- Molina Healthcare (Columbus, OH)
- …the benefits, operations, communication, reporting, and data exchange of the Medicare /MMP product in support of strategic and corporate business objectives. Manage ... for all Medicare lines of business the annual Medicare ...including adhoc projects and submissions as assigned by the Manager of Mandated Materials or designee. **KNOWLEDGE/SKILLS/ABILITIES** + Experience… more
- Elevance Health (Columbus, OH)
- …Medicaid Services to transform federal health programs._ The **Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC) with the ... of the Department of Health and Human Services). The Audit and Reimbursement Senior will support contractual workload involving complex Medicare cost reports and… more
- Cardinal Health (Columbus, OH)
- …therapies to patients who need them-faster.** **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement Support Services ... in accordance with the program business rules and HIPAA regulations. This position is...investigations, prior authorizations, and appeals, preferred + Knowledge of Medicare , Medicaid and Commercially insured payer common practices and… more
- CVS Health (Columbus, OH)
- …with provider engagement, relations, or account management. + Working knowledge of Medicare contracts. + An understanding of value based contracts, how they work, ... for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed...includes an award target in the company's equity award program . In addition to your compensation, enjoy the rewards… more
- Elevance Health (Columbus, OH)
- …Medicaid Services to transform federal health programs._ The **Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC) with the ... **Audit & Reimbursement Senior ** **Location:** This is a virtual position; US...Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare… more
- CVS Health (Columbus, OH)
- …more compassionate. And we do it all with heart, each and every day. This Senior Manager , Regulatory Affairs position is a crucial contributor to the Medicare ... PBM business. This position reports directly to the Director of Medicare Regulatory Affairs. **Duties and Responsibilities:** *Abiity to provide comprehensive market… more
- Highmark Health (Columbus, OH)
- …delivery of data to vendors and internal partners, supporting successful Medicare Advantage and Dual-Special Needs Plan member satisfaction strategies, including ... Medicare CAHPS and the Health Outcomes Survey. Additional responsibilities...Work with business and technical organizations to drive out program strategy and approach. Organize, plan, and maintain … more
- CVS Health (Columbus, OH)
- …our patients are informed of all their options surrounding Medicare . The Patient Relations Manager will report to the Sr . PRM or Practice Manager . Check ... into the life of an Oak Street Patient Relations Manager ! **Responsibilities:** + Assist patients with navigating medicare...Other duties as assigned This role reports to the Sr Patient Relations Manager (or Practice … more
- Cardinal Health (Columbus, OH)
- …can get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through ... patient support services in accordance with the program business rules and HIPAA regulations. This role involves care coordination, insurance verification and… more
- Prime Therapeutics (Columbus, OH)
- …vision, depth perception and ability to adjust focus **Reporting Structure** + Reports to Sr Professional, Manager , Director or Senior Director in the ... fuels our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Interpretation and Advising) - Remote **Job Description** The … more
- CVS Health (Columbus, OH)
- …supporting provider data and inventory management. + Familiarity working in Medicaid, Medicare and Commercial lines of business. + Strong project management skills + ... for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed...includes an award target in the company's equity award program . In addition to your compensation, enjoy the rewards… more
- CenterWell (Columbus, OH)
- …part of our caring community and help us put health first** The Senior RX Clinical Programs Pharmacist integrates programs developed to improve overall health ... outcomes with a focus on prescription drugs. The Senior RX Clinical Programs Pharmacist work assignments involve moderately complex to complex issues where the… more
- Trinity Health (Columbus, OH)
- …on day one + Generous paid time off programs + Employee recognition incentive program + Tuition/professional development reimbursement + Discounted tuition ... to work remotely. **Why MediGold?** MediGold (https://medigold.com/) is a not-for-profit Medicare Advantage insurance plan serving seniors and other Medicare … more
- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** The Manager , Technology Leadership is responsible for all aspects of software or hardware product ... delivery and performance. The Manager , Technology Leadership works within specific guidelines and procedures;...supports one clinical platform for three Medicaid and two Medicare plans; integration between Clinical and 4+ other systems… more
- CVS Health (Columbus, OH)
- …more personal, convenient and affordable. **Position Summary** Aetna is recruiting for a Senior Manager , National Value Based Care (VBC) Development who will ... support of business strategies across multiple lines of business, including Medicare Advantage, Medicaid, ACA, and Commercial. + Develops relationships with… more
- CenterWell (Columbus, OH)
- …to execution, propose solutions, and drive results to meet organizational goals. ** Program Management & Delivery:** + Lead the design, development, and delivery of ... partners to ensure smooth running of educational programs. + Evaluate program effectiveness and recommend improvements based on feedback and outcomes.… more