- Walmart (Urbana, OH)
- …training mentoring assigning duties providing recognition andensuring diversity awarenessEnsures compliance with company policies and procedures and supports company ... with Integrity Maintains and promotes the highest standards of integrity ethics and compliance models the Walmart values to support and foster our culture holds… more
- Molina Healthcare (Dayton, OH)
- …with government sponsored programs, including risk revenue management, strategy, and compliance + Knowledge of value based programs, risk adjustment models, quality ... metrics such as HEDIS and STARS, knowledge of coding + Knowledge of medical economics and financial reporting. Must be able to walk stakeholders (internal and external) through basic financial reconciliations. + Excellent leadership skills, especially ability… more
- Molina Healthcare (Dayton, OH)
- …experiences. **KNOWLEDGE/SKILLS/ABILITIES** + Manages member services operations. + Ensures compliance with state and regulatory requirements. + Identifies new ... opportunities for process development. + Develops and implements interventions to address deficiencies and negative trends. + Provides exemplary customer service to customers including members, co-workers, vendors, providers, government agencies, business… more
- Molina Healthcare (Dayton, OH)
- …based on the severity of illness and the site of service. The Mgr , HCS Clinical Policy provides operational management and oversight to integrated Healthcare ... of clinical guidelines. + Facilitates integrated, proactive HCS management, ensuring compliance with state and federal regulatory and accrediting standards and… more