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16 Cenpatico Job Openings in Ohio, USA.

Columbus, Ohio
Cenpatico
Referral Specialist I USA-Ohio-Columbus Position Purpose: Assist in monitoring utilization of medical services to assure cost effective use of medical resources through processing prior authorizations. * ...
Columbus, Ohio
Cenpatico
New Quality Improvement Coordinator I USA-Ohio-Columbus Position Purpose: Analyze, develop, implement and monitor clinical quality improvement initiatives to achieve healthy outcomes. Perform duties and functions to ...
Columbus, Ohio
Cenpatico
Manager, Contract Implementation USA-Ohio-Columbus Position Purpose: Manage and oversee the implementation of all provider contracts * Perform random audits of provider setup within the provider information ...
Columbus, Ohio
Cenpatico
Claims Liaison I USA-Ohio-Columbus Position Purpose: Serve as a liaison between the plan, claims, providers and various departments to effectively identify and resolve claims issues * Audit check run and send ...
Fairlawn, Ohio
Cenpatico
Community Health Worker - Certified Peer Supporter (OHIO) USA-Ohio-Fairlawn, USA-Ohio-Maumee Position Purpose: Provide a link between members and available resources to provide the necessary resources in a cost effective ...
Columbus, Ohio
Cenpatico
Pharmacy Coordinator USA-Ohio-Columbus Position Purpose: Perform duties to support the efforts pharmacy department in the development, coordination and maintenance of the health plan s pharmacy program. * ...
Columbus, Ohio
Cenpatico
Director, Contracting & Network Development USA-Ohio-Columbus Position Purpose: Oversee activities of the provider contracting, network development and/or provider relations functions and aid in formulating and ...
Columbus, Ohio
Cenpatico
Customer Service Representative II USA-Ohio-Columbus Position Purpose: Resolve customer inquiries via telephone and written correspondence in a timely and appropriate manner * Reference current materials to answer ...
Columbus, Ohio
Cenpatico
Concurrent Review Nurse I USA-Ohio-Columbus Position Purpose: * Perform onsite review of emergent/urgent and continued stay requests for appropriate care and setting, following guidelines and policies, and ...
Columbus, Ohio
Cenpatico
Project Manager II USA-Ohio-Columbus Position Purpose: Plans, organizes, monitors, and oversees projects utilizing cross functional teams to deliver defined requirements and meet company strategic objectives. * ...