Top 4807 Access manager Jobs in Oh

Manager, Payment Integrity-COB/TPL /Subrogation
Centene —Ohio
- $87,700 - $157,800 a year
- Full-time
- Remote
- Management
- Mid-level
- Supervising experience
- Paid holidays
- Health insurance
3d
Customer Experience Manager
LexisNexis —Dayton, OH
- $86,600 - $144,400 a year
- Full-time
- Management
- Analysis skills
- Organizational skills
- Parental leave
- Flexible schedule
Clinical Management Manager
Accenture —Cincinnati, OH
- $87,400 - $293,800 a year
- Full-time
- Bachelor's degree
- Travel
- US work authorization
- Paid holidays
- Disability insurance
Security Account Manager - Data Center
Allied Universal —New Albany, OH
- $90,064 a year
- Full-time
- Military
- Mid-level
- High school diploma or GED
- AD&D insurance
- Paid holidays
Quick Apply
district manager, Cleveland, OH
Starbucks —Cleveland, OH
- $89,700 - $134,600 a year
- Weekends as needed
- Inventory management
- Military
- 3 years
- Paid parental leave
- Paid holidays
Organizational Change Manager - Utilities
Accenture —Columbus, OH
- $87,400 - $293,800 a year
- Full-time
- Oracle
- Travel
- US work authorization
- Paid holidays
- Disability insurance
Sr. Manager, Store Operations
Bath & Body Works —Columbus, OH
- $107,000 - $158,400 a year
- Full-time
- Hybrid work
- 7 years
- Travel
- Fair chance
- Store discount
- Paid parental leave
3d
Scratch-Off Product Manager
State of Ohio - Lottery Commission —Cleveland, OH
- $40.40 an hour
- Urgently hiring
- Sales
- Mid-level
- Bachelor's degree
- Paid holidays
- Health insurance
MSOC Manager
Anduril Industries —Ashville, OH
- $126,000 - $167,000 a year
- Email
- 5 years
- Driver's License
- Organizational skills
Quick Apply
2d
Senior Project Manager
PARTNERS ENVIRONMENTAL —Solon, OH
- $85,000 - $110,000 a year
- Full-time
- Bachelor of Science
- Project management
- Bachelor's degree
- Profit sharing
- AD&D insurance
Quick Apply
3d
Clinical Supervisor
Murtis Taylor Human Services System —Cleveland, OH
- $58,000 - $65,000 a year
- Weekends as needed
- LMFT
- Nursing
- Mid-level
- Health savings account
- Health insurance
Quick Apply
Sr. Project Manager
OnQ —Akron, OH
- $90,000 - $100,000 a year
- Full-time
- Microsoft Excel
- 6 years
- Mentoring
Quick Apply
Senior Manager, HMG Central Intake & Referral
Bright Beginnings ESCNEO —Independence, OH
- $74,487 - $104,282 a year
- Full-time
- Marketing
- Writing skills
- Master's degree
- Paid holidays
- Health insurance
Quick Apply
RN or LSW CASE MANAGER
Ohio District 5 Agency On Aging —Ontario, OH
- $50,005 a year
- Full-time
- Microsoft Word
- Nursing
- RN License
Quick Apply
10d
Regional Nurse Manager
Village Healthcare —Cleveland, OH
- Full-time
- Background check
- Nursing
- Microsoft Excel
Quick Apply
10d
Powersports Parts Manager
Montrose Loudermilk Powersports —Ashtabula, OH
- $50,000 - $75,000 a year
- Full-time
- Sales
- Dealership
- Mid-level
- Health savings account
- Health insurance
Quick Apply
10d
Sales Manager
Bo Lacey Construction —Ashland, OH
- $100,000 a year
- Weekends as needed
- Residential
- Recruiting
- Organizational skills
- Relocation assistance
- 401(k)
Quick Apply
2d
Area Sales Manager
Global Lending Services —Cincinnati, OH
- Extended hours
- Clean driving record
- Dealership
- Computer literacy
- Paid holidays
- Disability insurance
Quick Apply
Oil Change Shop Manager - Shop#147 - 591 Canton Rd
Take 5 Oil Change —Akron, OH
- $43,800 - $72,200 a year
- Full-time
- Computer literacy
- No experience needed
- Ability to lift 50 pounds
- Paid training
- Paid holidays
Licensed Social Worker/Intake Manager
Zelie's Home —Garfield Heights, OH
- $22 - $25 an hour
- Full-time
- Background check
- Addiction Medicine
- Mid-level
- Dental insurance
- Tuition reimbursement
Quick Apply
7d

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access manager jobs near oh

Manager, Payment Integrity-COB/TPL /Subrogation

Centene -
Ohio

Apply Now

Job Details

Full-time
$87,700 - $157,800 a year
3 days ago

Benefits

Paid holidays
Health insurance
401(k)
Tuition reimbursement
Paid time off

Qualifications

Medical terminology

Full Job Description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose:
Develop, implement and manage strategic fraud, waste and abuse activities by maintaining state and federal requirements and monitoring trends/schemes

Oversee Coordination of Benefits (COB), Third Party Liability (TPL), and Subrogation recovery activities, including identification of other coverage, validation of recovery opportunities, coordination with internal operational teams, and timely resolution of provider, member, and carrier-related issues
Monitor internal and vendor and platform performance for COB/TPL/Subrogation programs, including savings, inventory, cycle times, quality outcomes, and adherence to recovery policies and regulatory requirements
Monitor business processes and systems to assure integrity and compliance in billing and claims payment
Lead teams of analysts to appropriately investigate all possible fraud, waste and abuse referrals
Develop customized fraud plans to meet contract and federal requirements
Develop educational materials to identify/validate waste activities as requested by the health plan and on an ad-hoc basis
Respond to RFP request and implement new policies per contractual obligation
Attend state/federal meetings as required by specific contracts
Prepare/present the FWA program to state/federal personnel upon request, specifically during readiness reviews, and immediately following the go live or upon state agency personnel changes
Review post-payment cases with appropriate parties to obtain refund
Prepare and distribute monthly and quarterly saving reports
Performs other duties as assigned
Complies with all policies and standards

Education/Experience:
Bachelor’s degree in Business, Healthcare, Criminal Justice, related field, or equivalent experience. 4+ years of medical claim investigation, compliance or fraud and abuse experience. Thorough knowledge of medical terminology required. Experience with Coordination of Benefits (COB), Third Party Liability (TPL), Subrogation, or healthcare recovery operations preferred. Previous experience in managed care environment and as a lead or supervisor of staff, including hiring, training, assigning work and managing performance preferred.

License/Certification: Medical records or coding license preferred.

Pay Range: $87,700.00 - $157,800.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Apply Now

Refine Your Search

access manager jobs in oh

Manager, Payment Integrity-COB/TPL /Subrogation

Customer Experience Manager

Clinical Management Manager

Security Account Manager - Data Center

district manager, Cleveland, OH

Organizational Change Manager - Utilities

Sr. Manager, Store Operations

Scratch-Off Product Manager

MSOC Manager

Senior Project Manager

Clinical Supervisor

Sr. Project Manager

Senior Manager, HMG Central Intake & Referral

RN or LSW CASE MANAGER

Regional Nurse Manager

Powersports Parts Manager

Sales Manager

Area Sales Manager

Oil Change Shop Manager - Shop#147 - 591 Canton Rd

Licensed Social Worker/Intake Manager

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