- Elevance Health (Mason, OH)
- …a 50-mile or 1-hour commute each way of a relevant Elevance Health location. The ** Manager l Claims ** is responsible for providing oversight for claims ... which they are employed. **Preferred Skills, Capabilities and Experiences:** + FACETS claims experience is preferred + Strong Microsoft Excel skills preferred +… more
- Molina Healthcare (Covington, KY)
- …**Job Summary** Manages people who are responsible for internal business projects and programs involving department or cross-functional teams of subject matter ... experts, delivering products through the design process to completion. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and… more
- Deloitte (Cincinnati, OH)
- Manager , Operations and Technology Transformation, Insurance Transformation, Advise What we do Operations and Technology Transformation delivers market leading ... real estate companies. Work you'll do As an OTT Insurance Transformation Manager , you will bring industry expertise and project leadership capabilities to deliver… more
- HUB International (Cincinnati, OH)
- …Assist with claim reporting and follow up, when needed, as a backup to Claims Manager + Pursue and maintain professional insurance designations as recommended + ... support and involvement through HUB Gives **SUMMARY:** The Commercial Lines Client Manager manages assigned commercial lines Property & Casualty accounts at OHA (a… more
- Elevance Health (Mason, OH)
- ** Manager II Grievance/Appeals - Claims Support** This position will work in a hybrid model (remote and office). Ideal candidates will live within 50 miles of ... one of our PulsePoint locations. The ** Manager II Grievance/Appeals** is responsible for management oversight of...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- CommuniCare Health Services Corporate (Blue Ash, OH)
- …to continued growth, CommuniCare Health Services is currently recruiting for a Claims Validator / Biller to support our Central Billing Office team. PURPOSE/BELIEF ... STATEMENT The position of Managed Care Claims Validator / Biller is responsible for accurate and...cash collections team, CBO cash posting team, Business Office Manager , Regional Director of Finance, MDS, Case Management, and… more
- Elevance Health (Mason, OH)
- ** Claims Representative III (Health & Dental)** **Must be located within 50 miles of Norfolk, VA, Tampa, FL, Des Moines, IA or Mason, OH.** The ** Claims ... Dental)** is responsible for keying, processing and/or adjusting health claims in accordance with claims policies and...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Mason, OH)
- ** Claims Representative I (Health & Dental)** **Location:** Must live within 50 miles of the Mason, OH, Norfolk, VA, Houston, TX, Indianapolis, IN, Atlanta, GA, ... Miami, FL, or Tampa, FL PulsePoints. The ** Claims Representative I (Health & Dental)** is responsible for...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Mason, OH)
- …Understand the Pharmacy benefit setup & validating the configuration using test claims /query testing. + Validation of Formulary, Utilization Management & Drug List ... setup using Test Claims /Query testing. + Review & provide the testing timelines...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Stantec (Blue Ash, OH)
- …input for contract documents, including scopes of work. + Serve as owner's contract manager in the resolution of all claims and determination of appropriate ... Senior Construction Manager , Water PMCM - ( 240003EE ) **Description**...Construction Management (PMCM) Group is seeking a Senior Construction Manager to work on large, complex wastewater projects with… more
- Elevance Health (Mason, OH)
- **LOA/Disability Case Manager ** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of our ... Elevance Health PulsePoint locations. The **LOA/Disability Case Manager ** will be responsible for coordinating the administration of Short-term Disability and FMLA… more
- American Heart Association (Cincinnati, OH)
- …The American Heart Association has an excellent opportunity for a **Clinical Data Manager ** in our **National Center** office. Location of the selected candidate is ... for you to be able to integrate data from different sources (clinical, claims , patient-reported survey data, food vendors). The Database Designer is responsible for… more
- Deloitte (Cincinnati, OH)
- Manager /Specialist Master, Operations & Technology Transformation, Insurance, Guidewire Integration & Configuration What we do Operations and Technology ... contributing to the development of junior staff. Your role As a Manager /Specialist Master you will bring considerable technical expertise to deliver effective… more
- Walgreens (Middletown, OH)
- …events that reflect the unique communities we serve as requested by Store Manager , Healthcare Supervisor, or District Manager . Operations + Counsels patients and ... that elements of Good Faith are present. + Collaborates with Store Manager to define and develop new strategic business opportunities. + Maintains information… more
- Walgreens (Cincinnati, OH)
- …others accountable for efficient workflow. + At the direction of the Pharmacy Manager or pharmacist, prepares, and files reports and records required by the company ... maintenance of pharmacy department equipment. In collaboration with Pharmacy Manager , responsible for recordkeeping and ensuring security safeguards are in-place.… more
- Molina Healthcare (Covington, KY)
- …Analytics and Reporting team. Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost ... various departments including, but not limited to, IT; Finance; Claims , Call Centers; and UM. * Manages team of...+ **Azure Cloud** + **Managed Care industry experience - Claims , Enrollment, Provider, and Utilization data.** To all current… more
- Sedgwick (Cincinnati, OH)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Telephonic Case Manager **Must hold an active OH RN license and live in Ohio in ... support systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker, attorney and supervisor. + Identifies issues… more
- Deloitte (Cincinnati, OH)
- …real estate companies. Work you'll do As an OTT Insurance Transformation Manager , you will bring considerable industry and technical expertise to deliver effective ... one of the following Insurance sub service areas: User experience, Integration, Claims , Billing & Payments, Policy Administration, Underwriting or Distribution + 4… more
- Republic Finance, LLC (Springdale, OH)
- …in the financial services industry for you, apply to be an Assistant Branch Manager today! *Please note that this position is 100% onsite. ABOUT REPUBLIC FINANCE We ... A DAY IN THE LIFE OF AN ASSISTANT BRANCH MANAGER (ABM) We give you all of the tools...making credit decisions, administering loan closings, and processing insurance claims . Your management abilities shine as you assist the… more
- Elevance Health (Cincinnati, OH)
- …9:00am - 5:30pm ET; Must be able to work some evenings The **Nurse Case Manager I** is responsible for performing care management within the scope of licensure for ... of care management treatment plans. + Assists in problem solving with providers, claims or service issues. **Minimum Requirements:** + Requires BA/BS in a health… more