Medicaid Health Systems Compliance & Enrollment Specialist
Ohio Department of Medicaid
The Ohio Department of Medicaid is seeking a compliance professional to join our Network Management team as a Medicaid Health Systems Specialist. You will ensure provider compliance by reviewing applications, coordinating BCIs, and communicating with providers and state agencies to resolve enrollment issues. Responsibilities include assessing documentation, issuing denials for non-compliance, and maintaining timely enrollment actions, with regular collaboration across departments. #J-18808-Ljbffr Ohio Department of Medicaid
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$23.85 - $28.02 per hour
...Services for Behavioral Health (ISBH) is a community-... ....The Credentialing Specialist is responsible for processing... ...primarily focused on Medicaid, though it may work... ...(NPI).Terminating enrollment with government and commercial... ...health record system to process claims is preferredKnowledge...SuggestedHourly payWork at officeLocal area- Integrated Services for Behavioral Health is seeking a Credentialing Specialist in Southeast, OH. The role focuses on processing provider credentialing with Medicaid and other payers, while supporting related billing and billing operations to aid reimbursement for behavioral...Suggested
$83.3k - $138.8k
...and affordable. Here, we focus on the health, happiness, and well-being of you and... ...today, we want to hear from you.The QA Compliance Specialist - Controlled Substances oversees quality... ...Responsibilities Manage site quality systems and processes related to the storage,...SuggestedFull time- ...wellness programs, Mount Carmel Health System serves more than a million... ...) Discounted tuition and enrollment opportunities at the Mount... ...the job: Regulatory Specialist designs, directs and facilitates... ...systems to evaluate compliance and assure continuous accreditation...SuggestedFull timeLocal areaRelocation packageFlexible hoursShift work
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- ...Delegated Credentialing Specialist role at The Ohio... ...from hire to enrollment in managed care... ...within the healthcare system. Position... ...privileging, assuring compliance with NCQA and... ...plans (Medicare, Medicaid, Bureau of Workers... ...other non-delegated health plans. CVO...Full timeTemporary workWork at office
- ...Chemical Regulatory Compliance Specialist 2020 Bruck St, Columbus, OH 43207, USA Job Description Posted Thursday, August 13, 2026 at 4:00 AM... ...data integrity within Sphera, SharePoint, SDS distribution systems, and associated document repositories. Support OSHA HazCom,...
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- ...the posting end date.Job Summary A NERC Compliance Lead ensures that electric utilities, power... .... The role is critical to preventing system disturbances, maintaining grid stability... ....What We're Looking For:NERC Compliance Specialist Lead | Salary Grade 10Education: Bachelor...Full timeWork experience placement
- Job Summary The Behavioral Health Consultant (BHC) - LISW / LPCC... ...workers, and resource specialists. The BHC may make for behavioral... ...adherence to treatment plan compliance, decreased preventable medical... ...preferred, e.g., Medicaid, Medicare beneficiaries. Experience...Temporary workWork at office
- Job Description Summary Assists in the evaluation, implementation, monitoring, improvement of compliance with internal and external regulatory requirements, and policies for the organization. Works on a multi-disciplinary team and shares best practices among all areas....Work experience placementFlexible hours
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- State of Ohio seeks an Occupational Safety Technical Advisor to serve as a safety expert from the William Green Building in Columbus. You will analyze data, research solutions, monitor regulations, and create educational materials to help prevent workplace injuries. The...
- ...Senior Credentialing Specialist / Credentialing Lead is... ...privileges, provider enrollment, recredentialing, licensing... ...payers, Medicare, Medicaid, and other government... ...Operations, Revenue Cycle, Compliance, HR, Legal, providers,... ...databases/tracking systems. · Experience...Work at office
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- Jobtailor in Columbus, OH seeks a Provider Data Integrity Analyst to manage provider data accuracy and CMS compliance. You will act as a subject matter expert on plan systems and policies, and liaise with internal and external customers to resolve issues. The role involves...Temporary work
- ...A leading MEP company in Columbus, Ohio is seeking a Safety Coordinator to assist in implementing safety programs, ensuring compliance with OSHA standards, and promoting a safe work environment. The successful candidate will conduct job site inspections, maintain safety...
- ...approval of installed work. \tUtilizing computerized management systems applications, processing request for information, maintaining... ...\tExperience in the areas of hazard identification, safety compliance, and sustainability. \tDetail knowledge of both site and vertical...Contract workFor contractorsWork experience placementFor subcontractorImmediate startNight shiftWeekend work
- ..., documentation management, submission execution, and ongoing compliance with global regulatory requirements. The ideal candidate thrives... ...and compliance using Regulatory Information Management (RIM) systems, electronic document management systems (EDMS), or other...Local areaRemote work
$24 - $29 per hour
...Regulatory Compliance Coordinator Wanted! Salary range is $24.00-$29.00 per hour, based... ...boilers, air compressors, HVAC, electrical systems, and control systems ~ Ability to... ...competitive pay, a 401(k) with profit sharing, a Health Savings Account with a 2:1 company match...Hourly payWork at officeLocal areaWorldwide- ...services company in Columbus, Ohio, seeks a Senior HR Specialist to manage HR operations, ensure compliance, and provide employee relations support. The ideal... ...will have 3-5 years of HR experience and strong HR systems knowledge, ideally with UKG. This role offers competitive...
- ...management or supervisory experience in the health care field. This work may have been... ...and requirements of health care delivery systems; Regulations and standards of various regulatory... ...hours a week spent in such employment. Compliance Technical Competence Quality Assurance...Part time
$20 - $23.5 per hour
...and driven by integrity and a culture of compliance, CBC Companies delivers high quality... ...customers manage risk. TITLE: Credentialing Specialist REPORTS TO: Credentialing Manager... ..., internet research tools, and database systems Strong organizational skills and...Hourly payTemporary workWork at officeLocal areaRemote workMonday to FridayNight shift- ...Columbus, OH seeks a Clinical Records Manager to lead daily records functions and implement clinical records policies. You will ensure compliance with state, federal and other regulations, and maintain in-depth knowledge of documentation rules across the organization. Join a...
$88.3k - $113.35k
...submitting an application, please review these frequently asked questions .Current Employees and Students:If you are currently employed or enrolled as a student at The Ohio State University, please l og in to Workday to use the internal application process.Welcome to The Ohio...Permanent employmentRemote workWork visa
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