6 Fraud Risk Management jobs in Cincinnati.

Hiring now: Dir Payment Integrity Ana @ Molina Hea, Investigator Sr @ Elevance H.Explore more at jobswithgpt.com.

🔥 Skills

claim reimbursement (2) payment integrity (2) data systems (2) leadership (2) big data (2) analytics (2) root cause analysis (2) automated processes (2) team management (2) performance review (2)

đź“Ť Locations

Covington (2) Cincinnati (2) Mason (2)
🔍 Go to full job search

Molina Healthcare

Director, Payment Integrity (Analytics) Covington
Skills & Focus: claim reimbursement, payment integrity, data systems, leadership, big data, analytics, root cause analysis, automated processes, team management, performance review
About the Company: Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance.
Experience: 5+ years related experience in Claims, Analytics or Payment Integrity related job functions, 5+ years Managed Care payor experience, preferably Medicare / Medicaid experience, 3+ years of experience in a leadership role
Salary: $97,299 - $227,679 / ANNUAL
Benefits: Molina Healthcare offers a competitive benefits and compensation package.
Medicaid Overpayment Recovery Analyst Covington
Skills & Focus: Business problems, Data analysis, Forecasting, Recovery opportunities, Claims data, Payment Integrity, Root causes, Analytical skills, Healthcare analytics, Training documentation
About the Company: Passport Health Plan by Molina Healthcare has a mission to provide quality health care to those who need it, no matter their circumstances. Today, Molina healt…
Experience: All Levels
Type: Full Time, Part Time
Benefits: Insurance Medical · Dental · Vision Group & Voluntary Life Insurance Aflac · Pet Health · Identity Theft Auto & Home In…
Director, Payment Integrity (Analytics) Cincinnati
Skills & Focus: claim reimbursement, payment integrity, data systems, leadership, big data, analytics, root cause analysis, automated processes, team management, performance review
About the Company: Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance.
Experience: 5+ years related experience in Claims, Analytics or Payment Integrity related job functions, 5+ years Managed Care payor experience, preferably Medicare / Medicaid experience, 3+ years of experience in a leadership role
Salary: $97,299 - $227,679 / ANNUAL
Benefits: Molina Healthcare offers a competitive benefits and compensation package.

Elevance Health

Investigator Senior Cincinnati
Skills & Focus: healthcare fraud, claim reviews, data mining, law enforcement, health insurance, investigation, policy development, provider network, compliance, Negociation
About the Company: A health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the h…
Experience: 5 years related experience
Type: Hybrid
Benefits: market-competitive total rewards including merit increases, paid holidays, Paid Time Off, incentive bonus programs, med…
Investigator Senior Mason
Skills & Focus: healthcare fraud, claim reviews, data mining, law enforcement, health insurance, investigation, policy development, provider network, compliance, Negociation
About the Company: A health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the h…
Experience: 5 years related experience
Type: Hybrid
Benefits: market-competitive total rewards including merit increases, paid holidays, Paid Time Off, incentive bonus programs, med…
Investigator I Mason
Skills & Focus: investigating, claim data, fraudulent activities, statistical analysis, financial analyses, communication skills, healthcare insurance, data analysis, case reports, settlement offers
About the Company: Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstandi…
Experience: Minimum of 2 years related experience preferably in healthcare insurance departments.
Type: Hybrid
Benefits: We offer a range of market-competitive total rewards including merit increases, paid holidays, Paid Time Off, medical, …