• Director, Field Reimbursement Management - Remote

    Otsuka America Pharmaceutical Inc. (Columbus, OH)
    …goals. **Empowered Development -** Play an active role in professional development as a business imperative. Minimum $183,335.00 - Maximum $274,160.00, plus ... Management (FRM) Position Overview We are seeking an experienced, transformative leader to serve as the Director of Field Reimbursement Management. This… more
    Otsuka America Pharmaceutical Inc. (05/23/25)
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  • Audit & Reimbursement II (US)

    Elevance Health (Columbus, OH)
    …supports work-life integration, and ensures essential face-to-face onboarding and skill development . **National Government Services** is a proud member of Elevance ... contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit and Reimbursement II**… more
    Elevance Health (05/30/25)
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  • Audit & Reimbursement III- Appeals

    Elevance Health (Independence, OH)
    …supports work-life integration, and ensures essential face-to-face onboarding and skill development . **National Government Services** is a proud member of Elevance ... Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit...required. _If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under… more
    Elevance Health (05/30/25)
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  • Network Education Representative Senior - LTSS

    Elevance Health (Mason, OH)
    …orientation package for newly contracted providers. + Promotes technology and skills development to improve provider business practices. + Supports the efficacy ... maintaining accurate provider data. + Provides leadership in the development of provider education and internal health plan support...training is very strongly preferred. + Knowledge in available Medicaid programs and resources. + Medicaid or… more
    Elevance Health (05/31/25)
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  • Specialty Sales Representative, Immunology

    Grifols Shared Services North America, Inc (Cleveland, OH)
    …key opinion leaders. Position requires strong sales and clinical expertise, business acumen and stakeholder relationships. The Immunology/Neurology SSR will focus on ... a hybrid, rep-enabled capability and an omnichannel approach to respond to business customers, business and environmental needs of Marketing, Managed Markets,… more
    Grifols Shared Services North America, Inc (05/09/25)
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  • Stars Analytics Principal

    Humana (Columbus, OH)
    …and help us put health first** We are seeking an experienced and strategic leader to join our Stars analytics leadership team in support of the Medicare Stars ... our organization and strengthening relationships with our internal Stars business partners and across other Humana analytics organizations. **Key Responsibilities:**… more
    Humana (05/31/25)
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  • Project Manager / Senior Project Coordinator

    System One (Dayton, OH)
    …of specialized workforce solutions and integrated services. ALTA is an established leader in IT Staffing and Services, for both government and commercial enterprises ... United States, specializing in Program & Project Management, Application Development , Cybersecurity, Data & Advanced Analytics, and Agile Transformation Services.… more
    System One (03/26/25)
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  • Patient Financial Specialist / Registration

    Trinity Health (Columbus, OH)
    …ICD-9 coding to ensure compliance with third party regulations. Understands Medicare, Medicaid and other third party information requirements and adheres to all ... when registering patients + Using EPIC + Demonstrates understanding of Medicare, Medicaid and other third party information requirements and adheres to all third… more
    Trinity Health (05/28/25)
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  • Senior Actuarial Analyst - REMOTE

    Prime Therapeutics (Columbus, OH)
    …on trend, benefit design and pricing support for all Prime's lines of business (commercial, Medicare and Medicaid ). This role will also provide actuarial ... support, and maintain financial and complex actuarial models + Lead , perform, and review data analyses, reporting, and projections...or PBM + Previous experience pricing Commercial, Medicare or Medicaid lines of businesses + 3 years of experience… more
    Prime Therapeutics (04/12/25)
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  • Manager, IFG Agnostic Call Center

    Humana (Columbus, OH)
    … lead our Agnostic Call Center Sales Team within the IFG line of business . This leader will drive performance through strategic sales planning, coaching, and ... The ideal candidate will have a passion for team development and a proven ability to achieve and exceed...your skills to make an impact** **Key Responsibilities:** + Lead , coach, and develop a high-performing sales team to… more
    Humana (05/30/25)
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