- Elevance Health (Mason, OH)
- ** Audit & Reimbursement Senior ** **Location:** This is a virtual position; US based. _National Government Services is a proud member of Elevance Health's ... Centers for Medicare and Medicaid Services to transform federal health programs._ The ** Audit and Reimbursement Senior ** will support our Medicare… more
- ADM (Erlanger, KY)
- **92910BR** **Job Title:** Sr System Analyst - R2R **Department/Function:** Information Technology **Job Description:** ** Sr . System Analyst R2R - Erlanger, KY** ... escalated support issues. + As needed, provide technical leadership in support of audit requests. + Partner with other process and system experts to identify and… more
- Molina Healthcare (Covington, KY)
- …relevant findings. **KNOWLEDGE/SKILLS/ABILITIES** + Must have experience working with Provider reimbursement data. + Working on Provider analytics in a healthcare or ... in response to approved change requests; retain old and new report design for audit trail purposes. + Analyze data sets and trends for anomalies, outliers, trend… more
- Elevance Health (Mason, OH)
- **Nurse Auditor Senior - Carelon Payment Integrity** **Location:** Alternate locations may be considered. This position will work in a hybrid model (remote and ... eliminate, and prevent unnecessary medical-expense spending. The **Nurse Auditor Senior ** is responsible for identifying, monitoring, and analyzing aberrant patterns… more
- Black & Veatch (Cincinnati, OH)
- ** Senior Mechanical Engineer - HVAC/Plumbing** Date: Dec 15, 2024 Location: US Company: Black & Veatch Family of Companies **Together, we own our company, our ... Liquids Storage. + Computational Fluid Dynamics (CFD) Studies + Energy Audit /Efficiency - Engineering studies, system performance reviews, and energy compliance… more
- Black & Veatch (Cincinnati, OH)
- ** Senior Building Mechanical Engineer - Data Centers - US Hybrid** Date: Dec 8, 2024 Location: US Company: Black & Veatch Family of Companies **Together, we own our ... modeling for interior and exterior spaces + Conducting energy audit /efficiency studies, code review/application, and sustainable design/LEED application of… more
- Valvoline Global (Cincinnati, OH)
- …documentation share. Lead or assist plant in resolution of any insurance company audit findings. + Work with Supply Chain Planning to develop and/or understand long ... capital project cashflow and implementation timing presentation that is given to Sr . Supply Chain Leadership. + Successfully manage commercial contract(s) on all… more
- CommuniCare Health Services Corporate (Cincinnati, OH)
- …previous Long Term Care and MDS experience. Multi-facility MDS experience or Senior MDS experience preferred. The Mobile MDS Coordinator will be detail-oriented and ... years of experience with Federal Medicare/Medicaid and Managed Care reimbursement system management in working with the MDS and...in working with the MDS and RAI process + Senior MDS experience and/or multi-facility MDS experience preferred +… more
- Deloitte (Cincinnati, OH)
- …in Deloitte's Human Capital group, you will assist Deloitte Managers, Senior Managers and Partners in providing strategic and technical consulting services ... health plan initiatives + Prepare IBNR modeling spreadsheets for audit reviews + Provide project management support including preparing...of Health Care Reform 3 Rs + Exposure to reimbursement mechanisms + Strong client presence + Ability to… more