- Elevance Health (Mason, OH)
- …duties may include, but are not limited to: + Researches and interprets claims issues while ensuring good, accurate and timely customer service for our pharmacy ... custom reports for internal and external clients, such as claims , drug utilization and impact reports to our clients...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… more
- Elevance Health (Mason, OH)
- …eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… more
- AMP Public Power Partners (Columbus, OH)
- …OH (Hybrid) or remotely out of AMP's footprint Position Title: Assistant Transmission Project Manager - Real Estate & Right of Way Reports To: Transmission Project ... Manager Real Estate/Right of Way FLSA Status: Exempt Basic...needs. 7. Assist with managing and reviewing appraisers; evaluate property values; assist legal in condemnation cases; settle damage… more
- Elevance Health (Columbus, OH)
- …volume of provider. + Schedules review with provider, analyzes data to select claims to be reviewed, conducts review using medical charts, medical notes, itemized ... + Verifies dollar amount on claim is correct in claims system and writes report of the findings of...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… more
- Elevance Health (Mason, OH)
- …procedures. + Develops and analyzes business performance reports (eg for claims data, provider data, utilization data) and provides notations of performance ... those who have experience in healthcare data, particularly in claims , case management, or HEDIS data. + A strong...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… more
- Elevance Health (Mason, OH)
- …requirements. + Develop and analyze business performance reports (eg, for claims data, provider data, utilization data) and provides notations of performance ... experience. + Facets systems knowledge considered a plus. + Claims and/or Encounters experience preferred. + Experience with Medicaid...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… 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 ... and specialty care procedures. + Recommends policy changes and claims system changes to pursue cost savings. + Reviews...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… more
- Elevance Health (Cincinnati, OH)
- …Analytics Analyst Senior** measures financial performance of core Carelon products leveraging claims , authorization, and membership data to tell a detailed story to ... financial services highly preferred. + Comprehensive understanding of medical claims data. + Intermediate to Advanced expertise with SQL,...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… more
- Elevance Health (Mason, OH)
- …+ Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to ... prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… more
- CDM Smith (Cincinnati, OH)
- …expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs ... by providing updates on work status and may evaluate claims and make recommendations to FEMA as to whether...Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or… more