EmploymentCrossing Jobs

Commercial Medical Director - Work At Home - USA-OH-Cincinnati

Mon, 26 Jun 2023 00:00:00 CDT

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of...

Medical Director - Florida Medicaid - USA-OH-Cincinnati

Thu, 23 Mar 2023 00:00:00 CDT

Job Information Humana Medical Director - Florida Medicaid in Cincinnati Ohio Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignm...

Global Compliance And Reporting Manager--central And Southeast Us - USA-OH-Cincinnati

Wed, 30 Nov 2022 00:00:00 CST

Global Compliance and Reporting Manager - Central and Southeast US The candidate will be immersed in the evolving tax environment through preparing and auditing income tax provisions, assisting with ...

Manager, State And Local Tax - Sales And Use Compliance - USA-OH-Cincinnati

Sat, 10 Dec 2022 00:00:00 CST

Manager, State and Local Tax - Sales and Use Compliance Duties: Provide excellent client service to multi-state companies with state and local tax issues including compliance, advisory services, pla...

Senior Compliance Manager, Federal - USA-OH-Cincinnati

Thu, 01 Dec 2022 00:00:00 CST

Senior Compliance Manager, Federal Duties: Maintains thorough and in-depth knowledge of a federal government contracting compliance programs as required by the FAR/DFARS.Supports the Local Compliance...

Senior Manager, Governance, Risk & Compliance - USA-OH-Cincinnati

Tue, 13 Dec 2022 00:00:00 CST

Senior Manager, Governance, Risk and Compliance Duties: Delivers GRC, General Data Protection Regulation (GDPR), California Consumer Privacy Act (CCPA), information governance, records management a...

Tax Senior Manager - Nat'l Federal Tax Services - Partnership Compliance Group (psg) - USA-OH-Cincinnati

Sat, 10 Dec 2022 00:00:00 CST

Tax Senior Manager - Nat'l Federal Tax Services - Partnership Compliance Group (PSG) Duties: Refine your skillset with the ability to work with large-scaled operating partnership tax clients on matte...

Experienced Manager Governance, Risk and Compliance - USA-OH-Cincinnati

Mon, 12 Dec 2022 00:00:00 CST

Experienced Manager Governance, Risk and Compliance Duties: Understand client needs to develop project plans, and resource plans, establish reporting and metrics, and provide the client with regular ...

Behavioral Health Medical Director - USA-OH-Cincinnati

Fri, 23 Dec 2022 00:00:00 CST

Description The Behavioral Health Medical Director makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that members receive cl...

Medical Director-KY Medicaid - USA-OH-Cincinnati

Sun, 25 Dec 2022 00:00:00 CST

Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Directo...

IP Docketing Manager - USA-OH-Cincinnati

Sat, 01 Apr 2023 00:00:00 CDT

Serve as a first-level response to questions and issues from docketing clerks Manage daily workflow of the patent and trademark docketing teams and quality control of day-to-day docketing functions Pa...

Grievances and Appeals Medical Director - Nationwide - USA-OH-Cincinnati

Fri, 14 Apr 2023 00:00:00 CDT

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 interp...

Manager, Compliance - Agent Investigation Unit - USA-OH-Cincinnati

Mon, 17 Apr 2023 00:00:00 CDT

Job Information Humana Manager, Compliance - Agent Investigation Unit in Cincinnati Ohio Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance ...

Medical Director - Behavioral Health - Tricare - USA-OH-Cincinnati

Thu, 20 Apr 2023 00:00:00 CDT

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 situa...

Medical Director - South Central - USA-OH-Cincinnati

Thu, 20 Apr 2023 00:00:00 CDT

Medical Director - Claims Management - USA-OH-Cincinnati

Thu, 20 Apr 2023 00:00:00 CDT

Grievances and Appeals Medical Director - Weekends Required - USA-OH-Cincinnati

Thu, 20 Apr 2023 00:00:00 CDT

Behavioral Health Medical Director - Tricare - USA-OH-Cincinnati

Thu, 04 May 2023 00:00:00 CDT

Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately comple...

Business Support Coordinator 1 - Medical Records - USA-OH-Cincinnati

Mon, 26 Jun 2023 00:00:00 CDT

Description Responsibilities The Business Support Coordinator 1 performs medical record content analysis to ensure compliance with requirements of the TRICARE contract. Prepare, scan, and stage for ...

Finance Manager - USA-OH-Upper Arlington

Fri, 03 May 2024 00:00:00 CDT

******* is seeking a detail-oriented, finance professional to contribute their expertise and make a meaningful impact in the community. Explore the possibilities and embark on a rewardi...