• Medical Claims Contract /Benefit…

    Trinity Health (Columbus, OH)
    …We're dedicated to providing excellent customer service, cost-effective care, and exceptional healthcare coverage. We rely on talented colleagues in a wide variety ... audit, provider relations and more. **Position Purpose** Contracts/Benefits Configuration Specialist position performs a variety of analytical and configuration… more
    Trinity Health (08/08/25)
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  • Specialist , Configuration Oversight…

    Molina Healthcare (Columbus, OH)
    …Reviews documentation regarding updates/changes to member enrollment, provider contract , provider demographic information, and/or claim processing guidelines. ... combination of education and experience **PREFERRED EXPERIENCE:** 3+ years Healthcare Claims Adjudication **PHYSICAL DEMANDS:** Working environment is generally… more
    Molina Healthcare (08/16/25)
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  • Sr Specialist , Provider Contracts (Remote)

    Molina Healthcare (Cincinnati, OH)
    …effective and efficient business results. + Trains and monitors newly hired Contract Specialist (s). + Participates in other contracting related special projects ... amendments from initial draft to full execution utilizing approved standardized contract templates/amendments. + Assists Manager and/or Director in the negotiation… more
    Molina Healthcare (08/23/25)
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  • Specialist , Provider Contracts HP - Ohio…

    Molina Healthcare (Cleveland, OH)
    …adequacy, financial performance and operational performance, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in compliance ... Typically does not entail heavy negotiations. Minimal ongoing engagement after contract . Responsible for accurate and timely maintenance of critical provider… more
    Molina Healthcare (08/24/25)
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  • Specialist , Government Contracts - Remote…

    Molina Healthcare (OH)
    …communication of deliverables/submission between staff and governmental agencies and contract review. * Maintains calendar and databases documenting regulatory ... ensure accessibility of information to staff. * Participates in review of contract and regulatory requirements. * Assists in development and deployment of training… more
    Molina Healthcare (08/08/25)
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  • Lead Specialist , Appeals & Grievances…

    Molina Healthcare (Cincinnati, OH)
    …assures timeliness and appropriateness of responses per state, federal and Molina Healthcare guidelines. + Responsible for meeting production standards set by the ... department. + Apply contract language, benefits, and review of covered services +...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
    Molina Healthcare (08/24/25)
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  • Specialist , Appeals & Grievances - Remote

    Molina Healthcare (Columbus, OH)
    …assures timeliness and appropriateness of responses per state, federal and Molina Healthcare guidelines. + Responsible for meeting production standards set by the ... department. + Apply contract language, benefits, and review of covered services +...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
    Molina Healthcare (08/24/25)
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  • Administrative Specialist (Non-Competitive)

    City of Cincinnati (Cincinnati, OH)
    ADMINISTRATIVE SPECIALIST (NON-COMPETITIVE) Print (https://www.governmentjobs.com/careers/cincinnati/jobs/newprint/5038897) Apply  ADMINISTRATIVE SPECIALIST ... to an assigned department. Performs related duties as required. The Administrative Specialist may specialize in one area, such as human resources or finance,… more
    City of Cincinnati (08/12/25)
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  • Outreach Care Specialist

    Elevance Health (Independence, OH)
    **Outreach Care Specialist ** A proud member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior ... unless an accommodation is granted as required by law. The **Outreach Care Specialist ** is responsible for supporting our **EMPOWER program** . This program is… more
    Elevance Health (08/20/25)
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  • Medical Accounts Receivable Specialist

    Robert Half Accountemps (Westerville, OH)
    Description We are looking for a meticulous Medical Accounts Receivable Specialist to join our team in Westerville, Ohio. In this long-term contract role, you ... Proven experience in accounts receivable, medical billing, or collections within a healthcare setting. * Strong knowledge of ICD-10, CPT, and HCPCS coding standards.… more
    Robert Half Accountemps (08/08/25)
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