- Medical Mutual of Ohio (Brooklyn, OH)
- …perform pre-employment substance abuse and nicotine testing._ **Title:** _Senior Medicare Compliance Analyst_ **Location:** _OH-Brooklyn_ **Requisition ID:** ... Implements and manages the implementation and daily operation of the Medicare Advantage Compliance Program and all compliance -related activities for the… more
- Prime Therapeutics (Columbus, OH)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Interpretation and Advising) - Remote **Job ... Description** The Senior Compliance Analyst assists in...organization, or other highly regulated industry, including experience with Medicare , Medicaid, and the Affordable Care Act (ACA) +… more
- Prime Therapeutics (Columbus, OH)
- … Analyst (Regulatory Intelligence and Assessment) - Remote **Job Description** The Senior Compliance Analyst assists in the implementation of Prime's ... and maintain records and related documentation for reporting to the Chief Compliance Officer, Prime's senior leadership team, Executives, Corporate Compliance… more
- HealthEdge Software Inc (Columbus, OH)
- **Overview** **Position Overview:** We are seeking a Senior Payment Integrity Specialist to play a key role in building and implementing proprietary healthcare edits ... in claims processing. The successful candidate will be responsible for taking a senior level role in analyzing claims data, as well as translating contract terms,… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …value based contracting initiatives. + Orients, trains, and assists more junior level Analyst . + Performs other duties as assigned. ** Senior Provider Network ... + Knowledge of common/standard Value Based Contracting components and principles. ** Senior Provider Network Performance Analyst ** **Education and Experience:** +… more
- Prime Therapeutics (Columbus, OH)
- …Posting Title** IT Business Systems Analyst Sr **Job Description** The Business Systems Analyst (BSA) Senior IT is responsible for serving as a key role in ... Pharmacy Benefit Management (PBM) or healthcare experience with understanding of Medicare , Medicaid, the Exchanges along with regulatory compliance requirements… more
- Highmark Health (Columbus, OH)
- …virtual health, industry trends), and lines of business (ex. ACA, commercial, Medicare Advantage, Medicaid). The work can include new research and updating existing ... operating objectives of the area. Receives guidance, training, and mentoring from senior personnel in planning and carrying out activities and assignments. 3.… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. We are seeking an ... for new and revised positions and department reorganizations, including FLSA compliance , market pricing and internal equity review. Maintains associated processes,… more