• Audit & Reimbursement II

    Elevance Health (Mason, OH)
    ** Audit & Reimbursement II ** **Location:**...applicants meet the residency requirement of living in the United States at least three of the past ... Medicare and Medicaid Services to transform federal health programs. The ** Audit and Reimbursement II ** will support our Medicare Administrative Contract… more
    Elevance Health (09/06/25)
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  • Line of Business Risk Manager II

    PNC (Strongsville, OH)
    …differentiator and competitive advantage in the markets we serve. We are all united in delivering the best experience for our customers. We work together each ... company's success. As a Line of Business Risk Manager II within PNC's Technology organization, you will be based...of controls * Risk Assessment Unit (RAU) experience * Audit support * Risk and escalating absence of risk.… more
    PNC (07/19/25)
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  • Business Continuity Manager II (Mid or Nigh…

    PNC (Strongsville, OH)
    …differentiator and competitive advantage in the markets we serve. We are all united in delivering the best experience for our customers. We work together each ... opportunity to contribute to the company's success. As a Business Continuity Manager II within PNC's Technology organization, you will be based in Pittsburgh, PA,… more
    PNC (09/04/25)
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  • Revenue Integrity Analyst II

    Intermountain Health (Columbus, OH)
    …consistent and compliant application with charge/coding capture, charge editing, and audit and reimbursement practices. Researches and collaborates on regulation ... and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process. All positions subject to close… more
    Intermountain Health (09/10/25)
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  • Coding Auditor Educator

    Highmark Health (Columbus, OH)
    …OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and ... coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure… more
    Highmark Health (08/08/25)
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  • HEDIS Analyst

    Medical Mutual of Ohio (OH)
    …business (Commercial, Marketplace, Medicare Advantage, and Medicaid), including HEDIS audit submission, Consumer Assessment of Healthcare Providers and Systems ... remote opportunity. Eastern Time Zones preferred.** **Responsibilities** **HEDIS Analyst II ** + Coordinates and collaborates interdepartmentally to produce the… more
    Medical Mutual of Ohio (08/16/25)
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  • Staff Accountant

    Medical Mutual of Ohio (OH)
    …seeking candidates who reside in EST or CST time zones._ **Staff Accountant II ** **Job Summary:** **Performs a primary or supporting role in the monthly close ... components of the corporate forecast, financial statements, regulatory reporting and/or audit schedules. + Analyzes general ledger account activity compared to prior… more
    Medical Mutual of Ohio (08/08/25)
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