- Oracle (Columbus, OH)
- …mission is bold yet simple: to create a smarter, more connected healthcare ecosystem where technology empowers clinicians, elevates patient care, and ultimately ... expertise and implementation know-how to help some of the world's largest healthcare organizations design safer, faster, and more efficient pharmacy workflows. From… more
- CVS Health (Columbus, OH)
- …the United States. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU), ... role, you will manage complex investigations into suspected and known acts of healthcare fraud, waste and abuse (FWA). **Key Responsibilities** + Conduct high level,… more
- CVS Health (Columbus, OH)
- …will conduct high level, complex investigations of known or suspected acts of healthcare fraud and abuse. Routinely handles cases that are sensitive or high profile, ... of business, or cases involving multiple perpetrators or intricate healthcare fraud schemes. + Investigates to prevent payment of...fraud schemes. + Investigates to prevent payment of fraudulent claims submitted to the Medicaid lines of business +… more
- Cardinal Health (Columbus, OH)
- …of healthcare data, including clinical data, patient demographics, and claims data. Understanding of HIPAA and other relevant regulations, preferred. + ... Center of Excellence (AI CoE), we are pushing the boundaries of healthcare with cutting-edge Data Science and Artificial Intelligence (AI). Our mission is… more
- Walgreens (Parma, OH)
- …Your Future** At Walgreens, pharmacists are medication experts and trusted healthcare providers reshaping the future of patient-focused care. With industry-leading ... usage, side effects, and cost-effective options + Deliver clinical healthcare services, including immunizations, diagnostic testing, and medication therapy… more
- Humana (Columbus, OH)
- …with large complex data sets within large organizations + Experience working with Claims , Billing and Reconciliation or related healthcare data + Expertise in ... make an impact** **Required Qualifications** + 5+ years of healthcare related Data Analytics experience + 5+ years of...benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also… more
- Walgreens (Willoughby, OH)
- …using the pharmacy. Enhances customer experience by increasing focus on healthcare services. **Operations** + Responsible for assisting pharmacist in the delivery ... allowed by law). Under the supervision of a pharmacist assists with healthcare service offerings including administering vaccines, health screenings, and any health… more
- Humana (Columbus, OH)
- …Management Lead supports the Encounter Data Management team within the Healthcare Quality Reporting and Improvement (HQRI) organization. This position is responsible ... Minimum of 2 years' professional experience in Medicaid data management, healthcare operations + Ability to monitor product performance, resolve production… more
- Highmark Health (Columbus, OH)
- …strategic thinker with a deep understanding of Highmark, enGen, and the broader healthcare market, as well as exceptional leadership skills and a proven track record ... + Bachelor's degree in a related field (eg, Business Administration, Healthcare Management, Information Technology) **Substitutions** + None **Preferred** + Master's… more
- Humana (Columbus, OH)
- …first** The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director works on problems of diverse scope and ... and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance… more