- 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 (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 (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
- 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
- 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
- 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 (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 (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
- 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
- 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