Healthcare Resource Specialist Jobs in Cincinnati, Ohio | HealthcareCrossing.com


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75

Healthcare Resource Specialist Jobs in Cincinnati

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Company
Bristol-Myers Squibb Company
Location
Cincinnati, OH
Posted Date
Feb 25, 2020
Info Source
Employer  - Full-Time  90  

Bristol-Myers Squibb is a global Biopharma company committed to a single mission: to discover, develop, and deliver innovative medicines focused on helping millions of patients around the world in disease areas ..

 
Company
**********
Location
Cincinnati, OH
Posted Date
Jun 26, 2023
Info Source
Employer  - Full-Time  90  

Description Do you thrive on working on the cutting edge? Working with innovators in the early stages of ideas, products, or platforms? Do you want to transform an industry? Crave new ..

 
Company
**********
Location
Cincinnati, OH
Posted Date
Sep 27, 2021
Info Source
Employer  - Full-Time  90  

Current UC employees must apply internally via SuccessFactors > http://bit.ly/UCEMPL   Founded in 1819, the University of Cincinnati embarks upon its third century - building on the past and defining the future ..

 
Company
**********
Location
Milford, OH
Posted Date
May 13, 2023
Info Source
Employer  - Full-Time  90  

Description This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will oversee the monitoring and enforcement of the fraud, waste, and abuse (FWA) compliance program to ..

 
Company
**********
Location
Cincinnati, OH
Posted Date
May 19, 2022
Info Source
Employer  - Full-Time  90  

CURRENT UC EMPLOYEES MUST APPLY INTERNALLY VIA SUCCESSFACTORS > HTTP://BIT.LY/UCEMPL   Founded in 1819, the University of Cincinnati ranks among the nation's best urban public research universities. Home to more than 47,000 ..

 
Company
Humana Inc.
Location
Cincinnati, OH
Posted Date
May 19, 2023
Info Source
Employer  - Full-Time  90  

Description This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will oversee the monitoring and enforcement of the fraud, waste, and abuse (FWA) compliance program to ..

 
Company
Humana Inc.
Location
Cincinnati, OH
Posted Date
Dec 27, 2021
Info Source
Employer  - Full-Time  90  

... Certified Diabetes Care and Education Specialist-Remote-US in Cincinnati Ohio Description The ... Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless ... Certified Diabetes Care and Education..

 
Company
**********
Location
Cincinnati, OH
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

 
Company
**********
Location
Cincinnati, OH
Posted Date
Nov 08, 2021
Info Source
Employer  - Full-Time  90  

Description Job Description Summary Care Management Support Specialists contribute to the administration of care management. The CMSS provides non-clinical support to the assessment and evaluation of members' needs and requirements to ..

 
Company
**********
Location
Cincinnati, OH
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

 
Company
**********
Location
Cincinnati, OH
Posted Date
May 13, 2023
Info Source
Employer  - Full-Time  90  

Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..

 
Company
Humana Inc.
Location
Norwood, OH
Posted Date
May 27, 2023
Info Source
Employer  - Full-Time  90  

Description This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will oversee the monitoring and enforcement of the fraud, waste, and abuse (FWA) compliance program to ..

 
Company
**********
Location
Cincinnati, OH
Posted Date
Apr 14, 2023
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

 
Company
**********
Location
Cincinnati, OH
Posted Date
Sep 05, 2022
Info Source
Employer  - Full-Time  90  

Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..

 
Company
**********
Location
Cincinnati, OH
Posted Date
May 28, 2023
Info Source
Employer  - Full-Time  90  

u003cbu003e More than a career - a chance to make a difference in people's lives. u003c/bu003eu003cbru003eu003cbru003eBuild an exciting, rewarding career with us - help us make a difference for millions of ..

 
Company
**********
Location
Cincinnati, OH
Posted Date
Aug 18, 2022
Info Source
Employer  - Full-Time  90  

Description Care Management Support Specialists contribute to the administration of care management. The CMSS provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain ..

 
Company
**********
Location
Cincinnati, OH
Posted Date
May 04, 2023
Info Source
Employer  - Full-Time  90  

Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..

 
Company
**********
Location
Cincinnati, OH
Posted Date
Jun 05, 2023
Info Source
Employer  - Full-Time  90  

Qualifications nn n Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.nnBasic Requirements:nntCitizenship: Citizen ..

 
Company
Humana Inc.
Location
Cincinnati, OH
Posted Date
Apr 22, 2023
Info Source
Employer  - Full-Time  90  

Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder ..

 
Company
**********
Location
Bellevue, KY
Posted Date
Jun 05, 2023
Info Source
Employer  - Full-Time  90  

Qualifications nn n Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.nnBasic Requirements:nntCitizenship: Citizen ..

 
Company
Humana Inc.
Location
Springdale, OH
Posted Date
May 18, 2023
Info Source
Employer  - Full-Time  90  

Description This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will oversee the monitoring and enforcement of the fraud, waste, and abuse (FWA) compliance program to ..

 
Company
**********
Location
Cincinnati, OH
Posted Date
Aug 24, 2022
Info Source
Employer  - Full-Time  90  

Description The Clinical Programs Pharmacy Technician Representative 2 integrates programs developed to improve overall health outcomes with a focus on prescription drugs. The Clinical Programs Pharmacy Technician Representative 2 performs varied ..

 
Company
**********
Location
Cincinnati, OH
Posted Date
May 19, 2022
Info Source
Employer  - Full-Time  90  

CURRENT UC EMPLOYEES MUST APPLY INTERNALLY VIA SUCCESSFACTORS > HTTP://BIT.LY/UCEMPL   Founded in 1819, the University of Cincinnati puts education into action, ranking among the nation's best urban public research universities. Home ..

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