- Molina Healthcare (Cleveland, OH)
- **Job Description** **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements ... initiatives to improve Star Ratings. * Serves as the Medicare Stars subject matter expert to Program Managers and in functional areas; leads programs to meet… more
- Gilead Sciences, Inc. (Cleveland, OH)
- …that will improve the lives of patients with life-threatening illnesses worldwide. The ** Sr .** **Field Reimbursement Manager - HIV Prevention (** ** Sr . ... in navigating the complexities of the healthcare system. The Sr . FRM HIV Prevention will provide in-person and virtual...and reimbursement outcomes. + Assist the internal patient support program team in enhancing hub and FRM processes, such… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …plans. Implements and manages the implementation and daily operation of the Medicare Advantage Compliance Program and all compliance-related activities for the ... and Federal Regulations that affect our various company products, specifically Medicare Advantage program regulations, and Statutory Requirements. . Proficiency… more
- Molina Healthcare (Cleveland, OH)
- **Knowledge/Skills/Abilities** * Responsible for program development, implementation, and management of process improvement initiatives. * Coordinates, directs, and ... Conduct meetings and disseminates communication related to process improvement activities to senior leadership and staff as needed. * Knowledge of HEDIS measurement… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Medical Mutual' s ... Manages multiple assignments with competing deadlines. Works with team and manager to prioritize deliverables. Coordinates with teammates to ensure deliverables are… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Medical Mutual' s ... and initiatives for all lines of business (Commercial, Marketplace and Medicare Advantage). Manages reporting and analyses of quality measurement results (including,… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Medical Mutual' s ... problem resolution, and planning. . Performs other duties as assigned. ** Sr . Sourcing Specialist** **Provides expertise to the Procurement Department in the… more
- Gentiva (Independence, OH)
- …area. You will report directly to the Executive Director, Administrator, or Senior Patient Care Manager . You will be responsible for maintaining ... day. **Overview** We're looking for a **Full-Time** **Patient Care Manager , RN** to join our team in the **Cleveland/Independence**...a high performing hospice program including managing, overseeing, and directing patient care activities… more
- CenterWell (Medina, OH)
- …equivalent + Completion of Certified Nursing Assistant or Certified Home Health Aide Program within the last 24 months + Must meet applicable state certification ... and have completed HHA/CNA course to work for a Medicare certified agency. + At least one year experience...paid time off, 401(k) retirement savings plan, employee assistance program , business travel and accident. **About Us** About CenterWell… more