- Molina Healthcare (Cincinnati, OH)
- …**PREFERRED EXPERIENCE:** + SQL expertise + Excel expertise + Medicare, Medicaid , Marketplace claims expertise **PHYSICAL DEMANDS:** Working environment is generally ... favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable… more
- CVS Health (Columbus, OH)
- …Healthcare experience managing insurance, healthcare, or benefit accounts - Experience with Medicaid , Commercial, and/or Medicare Part D Plans In the role, you must ... be able to travel up to 20%. Travel may require, but is not limited; to flights, overnight stays, local travel on short notice and other travel deemed necessary by the Company. **Education** Bachelor's degree or Equivalent Experience required **Anticipated… more
- CVS Health (Columbus, OH)
- …Care Anti-Fraud Association (AHFI), or have a minimum of three years Medicaid Fraud, Waste and Abuse investigatory experience. * Billing and Coding certifications ... such as CPC (AAPC)and/or CCS (AHIMA) * Knowledge of Behavioral Health policies and procedures is a plus * Experience working Behavioral Health fraud cases **Education** A Bachelor's degree, or an Associate's degree, with an additional three years (3 years… more
- Molina Healthcare (Columbus, OH)
- …on researching, presenting and documenting is required, + Experience with Medicare, Medicaid and Marketplace is required. + Medical coding experience is highly ... preferred. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent combination of education and experience **Required Experience** 7-9 years **Preferred Education** Graduate Degree or equivalent experience **Preferred Experience** 10+… more
- Molina Healthcare (Akron, OH)
- …coordination, and ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational Ownership** + ... At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization...experience. + At least 3 years of Experience with Medicaid and/or Medicare. + Proven experience owning operational projects… more