- Cleveland Clinic (Cleveland, OH)
- …career with one of the most respected healthcare organizations in the world. As a Research Medicare Coverage Analysis Specialist, you will be responsible ... Clinical Trials Policy. In this role, you will report to the Director of Research Medicare Coverage Analysis and ensure compliant research billing… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …dental, vision and indemnity plans. We offer fully insured and self-funded group coverage , including stop loss, as well as Medicare Advantage, Medicare ... establishing measures for budgetary control. . Performs more complex research and studies as needed (examples include rates of...indemnity plans. We offer fully insured and self-funded group coverage , including stop loss, as well as Medicare… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …dental, vision and indemnity plans. We offer fully insured and self-funded group coverage , including stop loss, as well as Medicare Advantage, Medicare ... Methodology (preferred - Services Industry), purchasing, financial modeling and qualitative analysis , market and supplier research and contract management. +… more
- AmeriHealth Caritas (Columbus, OH)
- …under generally accepted criminal and civil rules of evidence. + Proactively performs research using the Internet, data analysis tools, etc., to analyze ... enforcement agencies. **Other Skills:** + Health care industry and/or Medicare /Medicaid/Pharmacy/Behavioral Health/Pharmacy Benefit Management knowledge required. + Clinical Experience… more
- Sumitomo Pharma (Columbus, OH)
- …of early- to late-stage investigational assets, we aim to accelerate discovery, research , and development to bring novel therapies to patients sooner. For more ... pricing strategy with the goal of supporting attainment of coverage goals and maximizing net revenue + Develop payer...analytics and financial modeling + Understanding of Commercial and Medicare Part D pharmacy benefit designs + Understanding of… more
- Trinity Health (Westerville, OH)
- …procedures & ability to readily acquire new knowledge. + **Data Management & Analysis ** : Research & compiles information to support ad-hoc operational projects ... payments & ensures that patients meet financial requirements including Medicare medical necessity, payer pre-certifications & referrals. Provides general information… more
- Trinity Health (Grove City, OH)
- …procedures & ability to readily acquire new knowledge. + **Data Management & Analysis ** : Research & compiles information to support ad-hoc operational projects ... and ICD-9 coding to ensure compliance with third party regulations. Understands Medicare , Medicaid and other third party information requirements and adheres to all… more