• Outreach Specialist - Remote

    Sharecare (Columbus, OH)
    …Summary:** Under the general supervision of the Operations Manager, the Outreach Enrollment Specialist has the primary responsibility of scheduling members for ... enrollment into an eligible care management program. The Outreach Enrollment Specialist supports the implementation and delivery of Sharecare's VBCM program by… more
    Sharecare (08/08/25)
    - Related Jobs
  • Case Underwriter III

    Trustmark (Columbus, OH)
    …to sell new/maintain existing business. Stays current with our Administrative, Enrollment , Broker, and Enrollment Company capabilities and processes. Responsible ... to sell new/maintain existing business. Stays current with our Administrative, Enrollment , Broker, and Enrollment Company capabilities and processes. **Key… more
    Trustmark (06/16/25)
    - Related Jobs
  • Large Case Integrated Rep

    UNUM (Columbus, OH)
    …part of an organization committed to helping you thrive. Here, we work to provide the employee benefits and service solutions that enable employees at our client ... enjoys opportunities to succeed both professionally and personally. To enable this, we provide : + Award-winning culture + Inclusion and diversity as a priority +… more
    UNUM (08/01/25)
    - Related Jobs
  • Performance Quality Analyst I - Carelon Rx PBM

    Elevance Health (Mason, OH)
    …audits of providers, claims processing and payment, benefit coding, member and provider inquiries, enrollment & billing transactions and the corrective action ... provided by organizations within the enterprise. Included are processes related to enrollment and billing and claims processing, as well as customer service written… more
    Elevance Health (08/08/25)
    - Related Jobs
  • Performance Quality Analyst I - CarelonRx PBM

    Elevance Health (Mason, OH)
    …audits of providers, claims processing and payment, benefit coding, member and provider inquiries, enrollment & billing transactions and the corrective action ... provided by organizations within the enterprise. Included are processes related to enrollment and billing and claims processing, as well as customer service written… more
    Elevance Health (08/08/25)
    - Related Jobs
  • Client Benefit Analyst

    Highmark Health (Columbus, OH)
    …(Claims, Dental Benefits, Customer Service, Membership & Billing), Provider Data Management, Underwriting, and Professional Relations. **ESSENTIAL RESPONSIBILITIES** ... + Provide account support activities associated with the administration of...gathering data from multiple sources related to Benefit/Claim Utilization, Enrollment , Networks (utilization, disruption, geo-access) and making recommendations based… more
    Highmark Health (08/08/25)
    - Related Jobs
  • Onsite Reviewer - Medicaid Providers

    Staffing Solutions Organization (Canton, OH)
    …on the information gathered during the site visit whether to enroll, or continue enrollment for the provider . + Maintain confidentiality at all times, regarding ... within a team environment, and travel daily to various provider locations across Ohio. Overnight stays at hotels are...Onsite Reviewer Job Description:** + Travel daily to various provider site locations. + Conduct site visits at various… more
    Staffing Solutions Organization (07/12/25)
    - Related Jobs
  • RN, Registered Nurse - Wound Care

    Trinity Health (Columbus, OH)
    …meet the demands of the nursing shortage by expanding programming for greater enrollment . With two central Ohio campuses, strong clinical partnerships, and a deep ... and most unique baccalaureate nursing programs in Ohio, with enrollment of more than 850 students. We know that...leadership and management ability / potential. + BLS healthcare provider training required. -- _Mount Carmel and all its… more
    Trinity Health (06/04/25)
    - Related Jobs
  • Director, Appeals & Grievances (Medicare)

    Molina Healthcare (Cleveland, OH)
    …within the key performance requirements. * Coordinates with Customer/Member services, Provider Services, Sales, Enrollment , UM, Case Management, Claims, and ... Appeals Unit that is responsible for reviewing and resolving member and provider complaints, appeals, and claim disputes, and communicating resolution to members,… more
    Molina Healthcare (07/20/25)
    - Related Jobs
  • Medical Assistant

    Valor Health (St. Clairsville, OH)
    …PTO including vacation, sick, paid holidays As aMedical Assistant, you will provide prescribed medical treatment and personal care services to patients with diseases ... in the clinic, as directed by physician or mid-level provider . ?You will collaborate with the core PACT Team...clinical outcomes through the specified VA guidelines. + Must provide excellent customer service to each patient, both in… more
    Valor Health (07/01/25)
    - Related Jobs