Operations Jobs in Cincinnati

Description The Subrogation Professional 2 iIdentifies, investigates, and collects recoveries from third parties who are legally responsible for paying all or part of medical expenditures for an organization that provides health ..

Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..

Job Information Tyson Foods General Manager Sanitation in Cincinnati Ohio Successful applicants for this position must be fully vaccinated against COVID-19 as a condition of employment. Vaccine verification will be required ..

Description The Outbound Contacts Representative 3 represents the company by making outbound contacts to members and/or providers regarding a variety of issues. The Outbound Contacts Representative 3 performs advanced administrative/operational/customer support ..

Description The Supervisor, Grievances & Appeals manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if a grievance, appeal, or further request is warranted ..

Description The Supervisor, Grievances & Appeals manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Supervisor, Grievances & Appeals ..

Job Information Humana Oncology Market Director in Cincinnati Ohio Description The Market Director, Oncology leverages targeted geographic analysis, engages with Physician offices to influence physicians to route patients' prescriptions to Humana ..

Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..

Job Information Humana Compact License-Utilization Management Behavioral Health Professional 2--Remote, MI, NV, CA, OH in Cincinnati Ohio Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills ..

Job Information Humana Supervisor, Grievances & Appeals - Remote, EST or CST in Cincinnati Ohio Description The Supervisor, Grievances & Appeals manages client medical denials by conducting a comprehensive analytic review ..

Job Information Humana Social Media Representative 3 - Remote in US in Cincinnati Ohio Description The Social Media Representative 3 protects company's brand image by monitoring and addressing social media comments ..

Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Humana, we want to help people everywhere, ..

KYgSU9YaYo-320842-en_US Logistics at full potential. At GXO, we're constantly looking for talented individuals at all levels who can deliver the caliber of service our company requires. You know that a positive ..

Job Details: SUMMARY: This position is responsible for supervising the sanitation operation at the Haltom City Texas facility ensuring that the production building meets all USDA and internal requirements and that ..

Job Information Humana Senior Clinic Emerging Markets Trainer, Merger & Acquisition - Remote in Cincinnati Ohio Description The Senior Clinic Emerging Markets Trainer creates and implements processes and programs to ensure ..

Job Information Humana Manager, Specialty Pharmacy Sales in Cincinnati Ohio Description The Manager, Pharmacy Sales - Specialty leverages targeted geographic analysis, engages with Physician offices to influence physicians to route patients' ..

KYmICeGOMl-320994-en_US Logistics at full potential. At GXO, we're constantly looking for talented individuals at all levels who can deliver the caliber of service our company requires. You know that a positive ..

Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..

Description The Bilingual Claims Research and Resolution Representative 2 address customer needs which may include complex financial recovery questions, and resolving issues. Records details of inquiries, comments or complaints, transactions or ..

Description The Inbound Contacts Representative 1 (Go365 Calls Rep) represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 1 performs operational/customer support/computational tasks. Typically works ..

Description Pharmacy Technician or Pharmacy Tech in Training - Arizona, Florida, Ohio, and Texas. Our DOD Skill Bridge Internship program will help you obtain your Pharmacy Technician in Training or Pharmacy ..

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 ..

Description The Inbound Contacts Representative 1 (Patient Care Coordinator) represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 1 (Patient Care Coordinator) performs basic administrative/clerical/operational/customer ..