- UMB Bank (Columbus, OH)
- **Duties & Responsibilities** The Manager , Card Fraud Claims , will oversee and manage the UMB card fraud claims process, ensuring timely and accurate ... and assist in developing strategies to mitigate card fraud claims risk. This role will also assist with the...+ Work closely with the Enterprise Fraud Data Strategy Manager to produce appropriate data and reporting to fulfill… more
- Trustmark (Columbus, OH)
- …the best to our colleagues, clients and communities. Responsible for overseeing a claims processing organization. Ensures claims are processed in a timely manner ... in accordance and compliant with government regulations. Develops claims adjudication policies and procedures that maximize the accuracy of claims payments.… more
- JPMorgan Chase (Columbus, OH)
- Join our Claims & Disputes team as a Senior Product Associate , where your expertise in product development and optimization will not only make a significant ... continuous learning and career mobility. As a Senior Product Associate in the Claims & Disputes team,...career mobility. **Job responsibilities** + Partners with the Product Manager to identify new product opportunities that reflect the… more
- Terumo Medical Corporation (Columbus, OH)
- Associate Territory Manager , Columbus Date: Aug 28, 2024 Req ID: 3495 Location: Columbus, OH, US Company: Terumo Medical Corporation Department: TIS Sales ... help shape wherever we go next!** **_Advancing healthcare with heart_** **Job Summary** Associate Territory Manager TIS is responsible for sales support and… more
- Bath & Body Works (New Albany, OH)
- Research & Development Technical Project Manager II Brand: Bath & Body Works Location: New Albany, OH, US Location Type: Hybrid Job ID: 04BKZ Job Area: Technical ... on recruiting, retaining, and advancing diverse talent where our associate population is as diverse as the communities we...Body Works is seeking a dedicated R&D Technical Project Manager II to join our fast past and ever-evolving… more
- Zurich NA (Columbus, OH)
- National Construction Property Energy Underwriter (Sr OR AVP Level) 116418 Zurich is seeking an experienced a National Construction Property Energy Underwriter ... two days per week in the office. As the National Construction Property Energy Underwriter (Sr OR AVP Level)...filled at either theSenior or AVP Level. The hiring manager will determine the appropriate level based upon the… more
- CVS Health (Columbus, OH)
- …flexibility as you coordinate the care of your members. + Nurse Case Manager is responsible for telephonically and/or face to face assessing, planning, implementing ... including co-morbid and multiple diagnoses that impact functionality. + Reviews prior claims to address potential impact on current case management and eligibility.… more
- CVS Health (Columbus, OH)
- …flexibility as you coordinate the care of your members. Nurse Case Manager is responsible for telephonically and/or face to face assessing, planning, implementing ... including co-morbid and multiple diagnoses that impact functionality. Reviews prior claims to address potential impact on current case management and eligibility.… more
- Trinity Health (Columbus, OH)
- …of referrals and treatment plans for Members. + Coordinates with Medical Director/ Associate Medical Directors on case-specific issues. + Coordinates with Claims , ... without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status… more
- Elevance Health (Columbus, OH)
- …to assist members enrolling in Medicare. + Reviews claim history to identify claims requiring reconciliation, whether processed or pended, as well as recovered in ... error. + Associate must identify the correct formulas in order to adjudicates impacted claims , using multiple COB Formulas for the various product types,… more
- Trinity Health (Columbus, OH)
- …Shift **Description:** **POSITION PURPOSE** Under the general direction of the General Manager , Food & Nutrition Services, the Executive Chef is responsible for the ... wellness, educational and community initiatives. Under the direction of the General Manager , FANS, works collaboratively with all levels of FANS leadership and… more
- CenterWell (Columbus, OH)
- …Health Quality Reporting Program (QRP) including ongoing monitoring of supporting claims based, HHCAHPS, and OASIS metrics. + Regularly monitors regulatory updates ... (collectively, 'Humana') offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Highmark Health (Columbus, OH)
- …systems parameters to ensure accurate managed care operations (ie enrollment & billing, claims processing, etc.). This job supports one or more analytical aspects of ... business value statements. Uses functional and organizational knowledge to mentor Associate , Intermediate, and Senior Business Systems Analysts, as well as others… more
- Evolent Health (Columbus, OH)
- …Opportunities** : The Coordinator, Intake Utilization Management reports directly to the Manager , Client Services. In support of our daily operations this individual ... to work collaboratively with other Client Service Leaders including our Client Service Associate Director and Director may also be available. **What You Will Be… more
- CVS Health (Columbus, OH)
- …and affordable. **Position Summary** Join CVS Health as an Actuarial Services Senior Manager , on the Medicare D Actuarial Services team. We are seeking an actuary ... 1 years SAS experience * Accredited Actuary is required ( Associate of the Society of Actuaries or Fellow of...experience working directly with healthcare client data analyzing pharmacy claims or other relevant data analysis * Experience with… more