- Molina Healthcare (Covington, KY)
- …combination of education and experience **PREFERRED EXPERIENCE:** + Experience working with Medicaid , Medicare, and Marketplace enrollment data . To all current ... **Job Description** **Job Summary** Manages the activities of the Data Analytics and Reporting team. Performs research and analysis of complex healthcare claims … more
- Elevance Health (Cincinnati, OH)
- **SCA Data Technician** **Locations:** This position is virtual. Ideal candidates will live within 50 miles of one of the following PulsePoint locations; Hingham, ... Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. Pay: the...PA - $18.54 Denison, TX - $18.17 The **SCA Data Technician** is responsible for conducting research and collecting… more
- Robert Half Finance & Accounting (Cincinnati, OH)
- Description We are currently seeking an experienced Medical Billing Manager with prior supervisory experience to lead our medical billing department. The ideal ... with specific knowledge of private insurance billing, Medicare, and Medicaid . Responsibilities: + Oversee the daily operations of the...in a timely and precise manner. + Analyze financial data and reports to identify trends, cost issues, and… more
- Sanofi Group (Cincinnati, OH)
- Immune Hematology Manager - Ohio Valley **Job Description:** The Immune Hematology Manager (IHM) is responsible for effectively applying promotional and selling ... information for Sanofi Pharmaceuticals' products to designated targets/accounts. + Exceptional business acumen leading to the creation of clear, comprehensive … more
- Lundbeck (Cincinnati, OH)
- Neuroscience Account Manager - Cincinnati, OH Requisition ID: 5659 Location: Cincinnati, Ohio, US **Territory: Cincinnati, OH - Neuroscience** Target area for ... on our journey of growth! As a Neuroscience Account Manager , this is an incredible opportunity to join the...demonstrate strong capability in the following areas: **ESSENTIAL FUNCTIONS:** ** Business Planning & Account Leadership** - Ability to use… more
- Elevance Health (Mason, OH)
- …findings that support the concept. + Request and/or run queries as needed to retrieve data . + Meet with various business partners as needed. + Submit enhancement ... ** Business Analyst II** **Supports the Payment Integrity line...be incorporated into system design and testing. + Perform data mining utilizing CPT, HCPCS, DRG, ICD-9, ICD-10, etc.,… more
- Elevance Health (Cincinnati, OH)
- …contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit and Reimbursement III** ... with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health...but are not limited to: + Analyzes and interprets data and makes recommendations for change based on judgment… more
- Elevance Health (Cincinnati, OH)
- …contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs._ The **Audit and Reimbursement Senior** ... with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health...independently on assignments and under minimal guidance from the manager . + Prepare detailed work papers and present findings… more
- Elevance Health (Cincinnati, OH)
- …contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The Audit and Reimbursement III ... with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health...will make an impact** : + Analyzes and interprets data and makes recommendations for change based on judgment… more
- Elevance Health (Cincinnati, OH)
- …contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Director I Medicare Operations** ... is responsible for directing multiple business function operations teams on Tier I contract with...(NGS) a contractor for the Centers for Medicare and Medicaid Services. + Medicare Integrity Operations includes but is… more
- Elevance Health (Cincinnati, OH)
- …contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit and Reimbursement Senior** ... with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health...independently on assignments and under minimal guidance from the manager . + Prepare detailed work papers and present findings… more
- Elevance Health (Cincinnati, OH)
- …contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. **Location:** **This is a virtual ... claim review of Medicare helpful. + CMS (Centers Medicare Medicaid Services) experience. _If this job is assigned to...experience. _If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under… more
- Elevance Health (Cincinnati, OH)
- …contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit and Reimbursement Lead** ... with the federal government (The Centers for Medicare and Medicaid Services (CMS) division within the Department of Health...and training lower level staff + Analyze and interpret data with recommendations based on judgment and experience +… more
- Elevance Health (Cincinnati, OH)
- …will make an impact:** + Functions as the single point of contact for the Business or IT partners for their IT needs. + Leads small teams on initiating, developing, ... new or existing process, methodologies and practices through observation, research, and data analysis. + Monitors adoption and use of processes, tools, and practices… more
- Elevance Health (Cincinnati, OH)
- …contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Project Leader** is responsible ... and develops documentation. + Researches, compiles, extrapolates and validates data used to forecast staffing needs and work flows,...issues. + Assists in managing project scope to ensure business needs are met and the project scope as… more
- Elevance Health (Mason, OH)
- …organizations under different leadership. + Lead privacy engagement across lines of business to support innovation and enable privacy-by-design. + Develops and leads ... strategic privacy compliance plans, including business associate agreements, and makes recommendations to leadership. + Performs quality oversight of departmental… more
- Molina Healthcare (Cincinnati, OH)
- …**Preferred Experience** + 1 year of experience in Medicare and in Medicaid . + Experience with data reporting, analysis and/or interpretation. **Preferred ... programs for members in accordance with prescribed quality standards; conducts data collection, reporting and monitoring for key performance measurement activities;… more
- Elevance Health (Cincinnati, OH)
- …government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. **Pay:** The pay for this ... routine nature. Responsible for maintaining compliance activity, professional customer service, and data processing and balancing. **How you will make an impact** +… more
- CVS Health (Cincinnati, OH)
- …can have life-changing impact on our members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With ... manage the member or assign the member to an appropriate care manager . **Fundamental Components** * Engaging Members: Using care management tools and information/… more
- Molina Healthcare (Covington, KY)
- …programs for members in accordance with prescribed quality standards; conducts data collection, reporting and monitoring for key performance measurement activities; ... activities and results to identify opportunities for improvement. + Surfaces to Manager and Director any gaps in processes that may require remediation. +… more