- Molina Healthcare (Cleveland, OH)
- …payment integrity and other cost recovery processes + Direct PM experience in Managed Care Operations (claims, system configuration, provider data management ... + 3-5 years in Managed Care with emphasis on Managed Care Operations **Preferred License, Certification, Association** + PMP, CAPM, PMI-ACP, PMI-PBA… more
- JPMorgan Chase (Columbus, OH)
- …cross Line Of Business requests to include exposure to customers that are managed by units outside of the family responsibility area. + Coordinate all administrative ... meet employee needs, based on eligibility. These benefits include comprehensive health care coverage, on-site health and wellness centers, a retirement savings plan,… more
- Molina Healthcare (Cincinnati, OH)
- …+ 3 - 5 years customer service, provider service, or claims experience in a managed care setting. + 3-5 years' experience in managed healthcare ... DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network adequacy and… more
- Highmark Health (Columbus, OH)
- …applicable federal and state rules as well as a solid working knowledge of managed care operations , compliance program structures, information security and ... in leading interdepartmental and cross-functional strategy development. + Experience with managed care , Medicare and federal and/or state regulations, quality… more
- Hilton (Columbus, OH)
- …hotels to our ever\-growing portfolio\! **What will I be doing?** As a Senior Director Management Contract Services, you will partner with owners and investors to ... grow Hilton's managed and franchised hotel portfolio\. On the Owner Relations...settle disputes, and addressing owner\-reported concerns by communicating with operations teams and responding promptly\. + Manage the entire… more
- Molina Healthcare (OH)
- …facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care organization, etc.) + Proficiency with Microsoft ... utilized in medical coding/billing (UB04/1500 form) + Demonstrated understanding of key managed care concepts and provider reimbursement principles such as risk… more
- Molina Healthcare (Cincinnati, OH)
- …analysis and transformation, specifically in processing healthcare claims data and supporting managed care reporting needs + Experience using **Power BI** for ... role supporting **utilization management, population health, or quality improvement within a Managed Care Organization (MCO)** + Experience working directly with… more
- Robert Half (Cincinnati, OH)
- …independent and locally owned Member Firms provide clients with consulting and managed solutions in finance, technology, operations , data, analytics, digital, ... JOB REQUISITION Senior Talent Manager LOCATION AMERICAS DELIVERY CENTER ADDITIONAL...is a passion. We lean into our mission: We Care . We Collaborate. We Deliver . At every level,… more
- Robert Half (Cincinnati, OH)
- …independent and locally owned Member Firms provide clients with consulting and managed solutions in finance, technology, operations , data, analytics, digital, ... JOB REQUISITION Americas Delivery Center - Financial Crimes Compliance Senior Analyst LOCATION AMERICAS DELIVERY CENTER ADDITIONAL LOCATION(S) JOB...is a passion. We lean into our mission: We Care . We Collaborate. We Deliver. At every level, we… more
- Banner Health (OH)
- …Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options ... improving to make Banner Health the best place to work and receive care . Are you an experienced **Hematology Oncology Physician Coder** looking for the opportunity… more
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