- Elevance Health (Mason, OH)
- …+ Requires a BA/BS degree and a minimum of 5 years of customer service, claims , and/or membership experience in healthcare and a minimum of 3 years related ... but are not limited to: + Researches and interprets claims issues while ensuring good, accurate and timely customer...accommodate the needs of our clients; this includes claim processing , customer service, & medical account management. + Oversees… more
- Evolent (Columbus, OH)
- …Be Doing:** Job Description **Analyst, Integration Quality** Integration testing in the healthcare ecosystem requires complete end to end testing in the specialty ... source & target integrity across various databases supporting transaction processing based on the end-to-end data flow + create...work experience + General knowledge of data flow and healthcare end to end system landscape + Good knowledge… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- …Competencies** **K** **nowledge** - Experience working in the pharmaceutical and/or healthcare industry. - Knowledge and experience with preparation of global ... clinical development, project management, quality assurance, etc.) in pharmaceutical or healthcare related industry. Experience with FDA or other health authority… more
- Elevance Health (Mason, OH)
- …+ Requires a HS diploma or equivalent and a minimum of 2 years of claims processing and/or customer service experience; or any combination of education and ... responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
- Humana (Columbus, OH)
- …to make an impact** **Required Qualifications** **5+ years of medical claims processing /auditing or encounter data management experience** **Demonstrated deep ... to assignments. The Senior Encounter Data Management professional ensures data integrity for claims errors that result from the data exchange between Humana and its… more
- Norstella (Columbus, OH)
- …(MD/DO), or a related field. + Experience working with and querying large healthcare databases, including claims , EMR/EHR, and laboratory data, in an academic ... are seeking a Senior Medical Analyst to join our team and drive data-driven healthcare initiatives. In this role, you will leverage your expertise in healthcare … more
- Humana (Columbus, OH)
- …team is seeking an Encounter Data Management Professional that has experience with business processing and data entry to join working remote anywhere in the US. As ... problems within the encounter process between Humana and CMS using data analysis, claims research, and other resources to provide insight and ensure data integrity… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- …+ Bachelor's degree + 5-7 years of experience in pharmaceutical or healthcare industries, with experience in payer and/or channel functions required + Performance ... offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- Otsuka Pharmaceutical Company is a global healthcare company with the corporate philosophy: "Otsuka-people creating new products for better health worldwide." Otsuka ... offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- …requirements related to pharmaceutical samples. **Preferred:** + Pharmaceutical or healthcare industry experience. + Experience with fleet management platforms or ... offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more