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Through our innovative portfolio of molecular diagnostics, digital health solutions, AI-powered data and analytics, and patient support services, we partner with healthcare providers, patients, and biopharma organizations to help inform clinical decision-making and improve patient outcomes. Engage in a consultative selling process to identify customer pain points, develop account specific solutions, secure stakeholder buy-in for adopting those solutions, and supporting the implementation of those solutions to drive long-term utilization of the NavDx test in the customer’s practice.

CareDx

Specialty Oncology Sales Representative - Columbus, OH

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The Senior Denials Prevention Process Improvement Advisor serves as a subject matter expert and strategic partner in reducing clinical and technical denials across the revenue cycle by driving root cause analysis and implementing sustainable process enhancements. Conducting data-driven assessments of denial drivers, developing and deploying best practices, facilitating cross-functional workshops, and monitoring the effectiveness of implemented solutions through KPIs such as denial rate reduction and appeal avoidance.

Ensemble Health Partners

Senior Denials Prevention Process Improvement Advisor

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. GENERAL FUNCTION: Assist and direct in the orderly liquidation/exit and rehabilitation of large and complex credits with a high dollar impact to the organization.

Fifth Third Bank

SAG Workout Officer III-Remote

Extensive knowledge/experience in physician coding with expert knowledge in Cardiology, Cardiovascular Thoracic Surgery or Vascular Surgery coding specialty and the ability to provide education/support to coding team and providers. Remains abreast of changes to current payer guidelines, Correct Coding Initiative edits, and Local/National Coverage Determinations for accuracy in Coding and mentors team members regarding coding guidelines and accuracy.

Specialized Coder - Cardiology, Vascular and CVTS

The Analytics Engineer plays a critical role in transforming curated data into clear, consistent, and analytics ready‑ data models that power reporting, dashboards, and decision-making‑ across the organization. This role sits at the intersection of data engineering, analytics, and the business—owning the semantic layer, partnering closely with stakeholders, and ensuring that metrics are trusted, well-defined‑, and easy to use.

Analytics Engineer

Maintains a schedule of key update dates for expected reimbursement rules, such as Medicare OP quarterly updates, yearly Diagnostic Related Group (DRG) updates, and yearly increases for the Managed Care contracts utilizing such tools as a Smartsheet for tracking. The Contract Management Technician will actively participate with the Contract Management knowledge share opportunities to expand their knowledge base and role along with assisting in expanding the knowledge of their peers by assisting with training and other knowledge share opportunities.

Contract Management Technician

Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures. The Bedded Insurance Authorization Senior Specialist is responsible for performing initial and concurrent insurance authorization securement, clinical submission and denial prevention for all patients admitted to the hospital for clients.

Senior Bedded Insurance Authorization Specialist

Under indirect supervision, the Coding Appeals Specialist is responsible for reviewing and writing appeals for inpatient Diagnosis Related Group, (DRG) denials in order to support the assigned DRG and to address the clinical documentation utilized in the decision-making process to support the validity of the assigned codes. Draws on ICD10CM, ICD10PCS, HCPCS, NCCI, CMS and CMG coding expertise and industry knowledge to substantiate coding principles to determine potential billing/coding issues, and quality concerns.

Acute Coding Appeals Specialist

Agility core practices, Agility core practices, Agreements and negotiations, Analytical Thinking, Business Acumen, Commercial Acumen, Communication, Continuous Improvement, Continuous Learning, Creativity and Innovation, customer and competitor understanding, Customer centric thinking, Customer data knowledge, Data Analysis, Data visualization and interpretation, Decision Making, Digital Collaboration, Digital Fluency, Industry knowledge and advocacy, Integrated pricing, Knowledge Sharing, Leading transformation, market, Negotiation planning and preparation, Offer and product knowledge {+ 13 more} . This position works as part of a traveling field team responsible for completing store resets, reflows, cooler resets and refreshes, remodel support, fixture changes, planogram implementation, promotional execution, backroom and storage organization, and other merchandising projects.

Field Merchandiser

Complete a broad variety of administrative tasks that facilitate the Executive’s ability to effectively lead their departments including but not limited to; project planning, presentation production, minute taking during meetings, action tracking. High degree of professionalism in dealing with diverse groups of people, including Board members, senior executives, staff, community leaders, clients, investors, etc.

Executive Assistant

Ability to assess and identify appropriate resources, internal and community, on assigned caseload, and to work collaboratively with health care team, providers, and payors to achieve the desired patient, quality, and financial outcomes. By embodying our core purpose of customer obsession, new ideas, and driving innovation, and delivering excellence, you will help ensure that every touchpoint is meaningful and contributes to our mission of redefining the possible in healthcare.

RN, Senior Utilization Review Quality

The DRG Senior Coding Educator acts as a subject matter expert to educate, train, and develop/revise processes in coordination with leadership to assist in achieving CDI’s goal of facilitating accurate and complete documentation for coding and the capture of severity, acuity, and risk of mortality and most accurate Diagnosis Related Group (DRG) assignments. Collaborate with CDI leadership and other clinicians to facilitate the ongoing relevance of department specific orientation content, educational materials, and training programs/resources.

DRG Senior Educator, Coding

The consultant partners with senior leaders, HR business partners, Operations, SG&A functions, Compensation, and Organizational Effectiveness to conduct discovery, evaluate spans and layers, clarify work and accountabilities, and create iterative organization models and charts. The Temporary HR Consultant, Organizational Design is a six-month consulting assignment focused on assessing current organizational structures and developing practical future-state design options.

HR Consultant

Success in this role hinges on your knowledge of data analytics, engineering techniques, and advanced lean six sigma tools, as well as your business acumen and ability to connect operational improvements to customer experience and financial performance. This role demands strategic ownership, thinking big, acting decisively, and taking full accountability for meaningful change, along with the ability to influence and inspire multi-functional teams.

Continuous Improvement Engineer

The Engineering Excellence Intern will work closely with cross-functional team members such as engineering managers, engineering analysts and data engineers to support the Engineering Excellence team. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position.

Engineering Excellence Intern

The Epic Product Manager applies a product‑management mindset to the Epic platform, focusing on understanding business problems to solve and identifying scalable, Epic‑based solutions. Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups.

Senior Product Manager, Epic Optimization

This role supervises credentialing specialists, monitors operational performance, ensures accurate provider data and documentation, and supports completion of credentialing, recredentialing, enrollment, revalidation, maintenance, delegated roster, and related payer activities. The Credentialing & Payor Enrollment Supervisor leads daily credentialing and payor enrollment operations to support timely provider readiness, payer participation, and compliance with applicable regulatory, accreditation, payer, and internal requirements.

Credentialing & Payor Enrollment Supervisor

As a Telephony Data Engineer, you will play a crucial role in designing, implementing, maintaining, and optimizing our telephony infrastructure to ensure seamless communication and exceptional customer experiences. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position.

Senior Engineer, Telephony

Contributes to the achievement of clinical excellence; quality ratings improvement, appropriate inpatient and outpatient utilization, affordability, compliance, growth and focused improvement, and that initiatives are consistently implemented and successfully executed to achieve goals. Recommends changes and enhancements to current managed care, review guidelines, and clinical criteria based on clinical knowledge of health care delivery systems, utilization methods, reimbursement methods and treatment protocols.

Medical Mutual

Assistant Medical Director

The Senior Insurance Authorization Specialist will support the Insurance Authorization I staff in their responsibility for selecting accurate medical records for patient safety, obtaining and validating demographic and insurance information, working with insurance companies and/or physician offices to complete insurance authorization requirements to secure payment, and ensure active/eligible coverage. They'll support the Department's Supervisor with the daily workflow and distribution of workload, answer questions as the assigned subject matter experts, assist with mentoring and training new members of the team and report any system or process issues identified.

Work From Home Jobs in Mansfield, OH

Specialty Oncology Sales Representative - Columbus, OH CareDx

Senior Denials Prevention Process Improvement Advisor Ensemble Health Partners

SAG Workout Officer III-Remote Fifth Third Bank

Specialized Coder - Cardiology, Vascular and CVTS Ensemble Health Partners

Analytics Engineer Ensemble Health Partners

Contract Management Technician Ensemble Health Partners

Senior Bedded Insurance Authorization Specialist Ensemble Health Partners

Acute Coding Appeals Specialist Ensemble Health Partners

Field Merchandiser BP

Executive Assistant Ensemble Health Partners

RN, Senior Utilization Review Quality Ensemble Health Partners

DRG Senior Educator, Coding Ensemble Health Partners

HR Consultant Ensemble Health Partners

Continuous Improvement Engineer BP

Engineering Excellence Intern Ensemble Health Partners

Senior Product Manager, Epic Optimization Ensemble Health Partners

Credentialing & Payor Enrollment Supervisor Ensemble Health Partners

Senior Engineer, Telephony Ensemble Health Partners

Assistant Medical Director Medical Mutual

Senior Insurance Authorization Specialist - Infusion Ensemble Health Partners

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