- Humana (Columbus, OH)
- …independent determination of the appropriate courses of action. **Where you Come In** As a Claims Process Organization Project Manager II you will manage ... caring community and help us put health first** The Project Manager II manages all aspects of a ... + Communicate with other operational areas in the organization to secure specialized resources and contributions for the… more
- Humana (Columbus, OH)
- …career to the next level by driving real impact and shaping the future of claims management? As a Senior Pharmacy Claims Professional, you will play a pivotal ... in resolving outstanding balances related to claim reversals, all while leading process improvements and influencing departmental strategies. This is your chance to… more
- Burns & McDonnell (Columbus, OH)
- …contracts, CM contracts, subcontracts, and change orders. + Participate in risk review process . + Implement assigned sections of the Project Execution Plan, ... execution, construction quality assurance plan, safety & health plan, subcontracting plan, project staffing plan, organization chart, and procurement plan. +… more
- Elevance Health (Columbus, OH)
- …prevent unnecessary medical-expense spending. Our Payment Integrity (PI) Operational Excellence organization is looking to hire a ** Process Improvement ... Process Improvement and Lean Six Sigma principles and project leadership. Requires a BA/BS in a related field...experience, with specific knowledge in payment integrity, provider, and claims , and cost-of-care domains. + Process improvement… more
- American Heart Association (Columbus, OH)
- …such as code book, Case Report Forms, Surveys, EHR queries and other data project documentation process . + Develop and implement guidelines to manage data ... 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
- Motion Recruitment Partners (Dublin, OH)
- …knowledge to clients and business representatives during the requirements management process . + Produce project requirements documentation, including written ... OH. Join over 20,000 employees at this global company specializing in technology-enabled claims and risk management solutions. You will be part of a culture that… more
- Guardian Life (Columbus, OH)
- **Job Posting Title** **Team Leader, Absence Claims Management** **Job Description** The **Team Leader, Absence Claims Management** is responsible for leading a ... Managers to get results within their team and the organization . The Team Leader will serve as a primary...action plans for improvement. + Review processes/reports regularly for process improvement opportunities. + Own relationship with client and… more
- Humana (Dublin, OH)
- …necessary to effectively manage multiple activities + Experience with medical claims /health insurance + Project Management experience **Additional Information** ... Operations Professional 2: + Member support, customer service, enrollment, and eligibility, claims review and research, and call center operations + Investigates and… more
- Norstella (Columbus, OH)
- …Now, Citeline is proud to be a part of Norstella, an organization that consists of market-leading pharmaceutical solutions providers united under one goal: ... to improve patient access to life-saving therapies. Within this organization , Citeline plays a key role in helping clients connect the dots from pipeline to patient.… more
- Burns & McDonnell (Columbus, OH)
- … Execution Plan, Quality Assurance Plan, Safety & Health Plan, Subcontracting Plan, Project Staffing Plan, Organization Chart, and Procurement Plan. + Contribute ... Request for Information (RFI's), submittals, meeting minutes, change management, and claims mitigation. + Support project cost reporting, scheduling, work… more
- Deloitte (Columbus, OH)
- …the power of hybrid services and products, and unlocking the power of Process Bionics to deliver sustainable and impactful solutions to our clients. We advise, ... relevant processes and technologies for their industry-and apply them with a process and mindset that tailors transformational change to their specific … more
- Deloitte (Columbus, OH)
- …the power of hybrid services and products, and unlocking the power of Process Bionics to deliver sustainable and impactful solutions to our clients. We advise, ... relevant processes and technologies for their industry-and apply them with a process and mindset that tailors transformational change to their specific … more
- Emerson (Columbus, OH)
- …Engineer to oversee and manage projects related to feeding systems in our organization . The successful candidate will coordinate and lead projects from conception to ... proposal with the sales team, making adjustments as necessary. Overall Project Responsibility: + Assume end-to-end project responsibility, ensuring consistency… more
- Deloitte (Columbus, OH)
- …the power of hybrid services and products, and unlocking the power of Process Bionics to deliver sustainable and impactful solutions to our clients. We advise, ... relevant processes and technologies for their industry-and apply them with a process and mindset that tailors transformational change to their specific … more
- Prime Therapeutics (Columbus, OH)
- …Description** + Performs exploratory data analysis and data mining of healthcare claims and authorizations data. + Designs, documents, develops and rolls out ... reports that give a detailed description of the current project 's progress and indicates time devoted to each task...in easily understandable format for varying levels of the organization . **Responsibilities** + 3+ years of transact-SQL (MS SQL… more
- Defense Logistics Agency (Whitehall, OH)
- …projects; plans the schedule; prepares, amends, or revises other related project / program documents. Attends government, industrial and international conferences to ... and specifications Assisting in a portion of a larger engineering project GS-09: Analyzing technical engineering problems Performing and execute specific portions… more
- Walmart (Groveport, OH)
- …of project activity and tasks assigned by others. Supports process updates and changes. Solves simple business issues. Demonstrate functional knowledge of ... may be available and the details will be discussed during the interview process . Position Summary What you'll do Asset Protection & Security Possesses knowledge of:… more
- Sunrun (Columbus, OH)
- …branch relationships including weekly/monthly reviews, utilization and workload management, process updates and identification and resolution of specific market and ... process issues + Work to pursue and achieve tactical...that require cross-functional engagement with key staff across the organization and external stakeholders + Launch initiatives that increase… more
- Deloitte (Columbus, OH)
- …the power of hybrid services and products, and unlocking the power of Process Bionics to deliver sustainable and impactful solutions to our clients. We advise, ... relevant processes and technologies for their industry-and apply them with a process and mindset that tailors transformational change to their specific … more
- Takeda Pharmaceuticals (Columbus, OH)
- By clicking the "Apply" button, I understand that my employment application process with Takeda will commence and that the information I provide in my application ... **About the role:** At Takeda, we are a forward-looking, world-class R&D organization that unlocks innovation and delivers transformative therapies to patients. By… more