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Appeals Specialist (Dental)
MRI
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Columbus, OH
18USD per hour
... Job Responsibilities: • Complaint/Grievance/Appeal triage member appeals in accordance with State and/or Plan guidelines. • Ensure all components of the triage process are complete for the specialists to resolve cases. • Worker will be assigned ... - Sep 10
Managing Counsel - Appeals and Post-conviction Dept
ohio.gov
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Franklin County, OH
Schedule: Full-time The Office of the Ohio Public Defender is seeking a dedicated leader to serve as the Managing Counsel (Managing Assistant Public Defender) of the Appeals and Post-conviction (APC) Department. APC includes a team of 16 staff who ... - Sep 09
Medical Director - Medicare Grievances and Appeals Corporate Medical
Ohio Staffing
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Clinton Township, OH, 43224
... The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems of diverse scope and complexity ranging from moderate to substantial. The Corporate ... - Sep 03
Business Development Manager (OH)
Aware Recovery Care Inc
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Clinton Township, OH, 43224
... Compliant with applicable state and federal regulations (Release of Information, Grievance and Appeals procedures, etc.) Proficient in operation of CRM (Salesforce) and EHR (Sigmund) software Track contacts, clients, providers, institutions, their ... - Sep 03
Medical Director- Long Term Support Service (LTSS)
Carebridge Corporation
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Grove City, OH, 43123
... Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any ... - Sep 07
Clinical Financial Case Management Specialist 2
Ohio State University Wexner Medical Center
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Clinton Township, OH, 43224
Scope of Position Use of clinical knowledge for the management of complex James Cancer Center ambulatory medical necessity denials through the appeals process. Providing scientific evidence to support cutting edge therapies, and diagnostic services. ... - Sep 03
Social Worker MCE Care Management Specialist
Macpower Digital Assets Edge
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Clinton Township, OH, 43224
... Prepare written and oral reports on social service programs and contribute to grievance tracking and reporting activities. Support the implementation and evaluation of quality improvement programs for SNU/ARU. Uphold department confidentiality and ... - Sep 03
Assistant Attorney General- Environmental Enforcement
ohio.gov
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Franklin County, OH
... The successful candidate will also serve as lead and co-counsel in civil enforcement litigation in federal and state courts, including as trial counsel in preliminary injunction and contempt hearings and bench trials, along with their appeals, with ... - Sep 05
Environmental Claims Analyst
ohio.gov
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Franklin County, OH
... Participates in the technical review and analyses of appeals, presents testimony at administrative hearings, and may present testimony in court. May perform field observations of remedial work in progress. Work Location: 4151 Executive Parkway, ... - Aug 31
Deputy Solicitor General
State of Ohio
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Columbus, OH, 43216
... The Office of the Solicitor General Section of the Ohio Attorney General's Office represents the State of Ohio and its agencies on appeals in the U.S. Supreme Court, the U.S. Court of Appeals for the Sixth Circuit, the Ohio Supreme Court, and other ... - Sep 07