• Manager, Operations -System Operations (Remote)

    Molina Healthcare (OH)
    …leadership and direction to MMS Operational Units management staff (eg, Claims Processing, Provider Services, Provider Enrollment , Finance, Managed Care ... Experience** 3 years supervision/management experience in Claims Processing or Provider Services environment and/or any high volume transaction processing/call… more
    Molina Healthcare (07/31/25)
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  • Senior Clinical & Population Health Analyst

    Highmark Health (Columbus, OH)
    …with coding languages, analytical software, systems, tools and processes using claims, clinical, enrollment and provider data + 3 years of project leadership in ... and quality of care received, and optimal member/patient and provider experiences with care delivery. The incumbent serves as...a complex, matrixed environment (payer and/or provider preferred) + 3 years of providing analytical consultation… more
    Highmark Health (07/22/25)
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  • Medical Director

    Gentiva (Lucasville, OH)
    …and any applicable state-controlled substance prescribing registration + Current Medicare Provider Enrollment , Chain, and Ownership System (PECOS) validation and ... hospice care services rendered to patients by physicians through the employing hospice provider . + Oversee and assist with ensuring implementation of the Plan of… more
    Gentiva (06/13/25)
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  • Director of Sales & Partnerships - enGen

    Highmark Health (Columbus, OH)
    …Deep understanding of healthcare technology products especially in Clinical, Digital, Provider , Claims, Enrollment , Billing, Benefits, Products and Services. ... and ensuring meticulous attention to detail. + Pricing Strategy & Execution: Provide market guidance and input into competitive pricing strategies for our diverse… more
    Highmark Health (07/19/25)
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  • Clinical Pharmacy Technician II

    Option Care Health (Milford, OH)
    **Extraordinary Careers. Endless Possibilities.** **With the nation's largest home infusion provider , there is no limit to the growth of your career.** Option Care ... the largest independent home and alternate site infusion services provider in the United States. With over 8,000 team...and more impactful. Our organization requires extraordinary people to provide extraordinary care, so we are investing in a… more
    Option Care Health (07/15/25)
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  • Contract/Benefit Configuration Specialist

    Trinity Health (Columbus, OH)
    …professional roles including information technology, financial analysis, audit, provider relations and more. **Position Purpose** Contracts/Benefits Configuration ... maintenance of contracts, fee schedules and benefits + Assists in developing provider contracts, fee schedules and benefits to ensure efficient implementation and… more
    Trinity Health (08/08/25)
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  • Chaplain Resident - Clinical Pastoral Education…

    Bon Secours Mercy Health (Toledo, OH)
    …Duties will be assigned to maximize professional experience as a spiritual care provider . The one-year training position includes a minimum of 300 hours of ... the MH-SVMC Spiritual Health team, the Chaplain Resident will provide spiritual care to all nursing units and to...as religious or theological studies, counseling, etc.) or current enrollment in degree program + Master's degree (preferred) Special… more
    Bon Secours Mercy Health (08/08/25)
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  • Data Exchange Specialist (EDI) Advisory Market,…

    Guardian Life (Columbus, OH)
    …on the Advisory/Key Account Implementation and Account Service Management Teams as well as Enrollment & Billing teams to provide superior service You have + 1+ ... Are you an inspirational, out-of-the-box thinker who can break down barriers and provide solutions to aid in servicing Guardian's largest customers? Do you possess a… more
    Guardian Life (08/09/25)
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  • Business Service Representative

    AM Leonard (Piqua, OH)
    …conversations to understand customer needs and business challenges + Provide product education and recommendations that support customers' seasonal planning ... that benefit from regular personal contact + Answer customer questions and provide expertise that enhances the AM Leonard value proposition + Create positive… more
    AM Leonard (07/15/25)
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  • Benefits Manager

    Materion (Cleveland, OH)
    …coordinate annual enrollment communications for employees, retirees, and Field HR. Provide new hire benefit orientation and consult with potential new hires on ... Oversee all aspects of the welfare benefits program, including annual enrollment , new enrollments, qualified life event changes, eligibility to vendors, pricing,… more
    Materion (07/10/25)
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