- Molina Healthcare (Columbus, OH)
- …of knowledge although they may have technical team members. **Expanded Scope:** The Senior Project Manager for Claims Operations drives complex, ... & Regulatory Acumen (Healthcare/ Claims )** + Deep understanding of claims lifecycle, EDI transactions, payment integrity, provider data, appeals/grievances,… more
- CVS Health (Columbus, OH)
- …strategic initiatives, and partnering to elevate insights that can positively impact provider experience. The Senior Manager , accounts receivable ... to help review, understand, and identify process improvements across key provider journeys including self-service / digital transactions, claims management,… more
- Zurich NA (Columbus, OH)
- …**This role will be filled at either the** ** Senior or AVP Claims Professional** **Level.** **The hiring manager will determine the appropriate level based ... + Microsoft Office experience + Knowledge of insurance regulations, markets, and products OR Senior Claims Professional: + Bachelor's Degree and 6 or more years… more
- Elevance Health (Cincinnati, OH)
- **Business Architect Sr. - Government Claims ** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, ... is granted as required by law. The **Business Architect Sr. - Government Claims ** will be part of Elevance Health's National Operations Command Center (NOCC) which… more
- CVS Health (Columbus, OH)
- …providers in accordance with company standards to maintain and enhance provider networks while meeting and exceeding accessibility, compliance, quality, and ... financial goals and cost initiatives. Collaborates cross-functionally to develop provider compensation and pricing strategies and manages contracts through language… more
- Elevance Health (Mason, OH)
- ** Provider Contract/Cost of Care Consultant Senior ** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and ... an accommodation is granted as required by law. The ** Provider Contract/Cost of Care Consultant Senior ** provides...will make an impact:** + Focuses efforts on lowering claims costs, improving the quality of care, and increasing… more
- Elevance Health (Mason, OH)
- ** Provider Contract Cost of Care Analyst Senior ** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and ... an accommodation is granted as required by law. The ** Provider Contract Cost of Care Analyst Senior **...providing analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims… more
- Danaher Corporation (Cincinnati, OH)
- …which makes everything possible. The Senior Field Reimbursement Manager (US REMOTE) position is a provider / customer ... responding to customer inquiries. This position reports to the Senior Director Market Access Americas and is part of...this role, you will have the opportunity to: + Provide education to healthcare providers, lab professionals, office staff… more
- RxBenefits (Columbus, OH)
- In this multi-disciplinary, cross functional role, the Senior Manager , Pharmacy Pricing will report to the Director, Pharmacy Pricing & Analytics. The Senior ... file requests, current account RFPs, and competing PBM comparisons. The Manager also assists with resolving client issues involving performance discrepancies and… more
- Stantec (Cincinnati, OH)
- Stantec's Program Management Construction Management (PMCM) Group is seeking a Senior Construction Manager to work on large, complex wastewater projects with ... construction values exceeding $500M over a 10-year period. The Senior Construction Manager will serve as a...including scopes of work. - Serve as owner's contract manager in the resolution of all claims … more