- 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
- Elevance Health (Mason, OH)
- …and databases for analysis of data and review of professional and facility claims to detect fraudulent, abusive or wasteful healthcare insurance payments to ... and minimum of 2 years related experience preferably in healthcare insurance departments such as Grievance and Appeals, Contracting...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
- Elevance Health (Columbus, OH)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... payor or provider environment; considerable experience in statistical analysis and healthcare modeling; or any combination of education and experience, which would… more
- Humana (Columbus, OH)
- …of business. The Market Finance Lead supports all Market Financial, Administrative, Product, Claims and trend analytics. This position is the team lead for all ... years of project leadership experience + 3+ years of healthcare experience + Strong knowledge of claim-line level ...healthcare experience + Strong knowledge of claim-line level healthcare data + Preference for candidates to live in… more
- Walgreens (Berea, 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)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements,… more
- Humana (Columbus, OH)
- …The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems of ... and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance… more
- CVS Health (OH)
- …welfare population health members and other programs serving children with special healthcare needs and carries a caseload. The Care Management Associate supports ... the implementation of Wellness Plans to promote effective utilization of healthcare services. This position promotes/supports quality effectiveness of healthcare … more
- Cleveland Clinic (Cleveland, OH)
- …team where you will work alongside passionate caregivers and provide patient-first healthcare . Here, you will receive endless support and appreciation while building ... a rewarding career with one of the most respected healthcare organizations in the world. Whether or not you...EPIC Revenue Cycle certification (can be HB, PB or claims ) + Proficiency in revenue cycle building + EPIC… 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