- Parker Hannifin Corporation (Cleveland, OH)
- …purchase orders and agreements for approval by the Sourcing & Commodity Manager . + Coordinate and participate in supplier meetings. Buyer/Planner Track: + Purchase ... between suppliers and company personnel. + Negotiate and settle damage claims , rejections, losses, return of materials, over-shipments, cancellations and engineering… more
- Dayton Children's Hospital (Dayton, OH)
- …records required to retrospectively pre certify accounts, and appeal observation, inpatient, medical necessity, and DRG insurance denials. This role functions as ... Home - OhioDepartment:Utilization Review TeamSchedule:Full timeHours:40Job Details:Reporting to the Manager of Utilization Management and in partnership with the… more
- Elevance Health (Mason, OH)
- …and models data including risk reporting and forecasting. + Calculates monthly claims liability reserves, develops merit rating factors and prepares Department of ... Insurance annual statement exhibits. + Leverage and expand your...bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits,… more
- Evolent (Columbus, OH)
- …: The Coordinator, Intake Utilization Management reports directly to the Manager , Utilization Management. In support of our daily operations this individual ... also works with our clinical team, which includes our medical reviews: LVNs, LPNs, and RNs along with our...prior authorization requests and/or relevant health care experience in claims or appeal & grievances is required. + Ability… more
- Elevance Health (Mason, OH)
- …background. **Preferred Skills, Capabilities, and Experiences:** + Healthcare experience preferred; medical claims experience a plus. + Extensive hands-on ... and incentive bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits, 401(k) +match,… more
- Elevance Health (Cincinnati, OH)
- …the market + Develops and analyzes business performance reports (eg for claims data, provider data, utilization data) and provides notations of performance ... preferred. + Minimum of 5 years in healthcare industry in medical economics, provider finance, healthcare analytics, or actuarial services preferred. Please… more
- Elevance Health (Mason, OH)
- …troubleshooting support strongly preferred. + Knowledge of payment integrity and claims systems is highly preferred. + Experience with Python, Angular/React and ... and incentive bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits, 401(k) +match,… more
- Elevance Health (Independence, OH)
- …Develops understanding of client needs and priorities. + Manages complex sales, claims , and benefit issues by researching, resolving, and responding to accounts, ... and incentive bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits, 401(k) +match,… more
- Actalent (Hinckley, OH)
- …and Benefits The pay range for this position is $90000.00 - $110000.00/yr. Full medical , dental, vision insurance . ESOP company that is usually 20% additional ... responsible for project start-up, scheduling, billing, contract interpretation, contract claims , subcontractor dispute resolution, submittals, extra work pricing, cost… more
- Adecco US, Inc. (Maumee, OH)
- …$20.00 per hour Benefit offerings available for our associates include medical , dental, vision, life insurance , short-term disability, additional voluntary ... inquiries relating to product application, customer specific requirements, and quality claims . + Review customer requests for quotes and government solicitations… more