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Medical Director - North Central Region - Medicaid
Humana
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Columbus, OH, 43224
... Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician ... - May 27
Director Labor Relations
DHL Supply Chain
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Columbus, OH, 43224
... The Director, Labor Strategy will negotiate contracts, manage day-to-day contract administration, such as interpretive guidance to management and grievance processing, support the Company's positive employee relations and intervention efforts, ... - May 24
Senior Medical Director
CVS Health
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Columbus, OH, 43224
... Understand UM and participate in UM front line work and appeals as needed in OH and other markets as needed• Confer directly ... including Quality of Care and Quality of Service (grievance) issues• Actively participate in or lead quality and/or ... - May 16
Managing Director Regulatory Accounting Services
Aep
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Columbus, OH
... in the preparation of regulatory applications, briefs, proposed findings of fact and orders, motions for rehearing and appeals, as necessary Analysis of regulatory legal requirements, commission rules and develop strategies on compliance as it ... - May 29
Director Labor Strategy
DHL (Deutsche Post)
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Westerville, OH, 43082
... The Director, Labor Strategy will negotiate contracts, manage day-to-day contract administration, such as interpretive guidance to management and grievance processing, support the Company's positive employee relations and intervention efforts, ... - May 12
Medical AR Specialist
Columbus Oncology & Hematology
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Dublin, OH, 43016
... Essential Duties: Proven experience in reviewing, researching and following up on insurance denials Proven experience in submitting customized appeals using precise arguments based on clinical documentations, third-party payer medical policies, and ... - Jun 01
Administrative Professional 4 - Legal
State of Ohio
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Columbus, OH, 43216
... * Prepare hearing records for appeals filed with Franklin County Common Pleas and Court of Appeals. * Update case record files and issue hearing subpoenas for administrative hearings. * Update licensure status information in the eLicense database ... - May 30
Attorney 2, CSEA
Franklin County, OH
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Columbus, OH, 43216
... Attend court hearings in the Court of Appeals. Attend court hearings in the United States Bankruptcy Court concerning child support matters. Prepare documents. Perform legal research. Review files in preparation for court hearings. Meet with clients ... - May 07
Attorney 2, CSEA
Franklin County, OH
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Columbus, OH, 43216
... Attend court hearings in the Court of Appeals. Attend court hearings in the United States Bankruptcy Court concerning child support matters. Prepare documents. Perform legal research. Review files in preparation for court hearings. Meet with clients ... - May 07
Revenue Cycle Manager
Nationwide Children's Hospital
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Columbus, OH
... Sits on the Patient Grievance Committee. 4. Develops, implements, maintains and monitors departmental policies and procedures. 5. Deals directly with various publics including patients, parents, insurance companies, third parties, vendors, ... - May 29