Jobs near Cincinnati: 5,758
RS
Relevance Score ranked on: APPEALS
Audit & Reimbursement III- Medicare Cost Report Appeals
CINCINNATI, 3075 VANDERCAR WAY
Primary duties may include, but are not limited to:Analyzes and interprets data and makes recommendations for change based on judgment and experience. Able to work independently on assignments and under minimal guidance from the manager. Prepare detailed work papers and present findings in accordance...
Search Terms: Audit, Appeals, Project Management, Government, Administrative
83.6
0mi
Updated: August 28
Audit & Reimbursement II-Medicare Cost Report Appeals
CINCINNATI, 3075 VANDERCAR WAY
Primary duties may include, but are not limited to:Analyze and interprets data and makes recommendations for change based on their judgment and experience. Prepare detailed work papers and present findings in accordance with Government Auditing Standards (GAS) and CMS requirements. Gain experience wi...
Search Terms: Audit, Appeals, Project Management, Government, Administrative
83.6
0mi
Updated: August 28
Grievance/Appeals Analyst Lead
MASON, 4241 IRWIN SIMPSON RD
Monitors work flow and makes assignments to ensure the correct team resource is utilized to achieve accreditation and regulatory compliance metrics in a quality manner. May also be responsible to provide review and analysis of complex pre service and post service grievances and appeals requests from ...
Search Terms: Appeals, Analyst, Lead, Senior Analyst, Healthcare
80.7
19mi
Updated: September 17
Grievance/Appeals Representative I
Mason
?Reviews, analyzes and processes non-complex grievances and appeals in accordance with external accreditation and regulatory requirements, internal policies and claims events requiring adaptation of written response in clear, understandable language. Utilizes guidelines and review tools to conduct ex...
Search Terms: Appeals, Representative, Retail, Healthcare, Medical
78.9
19mi
Updated: August 28
Audit & Reimbursement Sr
CINCINNATI, 3075 VANDERCAR WAY
Primary duties may include, but are not limited to:Evaluate the work performed by other associates to ensure accurate reimbursement to providers. Assist Audit and Reimbursement Leads and Managers in training, and development of other associates. Participates in special projects as assigned. Able to w...
Search Terms: Audit, Government, Accounting, Healthcare, Associate
0
0mi
Updated: September 19
Stop Loss Underwriter Director
CINCINNATI, 3075 VANDERCAR WAY
Stop Loss Underwriter Director. Location: Open to anywhere within the continental US. Elevance Health operates in a Hybrid Workforce Strategy, providing various levels of flexibility while also ensuring that associates have opportunities to connect in-person. Unless in a designated virtual-eligible r...
Search Terms: Director, Writer, Underwriter, Healthcare, Business Services
0
0mi
Updated: September 19
Internal Audit Manager/Lead
CINCINNATI, 3075 VANDERCAR WAY
Primary duties may include, but are not limited to: Lead the development and execution of high-quality assessments of the Company’s complex processes and controls (including pharmacy) for accuracy, completeness, effectiveness and compliance. Identify risks and collaborate with team leadership, busine...
Search Terms: Audit Manager, Manager, Audit, Internal, Auditor
0
0mi
Updated: September 19
Manager I Investigations
CINCINNATI, 3075 VANDERCAR WAY
Job Level:Manager. Workshift:
Search Terms: Manager, Management, Healthcare
0
0mi
Updated: September 19
Strategy & Program Development Director, Payment Integrity
CINCINNATI, 3075 VANDERCAR WAY
Develop a deep understanding of the full scope and responsibilities of the Payment Integrity Ideation and Insights organization. Develop and lead the annual strategic planning and roadmap for Payment Integrity Ideation, encompassing the implementation of ongoing tools, team workflows, and collaborati...
Search Terms: Director, Payment, Development, Strategy, Integrity
0
0mi
Updated: September 19
Business Information Developer Consultant – HEDIS Analytics
CINCINNATI, 3075 VANDERCAR WAY
Determines how decision support systems will provide the data required to make effective business decisions. Performs modeling of information sources and flows. Coordinates the activities of a project team and monitors project schedules and costs for own projects. Develops strategic report applicatio...
Search Terms: Business, Developer, Consultant, Analytics, Information
0
0mi
Updated: September 19
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