• Clinical Fraud Investigator II - Registered Nurse…

    Elevance Health (Mason, OH)
    …+ Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to ... prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new... and medical records prior to payment. Researches new healthcare -related questions as necessary to aid in investigations. +… more
    Elevance Health (10/03/25)
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  • Account Executive

    Medical Mutual of Ohio (Rossford, OH)
    …sustains relationships with customers and brokers. Responds to inquiries regarding claims , eligibility, plan design and reporting. Analyzes client plans and ... **Account Executive I** . Bachelor's degree in Business Administration or Healthcare related field or equivalent combination of training and experience. .… more
    Medical Mutual of Ohio (10/02/25)
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  • Performance Quality Auditor I

    Elevance Health (Mason, OH)
    …billing, claims and/or customer contact automated environment (preferably in healthcare or insurance sector); or any combination of education and experience ... Included are processes related to enrollment and billing and claims processing, as well as customer service written and...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
    Elevance Health (10/02/25)
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  • HEDIS Analyst

    Medical Mutual of Ohio (OH)
    …strategies and goals in alignment with regulatory specification for the annual Healthcare Effectiveness Data and Information Set (HEDIS) lifecycle processes for all ... Advantage, and Medicaid), including HEDIS audit submission, Consumer Assessment of Healthcare Providers and Systems (CAHPS) and Health Outcomes Survey (HOS).… more
    Medical Mutual of Ohio (08/16/25)
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  • Pharmacy Manager

    Walgreens (Madeira, OH)
    …medications and drug interaction awareness. Offers preventive and clinical healthcare services, including immunizations, diagnostic testing, and patient outcome ... efforts on enhancing patient experience by increasing awareness of healthcare services offered through Walgreens (eg patient consultation, medication management,… more
    Walgreens (10/11/25)
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  • Therapeutic Specialist HIV Treatment - Columbus,…

    Gilead Sciences, Inc. (Columbus, OH)
    …role emphasizes a comprehensive account management approach, engaging healthcare practices through in-person representation, face-to-face meetings, and strategic ... You will be tasked with establishing strong working relationships with healthcare providers, delivering timely disease awareness information, clinical updates, and… more
    Gilead Sciences, Inc. (10/08/25)
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  • Pharmacy Customer Service Assoc. Cert

    Walgreens (Richmond Heights, OH)
    …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
    Walgreens (10/11/25)
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  • Certified Pharmacy Technician

    Walgreens (Dayton, OH)
    …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
    Walgreens (10/11/25)
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  • Senior Certified Pharmacy Technician

    Walgreens (Dayton, OH)
    …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
    Walgreens (10/11/25)
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  • Pharmacy Technician / Pharm Tech Apprenticeship

    Walgreens (Lorain, OH)
    …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
    Walgreens (10/11/25)
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