16 Administration jobs in Fairborn
Manager, Medicare Administration
Posted 1 day ago
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Job Description
**Job Summary**
Responsible for the management of the benefits, operations, communication, reporting, and data exchange of the Medicare product in support of strategic and corporate business objectives. Develops infrastructure, standards, and policies and procedures for the Medicare and Dual Eligible Program and participates in the strategic development of its products and services.
**Knowledge/Skills/Abilities**
- Establishes audit controls and measurements to ensure correct processes are established. Develops and performs internal audits/risk assessments, monitoring program for Molina Healthcare departments. Provides post audit findings and recommendations to ensure contractual State and Federal Compliance.
- Coordinates development of written policies and procedures regarding compliance with local, state and federal guidelines.
- Establishes member grievance appeals and policies and updates annually or as directed by the Centers for Medicare and Medicaid Services.
- Establishes non-contracted provider dispute and appeals policies and policies and updates annually or as directed by the Center for Medicare and Medicaid.
- Responsible for development, implementation and maintenance of department strategic initiatives.
**Job Qualifications**
**Required Education**
Bachelors Degree
**Required Experience**
5-7 Years
**Preferred Education**
Graduate Degree or equivalent combination of education and experience
**Preferred Experience**
7-9 years
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $77,969 - $171,058 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Manager Contract Administration 3

Posted 4 days ago
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Job Description
CLEARANCE TYPE: None
TRAVEL: Yes, 25% of the Time
**Description**
At Northrop Grumman, our employees have incredible opportunities to work on revolutionary systems that impact people's lives around the world today, and for generations to come. Our pioneering and inventive spirit has enabled us to be at the forefront of many technological advancements in our nation's history - from the first flight across the Atlantic Ocean, to stealth bombers, to landing on the moon. We look for people who have bold new ideas, courage and a pioneering spirit to join forces to invent the future, and have fun along the way. Our culture thrives on intellectual curiosity, cognitive diversity and bringing your whole self to work - and we have an insatiable drive to do what others think is impossible. Our employees are not only part of history, they're making history.
Northrop Grumman C4 Missile Defense (C4MD) Business Unit (BU) is seeking a **Manager Contract Admin 3** to join its team of qualified and diverse individuals to support the BU Contracts Director in Huntsville, AL. The C4MD BU delivers innovative Battle Management mission capabilities extending into adjacent missions, arenas, customers and is a global leader in Advanced Integrated Air and Missile Defense Battle Management Systems. This position can be based in Huntsville, AL; Linthicum, MD; Beavercreek, OH; Warner Robins, GA; Orlando, FL; or Lake Charles, LA.
This position requires extensive experience with U.S. Government contracts. The selected candidate will oversee and direct the daily activities of the Contracts Managers to ensure proper contract acquisition and fulfillment in accordance with company policies, legal requirements, and customer requirements. The successful candidate will abide by the highest ethical standards for personal conduct, be self-motivated, proactive, and be able to work independently, demonstrating strong leadership, organizational, and interpersonal skills. In addition, the successful candidate must be able to lead an engaged, geographically dispersed team and develop highly effective customer relations.
Basic Qualifications:
+ Bachelor's Degree and 8+ years of relevant professional experience in contracts administration/contracts management or a Master's Degree and 6+ years of relevant professional experience in contracts administration/contracts management.
+ In-depth understanding and ability to perform analysis, interpretation, and application of U.S. Government acquisition policies, FAR/DFARs, other U.S. Federal Government contract regulations, and proposal compliance requirements.
+ Extensive negotiation experience.
+ Proven leadership skills, interpersonal skills, and ability to mentor and train contracts management employees.
+ Strong communication skills, both written and verbal, with the experience in using them in informing, presenting, and negotiating to all levels of management.
+ Ability to obtain and maintain a Secret level security clearance.
Preferred Qualifications:
+ Experience managing people.
+ Experience with international contracting.
+ Active DoD Secret or Top-Secret security clearance.
+ Experience with international contracts and offsets.
+ Familiarity with SAP based systems.
+ Advanced knowledge of MS Office (Excel, PowerPoint, Word).
Salary Range: $133,400.00 - $221,300.00
The above salary range represents a general guideline; however, Northrop Grumman considers a number of factors when determining base salary offers such as the scope and responsibilities of the position and the candidate's experience, education, skills and current market conditions.
Depending on the position, employees may be eligible for overtime, shift differential, and a discretionary bonus in addition to base pay. Annual bonuses are designed to reward individual contributions as well as allow employees to share in company results. Employees in Vice President or Director positions may be eligible for Long Term Incentives. In addition, Northrop Grumman provides a variety of benefits including health insurance coverage, life and disability insurance, savings plan, Company paid holidays and paid time off (PTO) for vacation and/or personal business.
The application period for the job is estimated to be 20 days from the job posting date. However, this timeline may be shortened or extended depending on business needs and the availability of qualified candidates.
Northrop Grumman is an Equal Opportunity Employer, making decisions without regard to race, color, religion, creed, sex, sexual orientation, gender identity, marital status, national origin, age, veteran status, disability, or any other protected class. For our complete EEO and pay transparency statement, please visit U.S. Citizenship is required for all positions with a government clearance and certain other restricted positions.
Manager, Provider Network Administration (Remote)

Posted 3 days ago
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Job Description
**Job Summary**
Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.
**Knowledge/Skills/Abilities**
- Manages all aspects of the Provider Administration area and serves as contact point for all configuration issues to ensure processes are carried out timely and accurately.
- Establishes, maintains and analyzes internal standard operating policies and procedures pertaining to department functions.
- Produces reports related to provider network information.
- Collaborates with local and corporate departments on issues related to provider loads including, but not limited to, Configuration, Business Systems, Encounters (inbound and outbound), Claims, Provider Services and Contracting.
- Identifies issues, resolves problems and implements best practices.
**Job Qualifications**
**Required Education**
Bachelor's Degree or equivalent combination of education and experience
**Required Experience**
- 5-7 years managed care experience, including min. 2 years of supervisory experience
- Min. 2 years health plan Provider Network experience
**Required License, Certification, Association**
N/A
**Preferred Education**
Bachelor's Degree
**Preferred Experience**
- 7+ years managed care experience
- QNXT; SQL experience
- Crystal Reports for data extraction
- Access and Excel - intermediate plus skill level
**Preferred License, Certification, Association**
N/A
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $60,415 - $115,000 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Senior Specialist, Provider Network Administration

Posted 22 days ago
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Job Description
**Job Summary**
Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Generates and prepares provider-related data and reports in support of Network Management and Operations areas of responsibility (e.g., Provider Services/Provider Inquiry Research & Resolution, Provider Contracting/Provider Relationship Management).
+ Provides timely, accurate generation and distribution of required reports that support continuous quality improvement of the provider database, compliance with regulatory/accreditation requirements, and Network Management business operations. Report examples may include: GeoAccess Availability Reports, Provider Online Directory (including ongoing execution, QA and maintenance of supporting tables), Medicare Provider Directory preparation, and FQHC/RHC reports.
+ Generates other provider-related reports, such as: claims report extractions; regularly scheduled reports related to Network Management (ER, Network Access Fee, etc.).; and mailing label extract generation.
+ Develops and maintains documentation and guidelines for all assigned areas of responsibility.
**JOB QUALIFICATIONS**
**Required Education**
Bachelor's Degree or equivalent combination of education and experience
**Required Experience**
+ 3-5 years managed care experience, including 2+ years in Provider Claims and/or Provider Network Administration.
+ 3+ years' experience in Medical Terminology, CPT, ICD-9 codes, etc.
+ Access and Excel - intermediate skill level (or higher)
**Preferred Education**
Bachelor's Degree
**Preferred Experience**
+ 5+ years managed care experience
+ QNXT; SQL experience
+ Crystal Reports for data extraction
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $45,390 - $88,511.46 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Network Systems Administration and Cybersecurity Specialist
Posted 21 days ago
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Job Description
Location: Wright-Patterson Air Force Base (WPAFB), Dayton, OH
Clearance Required: TS/SCI (active)
About JMark Services Inc.
At JMark Services Inc. , we empower national defense through technical excellence. As a trusted partner to the Department of Defense and Intelligence Community, we deliver innovative solutions at the intersection of science, engineering, and strategy. At JMark, we believe in cultivating talent, advancing capability, and making a meaningful impact-one mission at a time.
Position Title: Network Systems Admin and Cyber Security Specialist I
Looking to launch your engineering career in support of national defense? We are hiring a Cyber Network Systems Admin and Cyber Security Specialist I to join our technical team at Wright-Patterson AFB. In this role, you'll contribute to systems analysis, testing, and design in a collaborative, mission-focused environment.
You'll work alongside senior engineers and scientists on critical defense programs, applying your technical knowledge and creativity to real-world challenges. This is an ideal opportunity for early-career professionals ready to grow, lead, and serve the mission.
Key Responsibilities:
- Support system analysis, design, testing, and evaluation activities across assigned programs.
- Apply broad knowledge of engineering and computer programming principles to address technical objectives.
- Assist in formulating operational concepts and conducting mission, functional, and risk analyses.
- Contribute to requirements analysis, system trade studies, and cost-benefit evaluations.
- Prepare and present technical documentation, including reports, procedures, and briefings.
- Work collaboratively as part of an engineering team under guidance from senior technical staff.
- Bachelor's degree in Engineering, Science, Mathematics, or a related technical field.
- Foundational knowledge of systems engineering concepts and programming principles.
- Strong analytical thinking and problem-solving capabilities.
- Effective written and verbal communication skills.
- Active TS/SCI clearance required.
Start your career in an elite, mission-focused environment
Learn from and collaborate with top-tier experts
Grow into advanced technical and leadership roles
Receive competitive pay, strong benefits, and a clear path for advancement
Start strong. Grow fast. Serve with purpose.
Apply now to join JMark Services Inc. as a Network Systems Admin and Cyber Security Specialist I at Wright-Patterson AFB .
Specialist, Provider Network Administration (EST business hours)

Posted 10 days ago
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Job Description
**This role will have standard EST business hours.**
**Job Summary**
Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Oversees receipt of and coordinates data from the provider network for entry into the plan's provider management system.
+ Reviews/analyzes data by applying job knowledge and experience to ensure appropriate information has been provided.
+ Audits loaded provider records for quality and financial accuracy and provides documented feedback.
+ Assists in configuration issues with Corporate team members.
+ Assists in training current staff and new hires as necessary.
+ Conducts or participates in special projects as requested.
**JOB QUALIFICATIONS**
**Required Education**
Associate degree in Business or equivalent combination of education and experience
**Required Experience**
+ Min. 3 years managed care experience
+ Experience in one or more of the following: Claims, Provider Services, Provider Network Operations, Hospital or Physician Billing, or similar.
+ Claims processing background including coordination of benefits, subrogation, and/or eligibility criteria.
**Preferred Education**
Bachelor's Degree
**Preferred Experience**
+ 3+ years Provider Claims and/or Provider Network Administration experience
+ Experience in Medical Terminology, CPT, ICD-9 codes, etc.
+ Access and Excel - intermediate skill level (or higher)
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $21.16 - $42.2 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Data Entry Clerk
Posted 5 days ago
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Job Description
Pay Rate: Up to $16.00 /hr
Location: Dayton Ohio 45404
Experience: Entry level, 1-2 years, 5+ Years
We are excited to share a new opportunity! PrideStaff, a nationally recognized staffing company, has been given an opportunity to assist a bonafide top employer in this market! Are you working, but looking to explore? Are you needing a new career opportunity? Give us a call at and/or apply directly to this posting for immediate consideration!
Data Entry Clerk Job Duties and Requirements may include:
- Reading source documents and enter information into specific fields
- Complete subsequent entry using keyboards or scanners
- Logging activities as needed
- Inputting alphabetic and numeric information on keyboard
- Storage of completed documents in appropriate locations
- Type minimum 40 WPM and minimum of 6000 KSPH
- Must be able to multitask and be detail-oriented.
- Minimum of 6 months recent experience in Data Entry/Order entry
- Understanding of customer service protocols
- Medical, Rx, and Wellness Benefits
- Dental and Vision Plan Options
- Short-term Disability
- 401(k) Retirement Plan
- Holiday Pay
.
Join Us.
PrideStaff Company Overview
PrideStaff wants you to Succeed! We have dedicated consultants that provide employment market insights and resources! We offer the support you need along the way. Over the years, we have helped tens of thousands of people find outstanding career growth opportunities. At PrideStaff, we truly value people, and we are dedicated to getting to know you and advocating on your behalf with our network of employers from across the country. Our Recruiters will help guide you with career tools and resources.
Compensation / Pay Rate (Up to): $2.00 - 16.00 Per Hour
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Data Entry Specialist
Posted 3 days ago
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Job Description
Responsibilities for a Data Entry Specialist include but are not limited to:
+ Review insurance documents and enter missing data into databases.
+ Ensure accuracy and quality of information entered in a fast-paced environment.
+ Follow client procedures to meet compliance and documentation standards.
+ Work independently and in teams to complete daily tasks.
Candidates for Data Entry Specialist must meet the following requirements to be considered:
+ Typing speed: Minimum 40 WPM and 6000 KPH.
+ Strong computer skills; previous office/data entry experience helpful.
+ Detail-oriented with the ability to work accurately and quickly.
+ Comfortable working in a quiet, repetitive, computer-based environment.
What's in this Data Entry Specialist position for you?
+ Pay: $16.50/hour
+ Shift: 2nd Shift - Monday to Friday, 4:00 p.m. - 12:30 a.m.
+ Weekly paycheck
+ Temp-to-Hire opportunity based on performance
+ Dedicated Onboarding Specialist & Recruiter
+ Access to Adecco's Aspire Academy with thousands of free upskilling courses
This Data Entry Specialist role is being recruited for by one of our Centralized Delivery Team and not your local branch. For instant consideration for this position and other opportunities with Adecco in Springfield, OH, apply today!
**Pay Details:** $16.50 per hour
Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.
Equal Opportunity Employer/Veterans/Disabled
To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:
+ The California Fair Chance Act
+ Los Angeles City Fair Chance Ordinance
+ Los Angeles County Fair Chance Ordinance for Employers
+ San Francisco Fair Chance Ordinance
**Massachusetts Candidates Only:** It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
Part-Time Remote Data Entry Clerk for Paid Focus Groups
Posted 12 days ago
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Job Description
Description:
We are looking for individuals to participate in National & Local Paid Focus Groups, Clinical Trials, and Phone Interviews. This is a great opportunity to earn extra income from the comfort of your home by sharing your opinions on various topics such as child-related issues, cell phones, entertainment, food, sports, electronics, pets, and automobiles. The responsibilities include participating in discussions, completing written surveys, and using products or services provided for feedback.
Requirements:
- Must have a smartphone with a working camera or a desktop/laptop with a webcam
- Reliable internet connection
- Desire to fully participate in one or several of the above topics
- Ability to follow instructions
Benefits:
- Flexibility to work remotely
- No minimum hours
- Opportunity to review and use new products or services before they are launched publicly
- Compensation ranges from $75 to $50 per 1-hour session and 300 to 750 for multi-session studies
Educational Requirements:
- High school diploma or equivalent
If you are looking for a flexible part-time remote work opportunity with no previous experience needed, this is the perfect position for you.
Remote Work From Home Data Entry Clerk - Part Time Panelists Needed
Posted 6 days ago
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Job Description
Remote Work From Home Data Entry Clerk - Part Time Market Research Panelists
Our company is seeking individuals to participate in National & Local Paid Focus Groups, Clinical Trials, and Market Research assignments.
With most of our paid focus group studies, you have the option to participate remotely online or in-person. This is a great way to earn additional income from the comfort of your home.
Compensation:
* $5- 150 (per 1 hour session)
* 300- 750 (multi-session studies)
Job Requirements:
* Show up at least 10 mins before discussion start time.
* Participate by completing written and oral instructions.
* Complete written survey provided for each panel.
* MUST actually use products and/or services, if provided. Then be ready to discuss PRIOR to meeting date.
Qualifications:
* Must have either a smartphone with working camera or desktop/laptop with webcam
* Must have access to high speed internet connection
* Desire to fully participate in one or several of the above topics
* Ability to read, understand, and follow oral and written instructions.
* Data entry clerk experience is not necessary.
Job Benefits:
* Flexibility to take part in discussions online or in-person.
* No commute needed should you choose to work from home remotely.
* No minimum hours. You can do this part-time or full-time
* Enjoy free samples from our sponsors and partners in exchange for your honest feedback of their products.
* You get to review and use new products or services before they are released to the public.
You must apply on our website and complete a set of questionnaire to see if you qualify.
This position is perfect for anyone looking for temporary, part-time or full-time work. The hours are flexible and no previous experience is required. If you are a data entry clerk or someone just looking for a flexible part time remote work from home job, this is a great way to supplement your income.