- Molina Healthcare (Columbus, OH)
- …Summary** Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and ... appropriate information has been provided. + Audits loaded provider records for quality and financial accuracy and provides documented feedback. + Assists in… more
- Molina Healthcare (Cleveland, OH)
- …Summary** Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and ... generation and distribution of required reports that support continuous quality improvement of the provider database, compliance with regulatory/accreditation… more
- US Tech Solutions (New Albany, OH)
- …Work with research, manufacturing, maintenance, process development, utilities, facilities, quality assurance and/or validation departments in developing ... routine technical tasks. **Operations Engineering:** + Function as a technical specialist to equipment or systems regarding problem solving operations. + Frequently… more
- Banner Health (OH)
- …guidelines. Utilize coding knowledge and expertise to support department projects, validation edits and revisions. Participates and leads in training and onboarding ... accurate coding in accordance to department specific productivity and quality standards. Codes ICD CM and CPT4 for accurate...for research or analysis purposes. 5. Able to identify validation edits and revision issues to ensure compliant coding.… more
- Elevance Health (Mason, OH)
- …: + BA/BS preferred. + Experience with vendor based DRG Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. ... CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines… more
- Deloitte (Cincinnati, OH)
- Manhattan QA Lead - Project Delivery Specialist - Enterprise Performance Are you an experienced, passionate pioneer in technology who wants to work in a ... Work you'll do/Responsibilities The QA Lead will oversee the quality assurance strategy and execution for Manhattan Active WMS...APIs, JSON, Postman). + Proficiency in SQL for data validation and backend testing. + Familiarity with test management… more
- KeyBank (Brooklyn, OH)
- …of reviews, mentors other teammates, and ensures the delivery of high- quality documentation and reporting, including credible review and challenge over line ... risk taking activities and decision. The role may also support issue validation , corporate compliance projects and programs, and contribute to initiatives that… more
- Molina Healthcare (OH)
- …within Architectural compliance and governance. **Knowledge/Skills/Abilities** * Industry specialist for multiple technologies, including s/w development platforms ... + Establishes architectural guardrails, CI/CD enforcement controls, and design validation criteria to maintain platform integrity and operational excellence. +… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …Bon Secours Mercy Health, we are dedicated to continually improving health care quality , safety and cost effectiveness. Our hospitals, care sites and clinicians are ... recognized for clinical and operational excellence. **Job Title:** Patient Services Specialist This position schedules surgeries and colonoscopies as well as review… more