Claims Operations Specialist II - Data & Process Innovator
CareSource
CareSource is seeking an Operations Specialist II to provide analytical support and leadership for project-impacting Claims and key internal Claims initiatives. The role emphasizes collaboration on cross-functional teams, IT ticket management, and analyzing claims data to drive decision-making, with responsibilities spanning training, process improvement, and policy development. Candidates should have a bachelor's degree and at least two years in healthcare claims, strong Excel/Word/PowerPoint #J-18808-Ljbffr CareSource
$62.7k - $100.4k
...Job Summary: The Operations Specialist II provides analytical support and leadership... ...for project impacting Claims and key internal Claims projects... ...with OnBase reporting and processes. Develop and draft P&P’s... ...payment policy, and claims data. Perform analysis of all...SuggestedWork experience placementWork at office- ...role provides moderately complex operational support within Human Capital (... ...and SLAs. Perform Tier II escalation support where a primary... ...other partners regarding the data in reports issued by the department... ...training and documenting of processes for both internal and external...SuggestedWork experience placementRelocation
- ...Cincinnati, OH, is seeking a Human Capital Operations Specialist II to provide moderately complex operational... ..., drive tasks to completion, analyze data and prepare periodic reports, while helping to improve policies, processes and efficiency with a focus on risk #J-1...SuggestedRelocation
$61.4k - $78.29k
Job Responsibilities Operations & Project Management Support - Direct... ..., and support business processes, SOPs, standardized workflows... ...to reporting systems. Monitor data integrity across synchronized... ...States of America) Department: Innovation Ventures Employee Status: Regular...SuggestedFull timeContract workShift work- ...Registry Operations Coordinator, Full Time, First Shift The Registry... ...screening, analyzing, and evaluating data based on individual Registry requirements and Process Improvement initiatives. The... ...health system, we strive for innovation and provide world-class care for...SuggestedFull timeRemote workShift workDay shift
$58k - $78k
...Commercial Underwriter II We do the right things, right now. We do them in a way... ...the ability to complete the underwriting process from beginning to end with limited oversight... ...need to understand intricate business operations, financial health, and industry-specific...InternshipWork at officeLocal area- ...Encore Talent Solutions is currently seeking a Customer Operations Specialist for a full‑time position located in Cincinnati, OH.... ...support key B2B customer relationships while driving data‑driven insights and process improvements in our manufacturing and distribution...Full timeWork at office
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$50k - $75k
...Domestic Operations Specialist – Lucrative Bonuses | Management Opportunities | Full Benefits & 401K with match! Salary: $50,000 - $75,000... ...partners. By combining experienced logistics professionals with innovative technology solutions, the organization delivers reliable,...Temporary workWork at officeLocal areaWorldwideFlexible hours- Balance Innovations is seeking a Vault Processor in Cincinnati, Ohio, responsible for securely managing cash and valuables within vaults. The role emphasizes accuracy and safety while handling significant cash volumes, requiring teamwork and diligence. Minimum qualifications...
- ...Department: Administration Position: Business operations & Reporting Coordinator Employment Type:... ...operational, facilities and financial data to support informed decision‑making,... ...operational trends, identifying opportunities for process improvement and efficiencies. Assist...Full timeTemporary workWork at officeFlexible hours
$23.55 per hour
...our daily work through accountability, innovative problem-solving, and diligent follow-through... .... Role Summary As a Retirement Plan Specialist at Guidant Financial you will take the first... ...step down the path of learning the full process of what it takes to administer, test and...Hourly payWork experience placementRemote workWork from homeHome officeFlexible hours- TriHealth is seeking a Practice Administrator II for the Musculoskeletal team to lead multiple specialty locations, partner closely... ...musculoskeletal care across the system. The role emphasizes strategic operations, team development, and a focus on exceptional patient...Work at office
- ...poster from Vertex Solutions Inc. Ad Operations Quality Specialist wanted for a contract to hire opportunity... ...to support the development delivery process by creating, improving, and executing... ...Specialist - Cincinnati, OH QA Specialist II, Manufacturing Quality Assurance...Hourly payContract workWork at officeRelocation packageMonday to FridayShift work
$70k - $75k
...Branch Manager II About Us We are a member-focused credit union dedicated to... ...building deep member relationships, and driving operational excellence. Position Summary We are... ...meetings to train, inform, and discuss process improvements. Branch Operations &...Work at office- ...center of health, come join our innovative company and help us improve... ...National Distribution Center II in Harrison, OH. The person... ...accordingly in support of division operations. Schedules and executes... ...equipment. Monitors work processes and makes suggestions for...Full timeLocal areaShift workNight shiftWeekend work
- ...quality. We are seeking an Technical Operations Coordinator to serve as the steward of that... ...technical document review, ERP/MRP data management, bill-of-material auditing, and... ...ownership of our corrective action tracking process. The ideal candidate is highly organized...
- ...make a direct impact on your company’s growth and success? Operations Specialist The Reading Group has an exciting opportunity for an Operations... ...inventory management, including the movement, storage, and processing of production components and parts. Be a highly motivated...Contract work
$21 - $25 per hour
...Regional Operations Specialist Abode Care Partners Job Locations: US-KY-LOUISVILLE | US-OH-CINCINNATI | US-AR-LITTLE ROCK Overview The Regional... ...Manage the expense, CME, reimbursement, and payroll processes Support new providers through the credentialing process and...Work at office- ...Job Description Join the frontlines to protect against some of the world's most powerful threats. As a Chemical Operations Specialist for the Army National Guard, you will support the country during natural disaster relief efforts and safeguard the nation from chemical...Part timeWeekend work
- ...Claims Specialist The Claims Specialist will join the revenue cycle department... ...of the Revenue Cycle claims process. Essential Functions:... ...reimbursement. Update data in the practice management system... ...Education and research Innovation Mayfield Clinic Values:...Work at office
- ...when our customers need it most. What You’ll Do As the Branch Operations Specialist, you’ll oversee office activities, production, and facility... ...delivery dates based on production and delivery schedules. Process quotes, orders, returns, and purchasing via phone/email and...Hourly payFor contractorsWork at officeLocal areaShift workNight shiftWeekend work
- ...and property and casualty operations, there are always opportunities... ...is currently seeking a Claims Specialist/Senior Claims Specialist to... ...compensation ranges during the hiring process.Great American Insurance... ...us to protect them. Our innovative insurance solutions and...Full timePart time
- ## Promotions & Data Operations ManagerApplylocations: Corporate Office Cincinnatitime type: Full... ...resolution paths, and implementing process improvements. Creates and leverages Excel... ...required; being proactive; generating innovative solutions in work situations* Self-Starter...Work at office
- ...Civista Bank Description: POSITION PURPOSE: A Branch Operations Specialist (BOS) is responsible for making sure that all employees... .... Create an exceptional customer experience daily by processing transactions, building relationships, assessing needs, recommending...
$50k - $55k
...Operations Supervisor Come join one of the largest transportation organizations... ...by the Location Manager for processing. Coordinates field trips by... ...Maggies Paratransit, and GVC II. Our employees are at the forefront of safety and innovation; they create and implement the...Currently hiringLocal areaMonday to FridayWeekend workDay shift- ...phone service (at company’s discretion) Career growth paths with Advancement Opportunities Open Positions Position: Business Operations & Data Analyst Location: 4073 E Galbraith Rd, Job Id: 647 # of Openings: 0 We are looking for a Business Operations & Data Analyst to...
- ...Digital Advertising Recruitment Associate Specialist SkillBridge trainee will assist Maximus... ...during any phase of the employment process due to a disability, medical condition,... ...participating in interviews—please contact People Operations at ****@*****.***. Minimum...Minimum wageContract workTemporary workTraineeshipWork experience placement
- ...The seasonal Operations Technical Specialist supports the operational readiness of H&R Block’s seasonal tax office network. The role ensures offices... ...Next strategy, blending human expertise with digital innovation. That same commitment to care extends to our associates....Part timeWork experience placementSeasonal workWork at officeRelocationFlexible hours
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