)
- …**Privacy Policy :** Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy) EOE/Female/Minority/Disability/Veterans Banner Health ... with State Pay Transparency Rules. Innovation and highly trained staff. Banner Health recently earned Great Place To Work(R) Certification (TM) . This recognition… more
- Elevance Health (OH)
- …her family in a timely basis and consistent with state regulations and company health standards and policy . + Maintains patient medical records and medical ... CareBridge Health is a proud member of the Elevance...patients who receive home and community-based services through state Medicaid programs, dual eligible members and other membership as… more
- Humana (Columbus, OH)
- …in a medical management review organization, such as Medicare Advantage, managed Medicaid , or Commercial health insurance. + Experience with national guidelines ... **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical… more
- Somatus (Cincinnati, OH)
- …for our patients and partners. Showing Up for You We offer more than 25 Health , Growth, and Wealth Work Perks to help teammates learn, grow, and be the best ... guidance of physicians and/or a nurse care manager. + Follow-up with health management plans and goals. + Establish positive, supportive relationships with… more
- Elevance Health (Cincinnati, OH)
- **CareBridge Health ** is a proud member of the Elevance Health family of companies, within our Carelon business. CareBridge Health exists to enable ... individuals in home and community-based settings to maximize their health , independence, and quality of life through home-care and community based services.… more
- Elevance Health (Mason, OH)
- …competent, person_ _‐_ _centered coordination for all members that addresses physical health , behavioral health , long term services and supports, and ... at any Pulse Point available in Ohio, US. _Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the… more
- Elevance Health (Cincinnati, OH)
- **Medical Management Specialist I** Carelon Behavioral Health Schedule: Monday-Friday, 8:00am-5:00pm EST **_Virtual_** **_: _** _ _ This role enables associates to ... may be considered. + Please note that per our policy on hybrid/virtual work, candidates not within a reasonable...required by law. A proud member of the Elevance Health family of companies, Carelon Behavioral Health ,… more