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Senior Manager, Claims & Contract Support
Cameron Craig Group - Columbus, OH
$85,000 - $137,200 a year
Manage the implementation all provider contracts, including any pertinent changes and modifications applicable to these contracts....
Easily apply
RN- Managed Care Case Manager
Performs interventions according to identified priorities, plan of care, and the hospital policies and patient care outcome standard....
Easily apply
Cyber Program Manager
Battelle - 208 reviews - Columbus, OH 43201
Impacts contract negotiation activities and has a strong working knowledge of contractual issues relative to the project being managed relevant to scope of the...


Morrison Community Living - 22 reviews - Canton, OH  +1 location
Certified Dietary Manager certificate highly desirable. Morrison Community Living , a member of Compass Group®, is the nation’s only company exclusively...

Patient Accounts Supervisor-PAA Professional Billing B

Nationwide Children's Hospital - 284 reviews - Columbus, OH 43231 (Northland area)
Detailed understanding of a managed care environment and its impact on the hospital’s bottom line. Five years of experience in health care billing and insurance...

Practice Manager

APS Medical Billing - 15 reviews - Toledo, OH
Provides Managed Care Contract Review. The Practice Manager is responsible for establishing and maintaining relationships with clients....

AR Specialist

Envision Healthcare - 54 reviews - Dayton, OH 45458
Knowledge of Commercial, Third Party Insurance Accounts including but not limited to Medicaid, Managed Care, HMO, PPO, Auto and Work Comp....

Billing Specialist Pharmacy

Cleveland Clinic - 1,833 reviews - Cleveland, OH 44195 (Fairfax area)
Maintains and applies knowledge of current requirements relative to managed care contracts, Medicare, Medicaid, and departmental policies regarding timely...

Speech Language Pathologist – Part or Full-Time - InHealth T...

Freudenberg Medical - 12 reviews - Columbus, OH
Employs Market and Industry Knowledge by understanding health care industry dynamics, trends, competitors, regulations and managed health care environment....

Manager of Case Managers - RN

Surf Search - Columbus, OH
Managing case managers:. Knowledge of long-term care, community resources, and cost-effective alternatives regarding patient care delivery systems....
Easily apply

Reimbursement Analyst

Mercy Health - 297 reviews - Cincinnati, OH
Prefer managed care experience of at least three years. Using multiple databases, compile claims data and analyze impact of proposed reimbursement rates to...

RN Case Manager – Behavioral Health

Medical Mutual of Ohio - 74 reviews - Cleveland, OH
The BH Case Manager will be knowledgeable in regards to community resources and apply the case management concepts and standards of care....

Market Development Director

Fresenius Medical Care - 2,349 reviews - Columbus, OH
Develop close relationships and communications with Regional Vice Presidents, Area Managers, the Physician Strategies and Managed Care Departments to implement...

Operations Associate

McKesson - 2,667 reviews - New Albany, OH
Knowledge of managed care from either the retail pharmacy or PBM perspective a plus. We partner with payers, hospitals, physician offices, pharmacies,...

Provider Service Specialist

Morgan Stephens - 2 reviews - Columbus, OH
Detail Oriented individual with 3+ years Managed Care Experience. We are created and managed by experienced industry professionals in healthcare....
Easily apply

Prior Authorization Specialist

TotalMed - New Albany, OH
Tracks claims under Medicare, Commercial Insurance and Managed Care. Communicates with Case Managers, when processing transactions for members....
Easily apply

Medical Management RN

CareNational Healthcare Services, LLC - Cincinnati, OH
$30 - $32 an hour
CONTRACT Medical Management RN – Managed Care*. At least 1-3 years with a managed care organization (Health Plan/ HMO/IPA/Medical Group/TPA/MSO, etc)...
Easily apply

Financial Services - Variable Products Service Team Manager

New York Life Insurance Co - 1,313 reviews - Cleveland, OH
Paid Vacation, Health Care, 401K match, Pension Plan, Tuition Assistance, Flexible Spending Accounts. This includes transaction processing and customer support...
Vice President & Chief Operating Officer ─ Health Partners
Significant health care related experience required preferably in the areas of physician organizations (PHO, IPA or MSO), health care insurance, physician...
Senior Manager, Claims & Contract Support - Columbus, OH
Manage the implementation all provider contracts, including any pertinent changes and modifications applicable to these contracts....
Easily apply
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