• Manager , Healthcare Services

    Molina Healthcare (Cincinnati, OH)
    …of illness and the site of service . **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Healthcare Services provides operational management and oversight ... **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members,... responsible for supervision and coordination of daily integrated healthcare service activities. + Ensures adequate staffing… more
    Molina Healthcare (03/07/25)
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  • Mgr, Member Services (Program…

    Molina Healthcare (Cincinnati, OH)
    **JOB DESCRIPTION** **Job Summary** Provides customer support and stellar service to meet the needs of our Molina members and providers. Resolves issues and ... while demonstrating Molina values in their actions. Provides product and service information and identifies opportunities to improve our member and provider… more
    Molina Healthcare (02/01/25)
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  • Program Manager , HCS RN, LMSW, LMHC, LMFT,…

    Molina Healthcare (Cincinnati, OH)
    …improvement opportunities. + Conducts quality audits to assess Molina Healthcare Services staff educational needs and service quality and implement quality ... **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members,...License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management… more
    Molina Healthcare (03/21/25)
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  • Manager , HCS Clinical Policy - Medicare…

    Molina Healthcare (Cincinnati, OH)
    …Mgr, HCS Clinical Policy provides operational management and oversight to integrated Healthcare Services (HCS) teams responsible for providing Molina ... for supervision and coordination of enterprise clinical policy to drive integrated healthcare service activities. + Ensures adequate staffing and service more
    Molina Healthcare (02/14/25)
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  • Manager , Provider Engagement Team…

    Molina Healthcare (Cincinnati, OH)
    …and relevant experience **Required Experience** * Min 5 years experience in managed healthcare administration and/or Provider Services . * Min 5 years experience ... * Communicates comfortably and effectively with all levels of a healthcare organization, within both the corporate and regional market environments.. **Required… more
    Molina Healthcare (03/16/25)
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  • Sr Business Solutions Consultant - Process…

    Molina Healthcare (Cincinnati, OH)
    …key stakeholders in business domain across Health plans and Corporate Healthcare functions, * Requires highest level understanding of organization's business and ... facilitates process improvement efforts. Will lead re-engineering team and act as project manager in some cases. * Drives efficiency: looks for and documents ways to… more
    Molina Healthcare (03/20/25)
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  • Clinical Appeals Nurse (RN): Texas and New Mexico…

    Molina Healthcare (Cincinnati, OH)
    …Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified Professional in ... and procedures, and individual judgment and experience to assess the appropriateness of service provided, length of stay and level of care. + Applies appropriate… more
    Molina Healthcare (02/09/25)
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  • Clinical Talent Experience Manager - West…

    Prolink (Cincinnati, OH)
    Clinical Talent Experience Manager - West (2024-3078) job in Remote **Location:** Remote **Role Type:** Operations JOB SUMMARY The Clinical Talent Experience ... Manager position is within Prolink's Workforce Solutions department and...Support the development of Prolink's clinical concierge model and services to achieve company and clinical objectives * Serve… more
    Prolink (02/18/25)
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  • Lead Reports Developer - Power…

    Molina Healthcare (Cincinnati, OH)
    …Creates reports to meet user requirements using Microsoft SQL Reporting Services . Writes and maintains database stored procedures. Assists with development, ... data imports, and data exports using Microsoft SQL Information Services (SSIS) and Microsoft SQL Reporting Services ...+ Performs other duties as assigned by the Analytics Manager . + Completes training courses, successfully, set forth by… more
    Molina Healthcare (01/21/25)
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  • Engineer, Big Data - SQL/Databricks/Data…

    Molina Healthcare (Cincinnati, OH)
    …optimal solution * Proven experience on Hadoop cluster components and services (like HDFS, YARN, ZOOKEEPER, AMBARI/CLOUDERA MANAGER , SENTRY/RANGER, KERBEROS, ... Java/Scala/Python, etc. * Experience implementing Web application and Web Services APIs (REST/SOAP) **Preferred Education** Master's Degree **Preferred Experience**… more
    Molina Healthcare (01/21/25)
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  • Auditor, Call Center Quality (Bilingual in Chinese…

    Molina Healthcare (Cincinnati, OH)
    …procedures for the Call Center division. This position will help preserve service excellence through monitoring and assessing customer interactions of Call Center ... exercises. + Participates in internal listening sessions. + Assists Quality Manager in providing standard weekly and monthly reporting within predetermined reporting… more
    Molina Healthcare (03/07/25)
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  • PBM Account Service Manager

    Elevance Health (Mason, OH)
    **PBM Account Service Manager ** **Location** : This position will work a hybrid model ( remote and office). The ideal candidate will live within 50 miles of ... clinical-first lens, to deliver member-centered, lasting pharmacy care. The **PBM Account Service Manager ** is responsible for providing advanced customer … more
    Elevance Health (03/18/25)
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  • Region Manager , Endoscopy (IN/MI/OH)

    Medtronic (Cincinnati, OH)
    …can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You'll lead with purpose, breaking down ... more connected, compassionate world. **A Day in the Life** Big10 Regional Manager This is a field-based Medtronic Endoscopy team leadership position. The individual… more
    Medtronic (02/07/25)
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  • Avionics Software Engineering Project…

    GE Aerospace (Cincinnati, OH)
    …flight, this is the opportunity for you. The Software Engineering Project Manager holds responsibility for overseeing every facet of engineering project execution ... Individual Contributors as needed. In this role, the Software Engineering Project Manager will support the Integrated Vehicle Health Management team, focusing on the… more
    GE Aerospace (03/22/25)
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  • Relationship Manager I - Virtual Health…

    PNC (Cincinnati, OH)
    …position. The clients are virtual. **Job Description** + TheBusiness Banking - Healthcare Virtual Relationship Manager is a regionally located, centrally focused ... contribute to the company's success. As a Virtual Relationship Manager within PNC's Small Business Banking organization, you can...by presenting the full range of PNC's products and services . + Provides ideas and insights based on understanding… more
    PNC (03/13/25)
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  • Manager I Customer Care - Outbound

    Elevance Health (Cincinnati, OH)
    ** Manager I, Customer Care - Outbound** _Location:_ _Alternate locations may be considered. This position will work in a hybrid model ( remote and office). The ... within 50 miles of one of our Elevance Health PulsePoint locations._ The ** Manager I, Customer Care - Outbound** is responsible for providing oversight for customer… more
    Elevance Health (03/20/25)
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  • Business Banking Market Manager

    US Bank (Cincinnati, OH)
    …financial goals-no matter what they need. From transaction processing to customer service , to driving innovation and launching new products, we're building a range ... and each other. **Job Description** The Payment Solutions Market Manager is an individual contributor sales position. This role...+ Problem escalation and resolution skills + Excellent customer service and follow up skills + Exceptional verbal and… more
    US Bank (03/08/25)
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  • Commercial Construction Project Manager

    AECOM (Cincinnati, OH)
    …a better time to be at AECOM. With accelerating infrastructure investment worldwide, our services are in great demand. We invite you to bring your bold ideas and ... **Job Description** AECOM has an exciting opportunity for a seasoned Construction Project Manager to join our team of professionals in Ohio. + Provides overall… more
    AECOM (03/21/25)
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  • Program Manager , Strategic Pricing…

    Bon Secours Mercy Health (Cincinnati, OH)
    …and clinicians are recognized for clinical and operational excellence. This is a ** remote /work from home** opportunity! The associate should: 1) Live + work within ... zone hours (preferred) **Primary Function/General Purpose of Position** The Program Manager of Pricing Strategies is responsible for collecting and monitoring the… more
    Bon Secours Mercy Health (03/04/25)
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  • Specialty Account Manager

    Amgen (Cincinnati, OH)
    …work alongside other innovative, driven professionals in this meaningful role. Specialty Account Manager - TEPEZZA **Live** **What you will do** Let's do this. Let's ... and performing total territory account management. The Specialty Account Manager is responsible for providing account management support to...+ Must be able to work closely with patient services and market access team members, and understand their… more
    Amgen (03/04/25)
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