- Elevance Health (Independence, OH)
- **Account Service Manager Sr - Pharmacy Account Management** **Location:** This position will work a hybrid model (remote and office). The ideal candidate must ... Travels to worksite and other locations as necessary. The **Account Service Manager Sr ** is responsible for providing highly advanced account management… more
- Travelers Insurance Company (Independence, OH)
- …. Coordinate medical and indemnity position of the claim with a Medical Case Manager . Independently handles assigned claims of low to moderate complexity where ... for a $3,000 sign-on bonus! Under general supervision, manage Workers' Compensation claims with lost time to conclusion and negotiate settlements where appropriate… more
- Elevance Health (Independence, OH)
- **Proposal Develop Analyst Sr - Commercial Proposals** **Team** **Location:** This position will work a hybrid model (remote and office). The ideal candidate will ... PulsePoint locations listed on the requisition. The **Proposal Develop Analyst Sr ** is responsible for providing technical and consultative support relative to… more
- Elevance Health (Independence, OH)
- …each way of a relevant Elevance Health location. The **Group Underwriter Sr .** responsible for determining acceptability of insurance risks and appropriate premium ... or benefit change increments or decrement. + Communicates with sales, administration and claims to assess the rating and administrative impact or benefit and plan… more
- Philips (Cleveland, OH)
- …+ Partner with legal and regulatory to ensure compliance of marketing messages/ claims . + Demonstrated success with creative marketing/position plans. + Up to 25% ... to established processes, policies and procedures. + Escalates issues to reporting manager where appropriate **You're the right fit if:** + Bachelor's degree or… more
- Elevance Health (Seven Hills, OH)
- **Investigator Senior ** **Supports the Payment Integrity line of business** _Location: This position will work a hybrid model (remote and office). The ideal ... recover, eliminate and prevent unnecessary medical-expense spending. The **Investigator Senior ** is responsible for the independent identification, investigation and… more
- Walgreens (Macedonia, OH)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Elevance Health (Seven Hills, OH)
- **Provider Contract/Cost of Care Analyst Senior -Analytics** **Location:** This position will work a hybrid model (remote and office). Must live within 50 miles/1 ... Value Analytics and Optimization team** is looking for a senior analyst who will lead medical cost trend deep...Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing… more
- Crawford & Company (Cleveland, OH)
- …require you to be fully vaccinated for COVID-19. If required, the hiring manager will discuss with you during your interview process. Responsibilities * Reviews case ... employer and physicians. * Maintains contact and communicates with claims adjusters to apprise them of case activity, case...one of the below: * Certification as a case manager from the URAC-approved list of certifications (preferred); *… more
- Elevance Health (Seven Hills, OH)
- Cost of Care Manager - Healthcare Networks (JR127712) **Location:** This position requires you to reside within 50 miles of a relevant, open Elevance Health ... location 1 - 2 days/week. The **Cost of Care Manager ** leads and manages multiple cost of care initiatives...+ Manages and presents cost of care projects to senior leadership. **Minimum Requirements:** + BS/BA degree and minimum… more
- Walgreens (Independence, OH)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Walgreens (Independence, OH)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more