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Utilization or Review or Bsn or Telemetry or RN resumes in Columbus, OH, 43215

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Project Management Information Systems

Galloway, OH
... including completion of Six Sigma Yellow Belt coursework • Field Experience focused on Patient Centered Medical Home (PCMH) review of 2011 and 2014 standard requirements • Completed National Committee for Quality Assurance (NCQA) PCMH training and ... - 2024 Jan 23

Senior Accountant Accounts Payable

Columbus, OH
... ● Perform monthly balance sheet reconciliations and review/approve over 75 reconciliations monthly. ● Primary contact for Brazil intercompany accounting and management of financial data. ● Assist with the integration of acquisitions including proper ... - 2024 Jan 23

United States Customer Service

Columbus, OH
... - Houston, United States May 2019 to July 2021 Review financial statements, sales and activity reports, and other performance data to measure productivity and goal achievement and to determine areas needing cost reduction and program improvement. ... - 2024 Jan 23

Quality Control Assurance

Columbus, OH
... review, follows, & understands established laboratory quality & quality control procedures; performs & documents maintenance & trouble shooting procedures on laboratory instruments to ensure proper operation; performs specimen collection & procuring ... - 2024 Jan 22

Systems Analyst Software Development

Columbus, OH
... Performed all DPO SDLC responsibilities for Tiger Team including release planning, review release plan, verified acceptance testing task, verified post prod release and closing validation tasks for each release Facilitated movement of work items ... - 2024 Jan 20

Life Insurance Health Unit

Columbus, OH
... Note: Additional medical information may be required after MetLife’s initial review of a completed Statement of Health form. The additional information requested may be a physical examination, paramedical exam, or an Attending Physician Report. ... - 2024 Jan 19

Data Entry Customer Service

New Albany, OH
... *Preview claims for utilization review & sent claims to nurses for review, prepare expense reports. *Review medical records for determination of pre-existing conditions. *Reopen, adjust and void claims on-line within guidelines and contacted ... - 2024 Jan 19

Software Development Back End

Lewis Center, OH
... •Extensively involved in weekly/daily Defect Review and Test Execution Status meetings to discuss/explain the defects with the development team. •Actively involved in 3Amigos sessions and wrote Scenarios. •Setup in Test case Design and Test case ... - 2024 Jan 17

Customer Service Support Specialist

Columbus, OH
... Negotiations, Settlements Quantum Health (3/2022-present) Health care liaison, Authorization documentation, Liaison of PBM and Insurance company, Review and correct medical claims, Scheduling provider appointments, Verification of insurance. ... - 2024 Jan 15

Financial Services Leader Vp Finance

Columbus, OH
... Implemented enhancements of data analytics and financial analysis of network financial & utilization performance. Co-led implementation of data warehouse capabilities. Leading multistate start up health plans expansion strategy, to support ... - 2024 Jan 14
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