Jobs near Mason: 5,194
RS
Relevance Score ranked on: PLATFORM
Implementation Director, Clinical Audit Platform
MASON, 4241 IRWIN SIMPSON RD
Provides support to the implementation process in the presentation of these programs and advises on programmatic changes needed based on data collected. Develops relationships with audit line leaders and works with them to translate business needs to platform requirements, standard workflows, and ope...
Search Terms: Clinical, Director, Audit, Implementation, Platform
81.5
0mi
Updated: September 04
Advanced Software Engineer - Publication Platform Team
Blue Ash
The Advanced Software Engineer will support a backend focus team that requires the translation of consumer needs into use cases for Delivery from our Publication Platform. They will cover a variety of technologies including but not limited to Java, Spring Boot, Node. JS and Databricks. Accountable fo...
Search Terms: Software Engineer, Software, Platform, Engineer, Technology
75.5
11mi
Updated: September 13
IT Platform and Systems Engineering Manager
Cincinnati
As the IT Platform and Systems Engineering Manager you will lead our Platform Engineering and Infrastructure teams in designing, implementing, and maintaining secure, scalable, resilient solutions that align with our business needs and growth objectives. We are seeking a skilled IT Platform and Syste...
Search Terms: Systems Engineer, Engineering Manager, IT, Manager, Systems
73.4
19mi
Updated: September 11
Public Relations Director
Mason
Location: Elevance Health supports a hybrid workplace model (virtual and in-office) with Pulse. Point sites used for collaboration, community, and connection. This includes remote work and 1-2 days in office per week. The Public Relations Director is responsible for leading the communications and pub...
Search Terms: Public Relations, Director, Relations, Communications, Media
0
0mi
Updated: September 19
Investigator II - Carelon Payment Integrity
MASON, 4361 IRWIN SIMPSON RD
Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use of proprietary data and claims systems for review of facility, professional, and pharmacy claims. Responsible for identifying and developing enterprise-wide specific healthcare investigations that may ...
Search Terms: Investigator, Payment, Integrity, Healthcare, Business Services
0
0mi
Updated: September 19
Clinical Provider Auditor I
MASON, 4241 IRWIN SIMPSON RD
Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document determinations an...
Search Terms: Auditor, Clinical, Audit, Accounting, Healthcare
0
0mi
Updated: September 19
Clinical Provider Auditor II
MASON, 4241 IRWIN SIMPSON RD
Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document determinations an...
Search Terms: Auditor, Clinical, Audit, Behavioral Health, Accounting
0
0mi
Updated: September 19
Clinical Provider Auditor II
MASON, 4241 IRWIN SIMPSON RD
Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document determinations an...
Search Terms: Auditor, Clinical, Audit, Behavioral Health, Accounting
0
0mi
Updated: September 19
Clinical Provider Auditor II
MASON, 4241 IRWIN SIMPSON RD
Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document determinations an...
Search Terms: Auditor, Clinical, Audit, Behavioral Health, Accounting
0
0mi
Updated: September 19
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