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25 Jobs in Columbus, OH

  • Provider Network Manager Sr

    COLUMBUS, Ohio
    ... Description Summary:** **Develops the provider network through contract negotiations, relationship ... . Ensure that network composition includes an appropriate distribution of provider specialties ...
  • Audit & Reimbursement II- Cost Report Audit

    COLUMBUS, Ohio
    ... other associates. Analyze and interpret data per a provider’s trial balance, financial statements ...
  • RACF Security Administrator (US)

    COLUMBUS, Ohio
    ... the delivery of mainframe information and network security systems and/or technology services, which may include server, software, network, and database components. **How you will make an impact ...
  • Staff Vice President (VP) Governance (Health Benefits Operations)

    COLUMBUS, Ohio
    ... payments and encounter submissions, network, reporting, IT and infrastructure, performance guarantees and ...
  • Data Protection Engineer

    Columbus, Ohio
    ... ; leads or plans implementations for access management and network security technologies. Develops ... events and incidents; provides system and network architecture support for information and network ...
  • Health Benefits Executive Director

    Columbus, Ohio
    ... repositioning in a market, legislative changes, network/provider changes/ medical management program and policy ...
  • Audit & Reimbursement III - Medicare Cost Report Audit

    COLUMBUS, Ohio
    ... the manager. Prepare detailed work papers and present findings in accordance with Government ... data per a provider’s trial balance, financial statements, financial documents or other related ...
  • Go to Market Director

    COLUMBUS, Ohio
    ... market plans to ensure readiness for products, network and digital features. **How you will make ... Management, Marketing, Operations Product, Network, Clinical, Member Experience) to evaluate opportunities ...
  • FedRAMP SOC Analyst

    Columbus, Ohio
    ... and network security technologies. Develop testing plans to ensure quality of implementation ... network architecture support for information and network security technologies. Close or escalate ...
  • Cost of Care Mgr (US)

    Columbus, Ohio
    ... preferred. Prior experience with provider network contracting, provider networks, claims, finance, and ... processes around physician, hospital and ancillary network contract negotiation strategies, utilization ...
  • Provider Contract/Cost of Care Consultant Senior

    Columbus, Ohio
    ... claims costs, improving the quality of care, and increasing member and provider network satisfaction ... Provider Contract/Cost of Care Consultant Senior-Analytics Location: This ...
  • Information Security Executive Advisor

    Columbus, Ohio
    ... architecture oversight and planning for information and network security technologies. Leads development ... , 10) Security Architecture and Design, 11) Telecommunications and Network Security. Configure ...
  • Audit & Reimbursement Senior - Medicare Cost Report Audit

    COLUMBUS, Ohio
    ... . Able to work independently on assignments and under minimal guidance from the manager. Prepare ...
  • Cloud Cyber Security Analyst (Data Protection/DevOps)

    Columbus, Ohio
    ... problems and leads implementations for system and network security technologies. Perform DAM software ... the reporting of data security events and incidents; provides system and network architecture support ...
  • Associate General Counsel

    COLUMBUS, Ohio
    ... and federal regulatory agencies. Familiarity with provider contracting and network adequacy ...
  • Nurse Medical Management I-1

    Columbus, Ohio
    ... services, focused surgical and diagnostic procedures, out-of-network services, and appropriateness of ...
  • Business Development Director-Ohio

    COLUMBUS, Ohio
    ... in business/product/network development and/or marketing preferred. ...
  • FedRAMP Principal

    Columbus, Ohio
    ... architecting/engineering DevOps-based cloud network or cloud network security CI/CD deployment pipelines ...
  • Wellness & Recovery Specialist

    COLUMBUS, Ohio
    ... forming a supportive, recovery network. Develops and implements provision of onsite psychiatric ...
  • Oncology Practice Enablement Clinician

    Columbus, Ohio
    ... make an impact:** Independently manages relationships with provider practices by providing ... . Serve as the subject matter expert for provider practices on company programs for all lines of business ...
  • Cloud Platform Principal Engineer

    Columbus, Ohio
    ... infrastructure (Compute, Storage, Network, Backups, DR, and Monitoring) Demonstrate and lead the ... infrastructure (Compute, Storage, Network, Backups, DR, and Monitoring) This job is assigned to an entity ...
  • Investigator Senior

    Columbus, Ohio
    ... understanding of health insurance policies, health insurance claims handling and provider network contracting ...
  • Audit & Reimbursement III- Medicare Cost Report Audit

    COLUMBUS, Ohio
    ... manager. Prepare detailed work papers and present findings in accordance with Government Auditing ... supervisory review of work completed by other associates. Analyze and interpret data per a provider’s ...
  • Audit & Reimbursement Sr

    COLUMBUS, Ohio
    ... guidance from the manager Prepare detailed work papers and present findings in accordance with ...
  • Audit & Reimbursement II (US)

    COLUMBUS, Ohio
    ... . Perform cost report desk reviews. Analyze and interpret data per a provider’s trial balance ... reviews of provider exception requests as assigned. Minimum Requirements: **Requires ...
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