- Highmark Health (Columbus, OH)
- …Inc. **Job Description :** **JOB SUMMARY** This job is responsible for supervising member service call center and ensuring timely, professional, and courteous ... to other areas as necessary for resolution. Investigate escalated member inquiries. The incumbent may be required to make...routine medical approval decisions. **This role sits within the Medicaid Market - looking for someone who has Customer… more
- Molina Healthcare (Dayton, OH)
- JOB DESCRIPTION Job SummaryLeads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: care ... management, utilization management, behavioral health, care transitions, long-term services and supports (LTSS), and/or other special programs. Ensures members reach… more
- Stark County Board of Developmental Disabilities (Canton, OH)
- Job Descriptions: SUMMARY Provides supervision and evaluation of Service and Support Administrators (SSAs) as relates to Individual Service Plan (ISP) ... assigned supervisory units. An integral part of the job function is ensuring that services , supports, and oversight of such supports, occur with the focus on the… more
- Molina Healthcare (Columbus, OH)
- …and in compliance with all relevant federal, state and local regulations. Provider Services staff are the primary point of contact between Molina Healthcare and ... policies and procedures while achieving the highest level of customer service . **KNOWLEDGE/SKILLS/ABILITIES** This role serves as the primary point of contact… more
- BrightSpring Health Services (Columbus, OH)
- … Medicaid eligibility for all individuals by meeting government service requirements if assets limits according to individuals program limitations. Quarterly ... review of employee punch correction forms and/or manual timesheets. Obtain applicable supervisor approval as needed. Submit approved documents to the Resource Center… more
- Humana (Columbus, OH)
- …interim approval for government security clearance (NBIS - National Background Investigation Services )** + 2 plus years of customer service experience **AND/OR** ... necessity as required or pending to a nurse or supervisor who can complete or request additional information. **Role...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
- OhioHealth (Marion, OH)
- …ie, , Office of the Inspector General, The Joint Commission, Center for Medicare & Medicaid Services , Internal Revenue Service , etc. This position will serve ... payroll process to ensure timely and accurate payment for services , and to (c) oversee monitoring of the monthly...to other caresites regarding physician contracting policy/process. 5% Participating member or invited as the Content Expert of the… more