| Job alert | Jobs 1 - 10 of 25 |
Administrative Officer, OA
Franklin County, OH
–
Columbus, OH, 43216
... be point of contact for client case consults, complaints forwarded from BOC, and client appeals. Work closely with Workforce Administrator on employee hiring, resignation, FMLA and orientation. Supervise and work with case managers in the absence of ... - May 22
Administrative Officer,OA
Franklin County, OH
–
Columbus, OH, 43216
... be point of contact for client case consults, complaints forwarded from BOC, and client appeals. Work closely with Workforce Administrator on employee hiring, resignation, FMLA and orientation. Supervise and work with case managers in the absence of ... - May 21
Workers' Compensation Claims Specialist (Employee Benefits Analyst II)
City of Columbus, OH
–
Columbus, OH, 43215
... files waivers and/or appeals when necessary; Gathers information and reviews medical documentation and other details of claims in order to process and certify claims and to determine the appropriateness of treatment; schedules independent medical ... - May 21
Medical AR Specialist
Columbus Oncology & Hematology
–
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 ... - May 05
Attorney 2, CSEA
Franklin County, OH
–
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
–
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
Assistant General Counsel- HYBRID
State of Ohio
–
Columbus, OH, 43216
... of Violation for licensing and regulatory compliance violations * Supports the Attorney Generals Office in administrative hearings, appeals, and general litigation * Responds to inquires from the public and other governmental authorities * Monitors ... - May 09
Senior Medical Director
CVS Health
–
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 with providers regarding the care of patients with severe, complex, and/or treatment resistant illnesses through peer review ... - May 16
Medical Director Aetna Duals Center of Excellence
CVS Health
–
Columbus, OH, 43224
... • Appeals – The medical director will perform appeals in their “base plan” and in the round robin based on “same or similar specialty” needs. • Pharmacy coverage – The medical director will perform pharmacy reviews. • The medical director will ... - May 16
WC Medical Claims Specialist
ohio.gov
–
Franklin County, OH
... processing of prior authorization requests and Drug Utilization Review as received Monitor status of appeals & outcomes from Industrial Commission hearings What’s in it for you: At the State of Ohio, we take care of the team that cares for Ohioans. ... - May 16