Pharmacy Auditor - Payment Integrity Complex and Clinical Audit Elevance Health IncPharmacy Auditor - Payment Integrity Complex and Clinical AuditMason, OHIdentifies potential documentation and coding errors by recognizing aberrant coding and documentation patterns such as inappropriate units, excessive units, inappropriate or missing modifiers, excessive frequency, payments allowed in excess of the contract, excessive waste, equipment rentals that exceed the units billed. The Pharmacy Auditor will be responsible for screening, selecting, and auditing high cost drug (HCD), home infusion therapy (HIT), dialysis, and durable medical equipment (DME) claims to ensure they are billed accurately to the medical benefit.
Utilization Management Representative I Elevance HealthUtilization Management Representative ICincinnati, OhioWe are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
NewUtilization Management Representative II Elevance HealthUtilization Management Representative IIMason, OhioWe are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. Processes incoming requests, collection of information needed for review from providers, utilizing scripts to screen basic and complex requests for precertification and/or prior authorization.
Account Operations Specialist MegaCorp LogisticsAccount Operations SpecialistCincinnati, OHWe are seeking highly creative and motivated individuals who are committed to finding successful answers to our clients' needs. Ranked as a top 30 brokerage company and in the top 100 of all Logistics Companies in the US, MegaCorp Logistics is a fast-growing third-party logistics company.
NewField Service Engineer-1 (Multiple States In Territory Available) CaterpillarField Service Engineer-1 (Multiple States In Territory Available)Arkansas, KY$89,210–$133,810 / yearEffective Communications: Working knowledge and understanding of effective communication concepts, tools and techniques; ability to effectively transmit, receive, and accurately interpret ideas, information, and needs through the application of appropriate communication behaviors. EPD supports a wide range of customer applications across the globe, including providing back-up power to hospitals, providing emergency power when natural disasters strike, and supporting critical infrastructure for data centers, municipalities, and more.
RETAIL PHARMACY TECHNICIAN II The Christ HospitalRETAIL PHARMACY TECHNICIAN IICincinnati, OHThe Technician II helps coordinate 3rd party claims, places orders for medications and supplies, troubleshoots problems, accurately and efficiently fills prescriptions. As a representative of The Christ Hospital Health Network and Department of Pharmacy Services, promotes a positive image in all dealings with all other hospital associates and hospital customers.
Bilingual Dispute Intake Analyst Fifth Third BancorpBilingual Dispute Intake AnalystCincinnati, OHThe Analyst actively listens to and questions customers, thinking critically to accurately initiate disputes, performing moderate risk analysis, and ensuring compliance with Uniform Commercial Code (UCC) and Regulation E and Regulation Z claims. The base salary for this position is reflective of the range of salary levels for all roles within this pay grade across the U.S. Individual salaries within this range will vary based on factors such as role, relevant skillset, relevant experience, education and geographic location.
Bilingual Dispute Intake Analyst - 11:45Am - 8:15Pm Monday - Thursday 8:30Am - 5Pm Saturday Fifth Third BankBilingual Dispute Intake Analyst - 11:45Am - 8:15Pm Monday - Thursday 8:30Am - 5Pm SaturdayCincinnati, OHThe Analyst actively listens to and questions customers, thinking critically to accurately initiate disputes, performing moderate risk analysis, and ensuring compliance with Uniform Commercial Code (UCC) and Regulation E and Regulation Z claims. The base salary for this position is reflective of the range of salary levels for all roles within this pay grade across the U.S. Individual salaries within this range will vary based on factors such as role, relevant skillset, relevant experience, education and geographic location.
Bilingual Dispute Intake Analyst - 11:45am - 8:15pm Monday - Thursday 8:30am - 5pm Saturday Fifth Third BankBilingual Dispute Intake Analyst - 11:45am - 8:15pm Monday - Thursday 8:30am - 5pm SaturdayCincinnati, OhioThe Analyst actively listens to and questions customers, thinking critically to accurately initiate disputes, performing moderate risk analysis, and ensuring compliance with Uniform Commercial Code (UCC) and Regulation E and Regulation Z claims. The base salary for this position is reflective of the range of salary levels for all roles within this pay grade across the U.S. Individual salaries within this range will vary based on factors such as role, relevant skillset, relevant experience, education and geographic location.
Dispute Intake Analyst Fifth Third BancorpDispute Intake AnalystCincinnati, OHThe Analyst actively listens to and questions customers, thinking critically to accurately initiate disputes, performing moderate risk analysis, and ensuring compliance with Uniform Commercial Code (UCC) and Regulation E and Regulation Z claims. The base salary for this position is reflective of the range of salary levels for all roles within this pay grade across the U.S. Individual salaries within this range will vary based on factors such as role, relevant skillset, relevant experience, education and geographic location.
Dispute Intake Analyst - Varying Shifts Fifth Third BankDispute Intake Analyst - Varying ShiftsCincinnati, OhioThe Analyst actively listens to and questions customers, thinking critically to accurately initiate disputes, performing moderate risk analysis, and ensuring compliance with Uniform Commercial Code (UCC) and Regulation E and Regulation Z claims. The base salary for this position is reflective of the range of salary levels for all roles within this pay grade across the U.S. Individual salaries within this range will vary based on factors such as role, relevant skillset, relevant experience, education and geographic location.
NewBilingual (SPANISH PREFERRED) Dispute Intake Analyst - 11:45am - 8:15pm Monday - Thursday 8:30am - 5pm Saturday Fifth Third BancorpBilingual (SPANISH PREFERRED) Dispute Intake Analyst - 11:45am - 8:15pm Monday - Thursday 8:30am - 5pm SaturdayCincinnati, OHThe Analyst actively listens to and questions customers, thinking critically to accurately initiate disputes, performing moderate risk analysis, and ensuring compliance with Uniform Commercial Code (UCC) and Regulation E and Regulation Z claims. The base salary for this position is reflective of the range of salary levels for all roles within this pay grade across the U.S. Individual salaries within this range will vary based on factors such as role, relevant skillset, relevant experience, education and geographic location.
Senior Production Underwriter - E&S Binding Great American Insurance CompanySenior Production Underwriter - E&S BindingCincinnati, OHRemote$80,000–$120,000 / yearProgression toward certification in area of expertise preferred; appropriate certifications could include Associate in Underwriting (AU), Chartered Property Casualty Underwriter (CPCU), Certified Insurance Counselor (CIC), Program in General Insurance (INS) or Associate of Risk Management (ARM). Develops and implements strategic underwriting plans with manager for direct reports and assigned territory including initiatives that support growth, profitability, retention, and high levels of customer service.
Head of E&S Binding Underwriting Great American Insurance CompanyHead of E&S Binding UnderwritingCincinnati, OH$190,000–$275,000 / yearAs the leader of the E&S Binding team, you will set strategy and drive profitable growth across a national portfolio, lead a team of underwriters, and own underwriting governance, analytics, and broker relationships. Monitor portfolio performance (loss ratios, rate adequacy, hit ratios, retention, exposure and CAT aggregates); implement corrective actions when required.
Director, Logistics Center of Excellence Integra LifeSciencesDirector, Logistics Center of ExcellenceCincinnati, OH$145,000–$199,000 / yearThis role is responsible for establishing global processes, defining performance expectations, driving cross-network optimization, and enabling the systems and supplier partnerships required to deliver operational reliability, cost efficiency, and customer excellence. This role builds & leads a team of functional excellence leaders covering end to end logistics, ensuring consistent implementation of best practices, strong operational discipline, and scalable logistics capabilities across all regions.
Account Associate - State Farm Agent Team Member Nikki Bisceglia - State Farm AgentAccount Associate - State Farm Agent Team MemberMoraine, OHFull timeROLE DESCRIPTION: As Account Associate - State Farm Agent Team Member for Nikki Bisceglia - State Farm Agent, you are vital to our daily business operations and customers’ success. Before becoming a State Farm agent, I worked as a team member and previously held sales and management roles with Verizon.
NewHealth Actuary Senior Consultant Deloitte Touche Tohmatsu LtdHealth Actuary Senior ConsultantCincinnati, OH$128,000–$252,500 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
NewForeperson (CDL Required) NON-UNION Asplundh Tree ExpertForeperson (CDL Required) NON-UNIONDayton, OHFull timeOCCASIONAL (up to 33%): standing, stooping, kneeling, squatting, body-twisting, sense of touch, manual dexterity, lifting over 10 lbs. to 50 lbs., reaching, range-of-motion, lifting, carrying, pushing, pulling, climbing ladders, climbing stairs, balancing. This position ensures the productivity of daily operations, working closely with management to determine recruiting/hiring needs, deadlines, and safety protocols to enforce among the crew.
NewForeperson - NON-UNION Asplundh Tree ExpertForeperson - NON-UNIONCincinnati, OHFull timeOCCASIONAL (up to 33%): standing, stooping, kneeling, squatting, body-twisting, sense of touch, manual dexterity, lifting over 10 lbs. to 50 lbs., reaching, range-of-motion, lifting, carrying, pushing, pulling, climbing ladders, climbing stairs, balancing. This position ensures the productivity of daily operations, working closely with management to determine recruiting/hiring needs, deadlines, and safety protocols to enforce among the crew.
Management Analyst U.S. Department of Veterans AffairsManagement AnalystDayton, OH$64,021–$83,232 / yearExamples of specialized experience would typically include, but are not limited to: Experience assisting with or supporting program analysis, administrative operations, or data tracking in a healthcare or similar environment; Basic familiarity with healthcare data systems (e.g., Oracle Health or similar platforms) and the ability to learn reporting tools; Exposure to operating room or clinical operations, scheduling, or workflow processes (formal experience not required if comparable operational exposure is present); Ability to collect, organize, and review data to identify trends, inconsistencies, or performance issues (training may be provided); Experience preparing reports, summaries, spreadsheets, or presentations for leadership or team use; Strong organizational, communication, and problem-solving skills with the ability to learn analytical methods and apply them in an operational setting; Note: Candidates with related administrative, analytical, or healthcare support experience who demonstrate the ability to learn quickly and apply data-driven thinking are encouraged to apply. The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidates abilities; and assist a hiring manager with making a final selection for a position.
Director, Portfolio Management Lead Markel CorporationDirector, Portfolio Management LeadNew, KY$158,720–$218,240 / yearThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. We envision a dynamic, underwriter-centered function that treats underwriters and regional leaders as its core customers-identifying trends early, delivering actionable insights built on reliable data, and embedding actuarial and predictive models into daily workflows.
Sr. Air Environmental Consultant Environmental Quality Management, Inc.Sr. Air Environmental ConsultantCincinnati, OHThis mid-level role is ideal for someone who can manage client relationships, lead project teams, ensure high-quality work products, and contribute to business development within a growing environmental consulting practice. Environmental Quality Management, Inc. (EQM) is a premier full-service environmental remediation/construction services and consulting company offering environmental assistance to industrial, commercial and government entities.
Product Specialist (Specialties) Prysmian SpAProduct Specialist (Specialties)Highland Heights, KYWe also deliver medium- and low-voltage solutions for construction and infrastructure, along with a comprehensive portfolio of optical fibers, copper cables, and connectivity solutions that enable voice, video, and data transmission across the telecommunications sector. Pricing & Quoting: Coordinate quotation activity, perform pricing analysis to maximize profitability, coordinate with outside sales on strategic pricing management for assigned customer base and process quotes in collaboration with Sales and Engineering.
Scope Only Adjusters Elevate Claims SolutionsScope Only AdjustersCincinnati, OhioContinuous Feedback: Engage in real-time Quality Assurance and formal quarterly coaching sessions to refine your skills and highlight strengths. Diverse Opportunities: Work with a variety of carriers, allowing you to expand your skills and network.
Account Associate - State Farm Agent Team Member Mick Lundy - State Farm AgentAccount Associate - State Farm Agent Team MemberBeavercreek, OHFull timeROLE DESCRIPTION: As Account Associate - State Farm Agent Team Member for Mick Lundy - State Farm Agent, you are vital to our daily business operations and customers’ success. I’ve been with State Farm for over 31 years and have owned two different agencies during my career, which has given me a deep understanding of the business and what it takes to build a successful, sustainable office.
Utility Locator USICUtility LocatorDayton, OHWe are America's leader in underground utility damage prevention and advanced infrastructure services, performing more than 84 million locates each year for the more than 1,400 telecommunications, electric, gas, water, and sewer utilities and municipalities we serve nationwide. Your Responsibilities as a Locator: Correctly, safely, and efficiently locate underground utilities, including telecommunications, electric power, cable TV, gas, water, and sewer systems.
Large Loss Property Adjuster - Field Estimating Dayton, OH Allstate Insurance CompanyLarge Loss Property Adjuster - Field Estimating Dayton, OHDayton, OH$72,000–$115,245 / yearYou'll wear a few hats that will require a level of experience: The Customer Service Expert -you'll live into Allstate's Claims Culture by caring, empowering, and restoring, and you will accomplish that by being compassionate, clear, and a committed partner in each claim. As a requirement of employment, individuals who currently hold an active insurance license must terminate all existing appointments prior to onboarding and must not hold any outside appointments at any point during employment.
NewAccount Associate - State Farm Agent Team Member Randy Wagner - State Farm AgentAccount Associate - State Farm Agent Team MemberCincinnati, OHFull timeROLE DESCRIPTION: As an Account Associate for Randy Wagner - State Farm Agent, you are vital to our daily business operations and customers’ success. Before becoming a State Farm agent, I worked in factory automation and industrial sales before deciding to pursue the opportunity to own my own business.
NewLegal & Compliance Support Specialist Elevate Patient Financial Solutions IncLegal & Compliance Support SpecialistCincinnati, OHThe position also supports coordination with outside counsel, facilitates document management and retention processes-including oversight of systems such as Laserfiche-and helps ensure the efficient operation of the legal function. Assist with drafting, reviewing, and formatting contracts and agreements relevant to RCM operations, including business associate agreements (BAAs), vendor agreements, and payer contracts.
Part-Time Legal Counsel Heapy Engineering IncPart-Time Legal CounselDayton, OHProvides legal support for mergers and acquisitions, including due diligence, transaction structuring, regulatory compliance, drafting and negotiating transaction documents, and post-acquisition risk mitigation. The ideal candidate thrives in a dynamic environment, demonstrates exceptional analytical and communication skills, and proactively develops risk management strategies to support HEAPY's growth and stability.
Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Elevance HealthDiagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)Mason, OhioThe Diagnosis Related Group Clinical Validation Auditor-RN is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
2600424 Cincinnati Financial Corp2600424Cincinnati, OH$100,000–$175,000 / yearBe ready to: Establish relationships with agencies and producers: classify agencies according to surety volume/potential develop and execute visit plan promote retention and growth of contract surety Develop and maintain book of business to achieve growth and profit objectives: secure and review credit report(s) analyze financials and Work in Process, bond forms and contracts conduct meetings with agents and contractors evaluate bond and/or program requests against a contractor's experience and financial capacity and in relation to underwriting guidelines and authority document results of meetings, discussions and analysis via email, memos. Build your future with us Our Large Contract Surety department is currently seeking an experienced Surety field underwriter for the State of Alabama Starting pay: The pay range for this position is $100,000 - $175,000 annually.
Customer Care Representative I Elevance HealthCustomer Care Representative IMason, OhioAdditional expectations to include but not limited to: Proficient in maintaining focus during extended periods of sitting and handling multiple tasks in a fast-paced, high-pressure environment; strong verbal and written communication skills, both with virtual and in-person interactions; attentive to details, critical thinker, and a problem-solver; demonstrates empathy and persistence to resolve caller issues completely; comfort and proficiency with digital tools and platforms to enhance productivity and minimize manual efforts. For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
NewDiagnosis Related Group Clinical Validation Auditor-Rn (Cdi, Ms-Drg, Ap-Drg And Apr-Drg) Elevance HealthDiagnosis Related Group Clinical Validation Auditor-Rn (Cdi, Ms-Drg, Ap-Drg And Apr-Drg)Mason, OH$86,560–$155,808 / yearPreferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background.
Loss Control - Field Director Cincinnati Financial CorpLoss Control - Field DirectorCincinnati, OHRemote$65,000–$130,000 / yearprofessional designations such as Certified Safety Professional (CSP), Certified Fire Protection Specialist (CFPS), Certified Industrial Hygienist (CIH), Occupational Hygiene and Safety Technician (OHST), Chartered Property Casualty Underwriter (CPCU), Associate in Risk Management (ARM) or Certified Risk Manager (CRM). Loss Control Consultants play a key role in supporting our independent agency partners by providing value-added services that help them attract and retain commercial insurance clients.
2600374 Cincinnati Financial Corp2600374OHRemote$85,000–$150,000 / year164007'',''true'',''164007'',''false'',''Submission for the position: Surety - Field Representative - Commercial and Small Contract - (Job Number: 2600374)'',''false'',''164007'',''false'',''true'',''Surety - Field Representative - Commercial and Small Contract'',''2600374'',''US-Tennessee'',''!*! '',''false'',''164007'',''164007'',''true'',''164007'',''false'',''Submission for the position: Surety - Field Representative - Commercial and Small Contract - (Job Number: 2600374)'',''false'',''164007'',''false'',''true''.
Actuarial Analyst II Elevance HealthActuarial Analyst IIMason, OH$84,744–$138,672 / yearMinimum Requirements: Requires a BA/BS degree and to have passed a minimum of three Society of Actuaries (SOA) or Casualty Actuarial Society (CAS) actuarial exams and a minimum of 1 year related experience; or any combination of education and experience, which would provide an equivalent background. Strategic Product Development: Provide actuarial expertise to product development teams by evaluating benefit design options, pricing impacts, and unique plan assessments for specialized client needs.
Ai-Native Software Engineer Elevance HealthAi-Native Software EngineerMason, OH$112,640–$176,640 / yearMinimum Requirements: Requires an BA/BS degree in Information Technology, Computer Science or related field of study and a minimum of 3 years experience on one platform, multi database, multi language or multi business application; or any combination of education and experience, which would provide an equivalent background. Experience building or integrating AI agents, tool/function calling, RAG, memory, model routing, evaluations, guardrails, observability, and secure API/tool access strongly preferred.
NewAssociate Actuary (Medicare Pharmacy Trend Analytics) - Carelonrx Elevance HealthAssociate Actuary (Medicare Pharmacy Trend Analytics) - CarelonrxMason, OH$126,720–$190,080 / yearHow you will make an impact: Prepares and presents Medicare Part D and Part B drug spend and trend analyses for Medicare Individual and Group (GRS) businesses, communicating key cost drivers, product mix, member demographics, population shifts, and seasonality to support business decisions. Delivers actionable pharmacy spend and trend insights through recurring trend reporting, cohort studies, benefit phase analyses, and ad hoc analyses to identify emerging trends and assess Medicare pharmacy financial performance.
NewDiagnosis Related Group Clinical Validation Auditor-RN(CDI, MS-DRG, AP-DRG and APR-DRG) Elevance HealthDiagnosis Related Group Clinical Validation Auditor-RN(CDI, MS-DRG, AP-DRG and APR-DRG)Mason, OhioThe Diagnosis Related Group Clinical Validation Auditor-RN is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Office Clerk (Part-time) Kemper CorpOffice Clerk (Part-time)OHKey Responsibilities: Customer Service & Communication: Answer incoming calls, assist customers, and ensure messages are relayed promptly to agents and sales managers. This role is central to the daily operations of the district office and is responsible for managing administrative processes, financial transactions, customer inquiries, and office organization.
Office Clerk (Part-Time) Kemper Corp.Office Clerk (Part-Time)Springdale, OH$11.01–$18.79 / hourKey Responsibilities: Customer Service & Communication: Answer incoming calls, assist customers, and ensure messages are relayed promptly to agents and sales managers. This role is central to the daily operations of the district office and is responsible for managing administrative processes, financial transactions, customer inquiries, and office organization.
NewSenior Benefits Analyst Cincinnati Children's Hospital Medical CenterSenior Benefits AnalystCincinnati, OH$67,537.60–$86,112 / yearThis role helps employees and leaders understand benefit offerings, supports program operations, and partners with internal teams and external vendors to ensure programs run smoothly and meet employee needs. You will work with a collaborative team, partner across the organization, and help deliver high-quality programs, communications, and events that support employees and leaders every day.
Installer Service Specialist O'Reilly Automotive IncInstaller Service SpecialistCincinnati, OHQuickly and accurately takes customer orders over the phone and online, invoice customer orders, direct efforts to accurately pick and stage parts for delivery, and route delivery specialists to ensure customers receive their orders in a consistent and timely manner. If you require a reasonable accommodation during the application or employment process, please send an email to: rar@oreillyauto.com or call (800) 471-7431 option 1, and provide your requested accommodation, and position details.
Human Resources Benefits Administrator Great American Insurance CompanyHuman Resources Benefits AdministratorCincinnati, OHWithin HR, the Benefits team is responsible for delivering comprehensive employee benefits programs, ensuring compliance with regulatory requirements, and providing exceptional service to employees navigating their benefits and leave needs. The Human Resources (HR) team plays a critical role in supporting employees and fostering a positive, high-performing workplace.