- Elevance Health (Mason, OH)
- **Nurse Case Manager II** **Hours: Monday - Friday 8:00am to 4:30pm EST and 2-3 late evening 11:30am to 8:00pm EST per month.** **Location:** This role enables ... is granted as required by law. The **Nurse Case Manager II** is responsible for care management within the...management plan and modifies as necessary. + Interfaces with Medical Directors and Physician Advisors on the development of… more
- Molina Healthcare (Cincinnati, OH)
- …fraud, abuse, and over utilization by providers and recipients. The position will review claims data, medical records, and billing data from all types of ... **JOB DESCRIPTION** **Job Summary** Under direct supervision of the Manager , SIU, the Team Lead is responsible to lead...experience working in a Managed Care Organization or health insurance company + Minimum of two (2) years' experience… more
- Compass Group, North America (Oxford, OH)
- …workplace. **Associates at Chartwells Higher Ed** **are offered many fantastic benefits.** + Medical + Dental + Vision + Life Insurance / AD + Disability ... success! Chartwells Higher Education is looking for a HR Manager at Miami University of Ohio located in Oxford,...and properly executed. + Supports EEOC and law suit claims documentation and delivers training where needed on Performance… more
- Elevance Health (Mason, OH)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... network satisfaction. Provides expert advice, analytic and consultative support to Medical Directors and management on cost of care issues. Supports large scale… more
- Parker Hannifin Corporation (Elyria, OH)
- …Accounts for both Childcare and Healthcare expenses as well as optional Supplemental Medical Benefits. + Company provided Life Insurance , Accidental Life & ... This is an Individual contributor role typically reporting to a contract manager or lead position. Has regular interaction with functional team members and… more
- Cleveland Clinic (Cleveland, OH)
- …etc.). We are looking for some with pharmacy background, medication knowledge, and insurance claims familiarity. **A caregiver in this position works from 8:00AM ... most respected healthcare organizations in the world. As a Medical Access Pharmacy Technician, you will work with discharge,...many patients are admitted, check the status of patient's insurance and work through insurance issues with… more
- The Cigna Group (Cleveland, OH)
- …channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, ... of the Provider Contracting Team and reports to the Provider Contracting Senior Manager . This role assists in developing the strategic direction and management of… more
- Elevance Health (Marietta, OH)
- **LTSS Service Coordinator - RN Clinician (Case Manager )** **Hiring in the following counties: Athens, Hocking, Meigs, Morgan, Noble, Perry, and Washington.** ... or through extra-contractual arrangements, as permissible. + Interfaces with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on the development… more
- AAA Mid Atlantic (Akron, OH)
- …Holidays + 401(k) plan + Medical , Dental and Vision Coverage + FREE Life Insurance + FREE AAA Membership (your choice of a Classic, Plus or Premium) + Tuition ... company associates and the public. + Investigate and resolve claims including, but not limited to, service delays, operator...equipment as directed. + In conjunction with the Fleet Manager and Corporate Risk Manager , investigate accidents… more
- CommonSpirit Health (Steubenville, OH)
- …days off), Professional Dues, and Certification Reimbursement + Malpractice and Tail Insurance (Modified Claims Made) + Full Benefits Eligibility with ... Expectation + Excellent support staff with a strong office manager and a mix of LPNs and MAs +...Requirements** + Must be a graduate of an approved medical school, completed an internship and/or residency in his/her… more