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Utilization or Review or Risk jobs in Columbus, OH, 43215

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Medical Director - Medicare Risk Adjustment HCC Review

DOCTORS CHOICE PLACEMENT SERVICES, INC.  –  Worthington, OH, 43085
Medical Director Opportunity - Medicare Risk Adjustment HCC Review - Columbus, Ohio Full-Time Opportunity, M-F 8am - 5pm ... Advises manager of possible trends in inappropriate utilization (under and/or over), and other quality of care issues. ... - May 07

Utilization Management Nurse Consultant

CVS Health  –  Columbus, OH
... Preferred Qualifications: - 1+ years’ experience Utilization Review experience -1+ years’ experience Managed Care - Strong telephonic communication skills -Ability to exercise independent and sound judgment, strong decision-making skills, and well ... - May 09

Utilization Review Specialist

Acadia Healthcare Inc.  –  Columbus, OH, 43216
... * Gather and develop statistical and narrative information to report on utilization, non-certified days (including ... * Facilitate peer review calls between facility and external organizations. * Initiate and complete the formal appeal ... - May 07

SBA Eligibility Review Officer I

Huntington  –  Columbus, OH
Description Summary: The SBA Eligibility Review Officer I is responsible for reviewing SBA & USDA guaranteed business loans to determine proper structure and ensure loan closes in accordance with SBA & USDA eligibility requirements. Duties & ... - May 06

Sr Business Risk Officer (Corporate, Specialty & Government Banking

Huntington  –  Columbus, OH
... and monitor associated risk Builds relationships and effective collaboration with key stakeholders (business leaders, business process owners, risk pillar owners, 2 line of defense partners, Legal, Compliance, Audit, Credit Review, Technology, ... - May 03

Vendor Risk Senior Professional

Western Alliance Bank  –  Columbus, OH
... Provide initial and on-going due diligence review on third party vendors to ensure risk are identified and applicable standards. Third-Party Supplier QBR and Scorecard: Conduct Quarterly Business Reviews and e nsure scorecards are structured to ... - May 03

Cybersecurity Risk Manager

Huntington  –  Columbus, OH
Description Summary: The Cybersecurity Risk Manager is responsible for oversight and administration of operational and regulatory risk strategy programs for a business segment. Looking for an experienced Cyber Engineer or Cyber Architect to work as ... - May 06

Credit Review Officer Sr

Huntington Bancshares Inc  –  Columbus, OH, 43216
Description Summary: The Credit Review Officer - Sr. is responsible for evaluating the credit risk embedded in Bank assets. The candidate will possess a detailed working knowledge of the methodologies and techniques for performing commercial credit ... - May 07

Risk Management - Wealth Management - Credit Risk Oversight, Vice

JPMorgan Chase & Co.  –  Columbus, OH, 43216
... * Perform monthly Quality Assurance (QA) review of new SBL loans and provide feedback to Operations and Credit Executive. * Prepare existing credit reporting for team such as weekly credit submissions to Risk Bulletin, as well as other credit risk ... - May 07

Director, Operational Risk Management

First Merchants Bank  –  Columbus, OH, 43214
... this includes assessment design to ensure a proactive risk focus and design of operational practices for banking center standards and requirements. Oversee the Key Indicators (KI) program for the bank ensuring a review of key indicators with the ... - May 10
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