• Manager, HCS Operations Support

    Molina Healthcare (Dayton, OH)
    **Job Description** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and ... and other performance indicators. * Ensures completion of staff quality audit reviews. Evaluates services provided and outcomes achieved and recommends… more
    Molina Healthcare (08/16/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Cincinnati, OH)
    …following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare ... Management + Certified Professional in Healthcare Quality + other healthcare certification To all current Molina employees: If you are interested in applying for… more
    Molina Healthcare (08/15/25)
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  • Lead Analyst, Payment Integrity

    Molina Healthcare (Cincinnati, OH)
    …+ Manages Scorable Action Items (SAIs) related to pre-pay editing, post-pay audit , and overpayment recovery initiatives to ensure Health Plan SAI targets are ... payment integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to… more
    Molina Healthcare (08/20/25)
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  • Medical Claims Contract/Benefit Configuration…

    Trinity Health (Columbus, OH)
    …We're dedicated to providing excellent customer service, cost-effective care, and exceptional healthcare coverage. We rely on talented colleagues in a wide variety ... of professional roles including information technology, financial analysis, audit , provider relations and more. **Position Purpose** Contracts/Benefits Configuration… more
    Trinity Health (08/08/25)
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  • Corporate Billing Specialist/Trainer

    Continuing Healthcare Solutions (Cleveland, OH)
    Job Descriptions: Corporate Biller/Training Specialist Continuing Healthcare Solutions has an immediate opportunity for a newly created full time position. This ... billing Medicare, Medicaid and/or Commercial insurance. This position will also audit and ensure compliance with business office processes. Continuing Healthcare more
    Continuing Healthcare Solutions (08/20/25)
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  • Director, Operational Oversight (Medicare/Duals)…

    Molina Healthcare (Cleveland, OH)
    …durable fixes, and convert disciplined CTM management into Stars gains, audit readiness, and measurable member-experience improvements. You'll begin as a senior ... for this position, please apply through the intranet job listing. Molina Healthcare offers competitive benefits and compensation package. Molina Healthcare is… more
    Molina Healthcare (08/19/25)
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  • Finance Manager - REMOTE

    Molina Healthcare (Akron, OH)
    …and compliance information including regulatory, external, and internal audit review (including Sarbanes-Oxley Act requirements). **JOB QUALIFICATIONS** **Required ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare more
    Molina Healthcare (08/17/25)
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  • Senior Accountant (Remote - Eastern Time)

    Molina Healthcare (Cleveland, OH)
    …by completing the recording of accounting transactions. + Supports the annual audit process by preparing schedules requested by the auditors. **JOB QUALIFICATIONS** ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare more
    Molina Healthcare (07/16/25)
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  • Advanced Analytics Senior Auditor

    UNUM (Columbus, OH)
    …This job profile is a senior level position that performs moderately complex audit activities specializing in the functional area of Advanced Analytics in Internal ... Audit . This position works individually and in teams with...benefits and rewards that are competitive and comprehensive including healthcare benefits (health, vision, dental), insurance benefits (short &… more
    UNUM (08/01/25)
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  • Internal Auditor Senior - SOX & Soc1

    Elevance Health (Independence, OH)
    …and collaborate with team leadership, business management and external auditors on audit planning, testing and evaluation procedures, which includes working with the ... documentation and issues. + Prepare clear, accurate and concise audit work papers that summarize scope, audit ...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
    Elevance Health (08/16/25)
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