- Elevance Health (Cincinnati, OH)
- …** Audit and Reimbursement II** , under guided supervision, will support audit activities of healthcare providers' financial and statistical records in ... ** Audit & Reimbursement II** **_Location:_** This role enables...provides a valuable opportunity to gain exposure in the healthcare reimbursement and financial industry. **Entry level position responsible… more
- Elevance Health (Independence, OH)
- **External Audit Facilitator** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while ... dynamic and adaptable workplace. Alternate locations may be considered. The **External Audit Facilitator** is responsible for managing the process for claims and… more
- Molina Healthcare (Cincinnati, OH)
- …for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare ... is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $77,969 - $137,000 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. more
- ProMedica Health System (Toledo, OH)
- …management. FUNCTIONAL RESPONSIBILITIES: Assists in documentation of testing comprehensive, practice audit programs for evaluation of assigned areas. Assists in the ... development of formal audit reports. Ensures compliance with acceptable audit ...be considered exhaustive. ProMedica is a mission-based, not-for-profit integrated healthcare organizational headquartered in Toledo, Ohio. For more information,… more
- Elevance Health (Independence, OH)
- ** Audit & Reimbursement III** _Location:_ This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... for Medicare and Medicaid Services to transform federal health programs. The ** Audit and Reimbursement III** will support our Medicare Administrative Contract (MAC)… more
- Elevance Health (Columbus, OH)
- ** Audit & Reimbursement Senior** _Location:_ This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... Medicare and Medicaid Services to transform federal health programs._ The ** Audit and Reimbursement Senior** will support our Medicare Administrative Contract (MAC)… more
- Elevance Health (Mason, OH)
- ** Audit & Reimbursement III** **Location** : This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... and Medicaid Services to transform federal health programs. The ** Audit & Reimbursement III** is responsible for completing limited...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
- Molina Healthcare (Akron, OH)
- …are timely, accurate and in compliance with requirements prescribed by Molina Healthcare Inc., coordination with other departments to mitigate and remedy FWA. **JOB ... and other guidance to assess compliance and support building regulatory compliance audit procedures + At the direction of management, performs oversight audits and… more
- Molina Healthcare (Cincinnati, OH)
- …The Delegation Oversight Nurse is responsible for ensuring that Molina Healthcare 's UM delegates are compliant all applicable State, CMS, and NCQA ... requirements, as well as Molina Healthcare business needs. In addition, the Delegation Oversight Nurse...federal, NCQA, and any other applicable requirements. + Distributes audit results letters, follow up letters, audit … more
- GE HealthCare (Aurora, OH)
- …on ensuring patient safety, audit readiness, and the commercial delivery of GE HealthCare MR Coils. GE HealthCare is a leading global medical technology and ... generated, reviewed, and approved according to applicable procedures. + Represents GE HealthCare to external regulatory agencies and drives audit readiness. +… more