- Elevance Health (Mason, OH)
- …principles, clinical guidelines and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, clinical guidelines, ... and industry knowledge to substantiate conclusions. + Utilizes audit tools and auditing workflow systems and reference information...years of experience in claims auditing, quality assurance, or recovery auditing. + Requires at least one of the… more
- Insight Global (Marion, OH)
- …(b) and FFIEC IT Handbook along with the development and maintenance of Disaster Recovery and Business Resumption Plan. Ensure bank cyber and network security is in ... security protection and that findings are reported to the Audit Committee and Board of Directors. Coordinates Regulatory IT...threats through the development and annual testing of disaster Recovery and Business Resumption Plan, and to report the… more
- Molina Healthcare (OH)
- …COB and TPL processing logic. + Assist in developing and refining internal SOPs and audit tools related to COB claim reviews. + Act as subject matter expert for ... able to confirm outcomes meet the specific state/federal requirements. + Assists manager in establishing standards, guidelines, and best practices for the audit… more
- Molina Healthcare (Cincinnati, OH)
- …solutions. + Manages Scorable Action Items (SAIs) related to pre-pay editing, post-pay audit , and overpayment recovery initiatives to ensure Health Plan SAI ... and State regulatory requirements are met for Pre-pay Edits, Overpayment Recovery which improves encounter submissions, reduces General and Administrative expenses… more
- WestRock Company (Columbus, OH)
- …maintenance, audits, and troubleshooting. * Provides accurate and timely service, audit , installation and expense reports. * Provides input/feedback for continuous ... * Schedules are often dictated by customer requirements * Report to regional service manager daily * Conduct an exit interview with customer prior to leaving the job… more
- Daisy Brand (Wooster, OH)
- …Controls Infrastructure Engineer will work closely with the Corporate Controls Engineering Manager , Team Leaders, and Senior Engineers to align on Standards and ... documentation for Control System Standards. + Develop and maintain Backup and Recovery Standards for all relevant Engineering devices. Coordinate with IT to have… more
- PNC (Strongsville, OH)
- …on a regular basis. Some responsibilities may be performed remotely, at the manager 's discretion. This position may not be available in all geographic locations. PNC ... such as Dynatrace, Monpo, Logscale, Grafana Automation of tasks, alerting, and recovery Other important preferred skills: Teradata Kafka This role requires strong… more
- Northrop Grumman (Cincinnati, OH)
- …monitoring, problem resolution, and configuration management. + Provide backup and recovery services, manage file systems and disk space, and manage virus ... strict Information Systems security guidelines in all cases. + Maintain security audit and logging information on all classified networked and standalone computers… more
- GovCIO (Columbus, OH)
- …Traceability Matrices (SRTMs). + Provide Subject Matter Expertise (SME) for disaster recovery (DR) contingency plans (ISCP). + Write expert IT Security evaluations ... of audit findings. + Assist with creating, updating, and closing...Virtual video interview conducted via video with the hiring manager and/or team + Camera must be on +… more