- Humana (Columbus, OH)
- …part of our caring community and help us put health first** The Senior Payment Integrity Professional uses technology and data mining, detects anomalies in data to ... of fraud waste and our financial recovery. The Senior Payment Integrity Professional work assignments involve moderately complex to...(40 hours per week) employment at the time of posting . The pay range may be higher or lower… more
- Elevance Health (Mason, OH)
- …abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment . Researches new healthcare-related questions as ... **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days… more
- Elevance Health (Mason, OH)
- …teams responsible for building, scaling, and maintaining platforms for: + Medical Cost Management (claims review, payment integrity, utilization management, ... **Staff VP Engineering** - Medical Cost Management & Cost of Care **Location:**...candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless… more
- Molina Healthcare (Cincinnati, OH)
- **Job Summary** The Manager, Medical Economics provides support and consultation to the New York Health Plan and Finance team through analyzing key business issues ... reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives improvement change by… more
- Cleveland Clinic (Cleveland, OH)
- ** Medical Breast Specialist** The Cleveland Clinic Breast Center is currently seeking applicants for a Medical Breast Specialist to join our growing team. We ... applications from board-certified physicians who have outpatient experience in medical breast and a strong interest in women's health....third parties. _The pay range displayed on this job posting reflects the anticipated range for new hires_ _and… more
- Cleveland Clinic (Cleveland, OH)
- ** Medical Director for Beachwood Inpatient Rehabilitation Facility** We are seeking a mid-career physiatrist with leadership experience to serve as Medical ... a joint venture partnership between Cleveland Clinic and Select Medical , has been consistently recognized as one of the...third parties. _The pay range displayed on this job posting reflects the anticipated range for new hires_ _and… more
- Cleveland Clinic (Cleveland, OH)
- **Regional Hematology and Medical Oncology Physicians CLEVELAND CLINIC** Regional Staff Physician Positions The Hematology and Medical Oncology Department of the ... Cancer Institute at the Cleveland Clinic is seeking Hematology and Medical Oncology applicants at the Assistant Professor level or higher interested in General… more
- Cleveland Clinic (Cleveland, OH)
- **Hematology and Medical Oncology Physicians** The Taussig Cancer Institute at the Cleveland Clinic is seeking Hematology and Medical Oncology applicants at the ... successful candidate should be board certified or eligible in Medical Oncology or Hematology and hold or be eligible...third parties. _The pay range displayed on this job posting reflects the anticipated range for new hires_ _and… more
- Cleveland Clinic (Cleveland, OH)
- **Outpatient Rehabilitation Program Medical Director** We are seeking a mid-career physiatrist with leadership experience to serve as Program Director for our ... Hospitals, a joint venture partnership between Cleveland Clinic and Select Medical , are consistently recognized as top ranked inpatient rehabilitation centers in… more
- Molina Healthcare (Dayton, OH)
- …executive level strategy and leadership for team responsible for medical economics analysis activities, including extracting, analyzing and synthesizing data ... initiatives and strategy. **Essential Job Duties** * Regularly unpacks detailed medical cost information to identify significant trends development and underlying… more