- Lundbeck (Cincinnati, OH)
- …transform lives. Join us on our journey of growth!As a Psychiatry Account Manager , you lead the promotion of our psychiatry portfolio, executing sales and marketing ... environment and must demonstrate strong capability in the following areas:ESSENTIAL FUNCTIONS: Business Planning & Account Leadership - Ability to use digital tools… more
- Elevance Health (Cincinnati, OH)
- …for network physicians. + Prepares and implements custom medical necessity criteria for Medicaid business to meet State contract requirements + Support the ... development + Experience in working with government agency policies. Medicaid preferred. + Proficiency in MS excel, Outlook, Word,...to communicate messages pertaining to programs and systems using data and other details in a way business… more
- Elevance Health (Mason, OH)
- …and HEDIS audit timelines. + Manages workplan, timelines, and coordination with other business areas on data collection, documentation, and audit guidelines. + ... JR132653 HEDIS Clinical Quality Program Manager **Location:** This position requires you to reside...data and quality reporting + Experience working with Medicaid and Medicare plans a plus. Please be advised… more
- Sanofi Group (Cincinnati, OH)
- Immune Hematology Manager - Ohio Valley **Job Description:** The Immune Hematology Manager (IHM) is responsible for effectively applying promotional and selling ... information for Sanofi Pharmaceuticals' products to designated targets/accounts. + Exceptional business acumen leading to the creation of clear, comprehensive … more
- Elevance Health (Mason, OH)
- …**Hours: Monday - Friday** **Travel:** **(Hybrid 1-2 days onsite per manager discretion)** **Position Overview:** Develops the provider network through contract ... an Impact:** + May work on projects impacting the business unit requiring collaboration with other key areas or...+ Intermediate Excel skills with the ability to analyze data + Transplant or cellular immunotherapy contracting experience +… more
- Lundbeck (Cincinnati, OH)
- Psychiatry Account Manager - Cincinnati Central, OH Requisition ID: 5762 Location: Cincinnati, OH, US **Territory: Cincinnati Central, OH - Psychiatry** Target city ... transform lives. Join us on our journey of growth! As a Psychiatry Account Manager , you lead the promotion of our psychiatry portfolio, executing sales and marketing… more
- Elevance Health (Mason, OH)
- …& Utilization Management knowledge is strongly preferred. + Experience working in Medicaid Line of Business is strongly preferred (Commercial & Medicare ... ** Business Analyst III** _Location: This position will work...4+ years of experience in the US Healthcare domain (Commercial/ Medicaid /Medicare) supporting pharmacy including claims processing and benefit administration… more
- Elevance Health (Mason, OH)
- **JR130960 Business Change Director (Quality Control Test Architect, PBM systems)** CarelonRx's Business Operations org is looking to hire a PBM Test Program ... Manager / Quality Control Test Architect. This high-performing individual...projects, programs and plans that support the achievement of business unit and enterprise goals. The work here will… more
- Molina Healthcare (Covington, KY)
- …locate influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for ... role in which employees work with multiple types of business data . May be internal operations-focused or...worked in US Healthcare government programs such as Medicare, Medicaid , the Affordable Care Act, or similar, with experience… more
- Elevance Health (Mason, OH)
- …within SQL, SAS, Excel, or equivalent preferred. + Proficiency in analyzing Medicaid claims data preferred. + Experience analyzing and building valued ... **How you will make an impact:** + Performs varied data analyses which may include developing moderately complex ROI...based care contracts for the Medicaid line of business preferred. + Experience… more
- Elevance Health (Cincinnati, OH)
- …contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs._ The **Audit and Reimbursement Lead** ... Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division within the Department of Health and Human Services).… more
- Elevance Health (Cincinnati, OH)
- …will make an impact:** + Functions as the single point of contact for the Business or IT partners for their IT needs. + Leads small teams on initiating, developing, ... new or existing process, methodologies and practices through observation, research, and data analysis. + Monitors adoption and use of processes, tools, and practices… more
- Elevance Health (Cincinnati, OH)
- …This **Pharmacy Intern** will be responsible for the interpretation and data entry of moderately complex prescriptions, prior authorization processing, and ... authorization space + Verifies member, provider, and drug information and inputs data for the prior authorization pharmacists. + Educates providers on pharmacy-based… more
- Molina Healthcare (Cincinnati, OH)
- …**Preferred Experience** + 1 year of experience in Medicare and in Medicaid . + Experience with data reporting, analysis and/or interpretation. **Preferred ... programs for members in accordance with prescribed quality standards; conducts data collection, reporting and monitoring for key performance measurement activities;… more
- CVS Health (Cincinnati, OH)
- …can have life-changing impact on our members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With ... manage the member or assign the member to an appropriate care manager . **Fundamental Components** * Engaging Members: Using care management tools and information/… more
- Molina Healthcare (Covington, KY)
- …programs for members in accordance with prescribed quality standards; conducts data collection, reporting and monitoring for key performance measurement activities; ... activities and results to identify opportunities for improvement. + Surfaces to Manager and Director any gaps in processes that may require remediation. +… more
