- Elevance Health (Mason, OH)
- …law._ The Provider Reimburse Admin Sr ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing policies ... and state mandates. + Works with other departments on claims adjudication workflow development and business process improvements. +...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
- Cardinal Health (Columbus, OH)
- …team to ensure timely and accurate resolution of outstanding insurance claims . This role leads strategy development, performance monitoring, and process improvement ... workflows. + Serve as the point of escalation for complex or high-dollar claims . + Stay current with payer policy changes, compliance regulations, and industry best… more
- UNUM (Columbus, OH)
- …Rehabilitation. This position is responsible for providing expert medical analysis of claims files (or underwriting applications) across Unum US product lines. The ... and internal workflow standards as set forth in the Benefits Center Claims Manual, underwriting manual, and associated documentation. The incumbent adheres to… more
- Cleveland Clinic (Independence, OH)
- …Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare . Cleveland Clinic is recognized as one of the top hospitals in ... and build a rewarding career with one of the most respected healthcare organizations in the world. As a Corporate Compliance Coding/Billing Specialist, you… more
- Medtronic (OH)
- …can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You'll lead with purpose, breaking down ... Clinical Expert + Translates complex technical messaging, dispels competitive claims , resolves complex technical issues, and maintains customer relationships through… more
- J&J Family of Companies (Columbus, OH)
- At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, ... we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact… more
- Datavant (Columbus, OH)
- …company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right ... team. Together, we're rising to the challenge of tackling some of healthcare 's most complex problems with technology-forward solutions. Datavanters bring a diversity… more
- CVS Health (OH)
- …member of this team, you will help shape the future of healthcare economics by leveraging advanced programming, scalable automation, and rigorous analytical ... to support key business initiatives. In this role, you will: + Analyze healthcare cost and utilization data to identify trends, evaluate program performance, and… more
- J&J Family of Companies (Cincinnati, OH)
- At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, ... we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact… more
- Fujifilm (Columbus, OH)
- …risks affecting the Medical Device businesses, including with respect to healthcare regulatory compliance, anti-kickback statutes, the False Claims Act, ... team providing support to the Medical Device businesses of FUJIFILM Healthcare Americas Corporation and FUJIFILM SonoSite, Inc., wholly-owned subsidiaries of… more