- Elevance Health (Columbus, OH)
- …deliver member-centered, lasting pharmacy care. In this pivotal role on our CarelonRx Medicare Sales and Account Management team, the Pharmacy Account Director ... preserving and deepening relationships with clients which include Elevance Health Medicare Health Plans. This position, structured around geographic regions and… more
- Conviva (Columbus, OH)
- …of our caring community and help us put health first** The Associate Director , Security Architecture will play a key role in implementing security architecture, ... ensure the enterprise can achieve the enterprise security strategy. The Associate Director , Security Architecture will play a key role in implementing security… more
- Gentiva (Columbus, OH)
- …difference in people's lives every day. **Overview** We are looking for an **Executive Director Specialist RN** . You will serve as the administrator on call and are ... all federal and state guidelines. + Knowledge of hospice operations , state and federal regulations and compliance + Strong...time throughout the region + Experience with Medicaid and Medicare reimbursement + Experience in health care sales and/or… more
- Elevance Health (Columbus, OH)
- **JR130960 Business Change Director (Quality Control Test Architect, PBM systems)** CarelonRx's Business Operations org is looking to hire a PBM Test Program ... plans. + 8+ years of experience in the PBM domain (Commercial/Medicaid/ Medicare ) including claims processing, enrollment, and benefit administration. + Experience… more
- Prime Therapeutics (Columbus, OH)
- …the organization to validate regulatory requirements are met and that business operations are aligned with expectations of applicable regulatory guidance + Develop ... and regulatory issues that impact Prime's compliance programs or business operations ; document requirements or disciplinary actions and escalate findings as… more
- Prime Therapeutics (Columbus, OH)
- …and ability to adjust focus **Reporting Structure** + Reports to a manager or director in the Clinical Operations , Contact Center, Network Management or PBM ... processes, and participates in committee review meetings within the Commercial, Medicare , Medicaid, and Health Insurance Marketplace for the assigned department.… more
- Prime Therapeutics (Columbus, OH)
- …in assigned function to ensure organizational obligations are met and business operations are aligned with applicable laws and regulatory guidance. + Provide ... or within a highly regulated industry, including experience with Medicare , Medicaid, and the Affordable Care Act (ACA) +...ability to adjust focus **Reporting Structure** + Reports a Director in the Compliance department Potential pay for this… more
- Prime Therapeutics (Columbus, OH)
- …to validate regulatory reporting requirements are met and that business operations are aligned with expectations of applicable regulatory guidance + Lead ... or PBM organization, or other highly regulated industry, including experience with Medicare , Medicaid, and the Affordable Care Act (ACA) + Must be eligible… more
- Gentiva (Columbus, OH)
- …Care Manager** to join our team. You will report directly to the Executive Director , Administrator, or Senior Patient Care Manager. You will be responsible for the ... day to day operations of your assigned hospice site, administering the clinical...Managing the site in the absence of the Executive Director , Administrator, or Senior/Executive Patient Care Manager. + Managing… more
- Public Consulting Group (Columbus, OH)
- …Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies ... support the public safety consulting business line, and other Medicaid and Medicare related projects. This role will use knowledge of fire/emergency medical services… more
- Trinity Health (Grove City, OH)
- …, a college of nursing (https://www.mccn.edu) , a Medicare Advantage plan (https://www.medigold.com) , and extensive outreach and ... hospital and center staff members to facilitate the daily operations of the sterile processing area of the Surgical...issues, or needs as they arise to the Administrative Director of Perioperative Services. + Provides performance feedback and… more