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Results based on filters ( 19 jobs found )
83491350 288571736 Description This position will respond to telephone ...
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inquiries from provider or representatives. Establish and maintain rapport with contacts and present a favorable corporate image. Educate customers on coverage, claim submission, and use of self-service offerings. Receive and respond to a wide range of provider inquiries received via the telephone. Educate providers on coverage, claim submission, and use the self-service offerings available via the Integrated Voice Response (IVR) and Portal. Additional Information Start Date: Tuesday, June 17th, 2025 Starting Pay:...
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Ohio Means Jobs
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Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
83412726 288241065 Description Our Call Center Supervisor will provide ...
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leadership and direction for staff members within our WPS Contact Center on our Health Plan line of business. They will ensure both internal and external customer experience and satisfaction. Our Call Center Supervisor will also be responsible for all aspects of Contact Center functions and operations to accomplish timely, accurate, consistent, and cost-effective performance. Salary Range $58,000 ~ $75,000/annually The base pay offered for this position may vary within the posted range based on your job-related knowledge,...
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Ohio Means Jobs
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Workkeys
Applied Math
4
Graphic Literacy
5
Workplace Documents
4
83383419 288191071 Description Responsible for providing operational, ...
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day-to-day leadership to members of the Procurement Services team. The Procurement Services team provides centralized sourcing, contract negotiation, purchasing and vendor management functions for the entire WPS enterprise for all categories, IT and non-IT goods and services. The Procurement Services team also provides contracting support as requested for revenue-generating new ventures at WPS and supports vendor-related business development functions. This role will participate in developing and establishing procurement...
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From:
Ohio Means Jobs
Certifications / Licenses:
Workkeys
Applied Math
5
Graphic Literacy
5
Workplace Documents
5
83341171 288052497 Description Our Cost Report Auditors complete audits desk ...
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About the job:
reviews and reimbursement reviews in accordance with government requirements for Centers for Medicare & Medicaid Services (CMS) to ensure accurate reporting of statistical and financial data reported on Medicare Cost Report. This role has a direct impact on confirming the US Tax funded Medicare program is working efficiently and is cost effective. Start Date in June 2025 Salary Range $47,000-$51,000 The base pay offered for this position may vary within the posted range based on your job-related knowledge, skills,...
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From:
Ohio Means Jobs
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Workkeys
Applied Math
5
Graphic Literacy
5
Workplace Documents
6
83329860 288024716 Description Working closely with the HR Operations ...
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About the job:
Director, the HR Senior Operations Specialist will play a critical role in in supporting both the operational and compliance functions within HR. The operational focus of this role will consist of providing guidance and assistance in the prioritization and completion of daily operational tasks, along with resolution of inquiries received by the centralized HR operational team. Compliance responsibilities will center around ensuring the organization adheres to internal HR policies and processes, along with federal, state,...
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From:
Ohio Means Jobs
Certifications / Licenses:
Workkeys
Applied Math
5
Graphic Literacy
6
Workplace Documents
4
83281533 287834947 Description Role Snapshot Ensure new software systems and ...
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About the job:
changes meet all required business needs by participating in testing efforts related to successful implementation of user-facing software application development projects, new system applications, system modifications, business impacting interface changes, and system maintenance. Conduct analysis and triage of user facing system issues and resolve or triage for additional research. Salary Range $60,000 - $70,000 The base pay offered for this position may vary within the posted range based on your job-related...
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From:
Ohio Means Jobs
Certifications / Licenses:
Workkeys
Applied Math
5
Graphic Literacy
5
Workplace Documents
5
83219056 287798443 Description Role Snapshot Our Senior Government Pricing ...
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About the job:
Analyst will support key strategic business opportunities through pricing and costing analyses for WPS's new and existing federal government contracts and our new commercial line of business, Data Logistics. Core highlights of responsibilities: You will develop and maintain financial models used for decision support You will collaborate with cross-functional teams to gather necessary data and insights for proposal development. You will own regular government pricing requirements such as forward pricing rate proposals...
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From:
Ohio Means Jobs
Certifications / Licenses:
Workkeys
Applied Math
5
Graphic Literacy
5
Workplace Documents
6
83258422 287798509 Description The Clinical Supervisor (RN) will oversee a ...
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About the job:
team of 15-25 remote Medical Review Nurse Analysts that complete Prior Authorization (PA) work for our Medicare contract. The primary purpose of this leadership role is to provide coaching to team members on production of work, quality of their reviews and education delivery to providers. This role contributes to WPS by ensuring that we meet program requirements for the Centers for Medicare & Medicaid Services (CMS) PA program. In this role you will: Monitor team and individual quality and quantity metrics Coach and...
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Salary:
From:
Ohio Means Jobs
Certifications / Licenses:
Workkeys
Applied Math
5
Graphic Literacy
5
Workplace Documents
5
83112670 287077497 Description Respond to requests for first level appeals. ...
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About the job:
Review and compare processed claims with edit/audit detail and Medicare Policy. Refer case to appeal nurse for medical necessity determination. Review medical documentation and claims history for frequency of service, required coding elements, and accurate fee determinations. Complete decision letters or claim adjustments as required to effectuate first level of appeal decisions. Establish and maintain a professional rapport with contacts and present a favorable corporate image. Additional Information: Start Date:...
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From:
Ohio Means Jobs
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Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
3
82922131 286306326 Description Role Snapshot The Provider Enrollment Analyst ...
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About the job:
is highly detailed oriented and will approve, deny, or return applications submitted by Medicare providers. This work is important in helping providers enroll in the Medicare program. Additional Information: Start Date: Tuesday, April 22, 2025 Starting Base Pay: $20.50 per hour Training Schedule: (7 Weeks): Monday through Friday, 8:00-4:35pm CST Scheduled Shift: Monday through Friday, 6:00am-6:00pm, Flex Scheduling, max of 10 hours per day and 40 hours minimum per week We are open to remote work in the following...
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From:
Ohio Means Jobs
Certifications / Licenses:
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4

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