- CVS Health (Columbus, OH)
- …our Manager, Project Management ( Project Manager) role in our Medicare Member Advocacy Center (MAC Team). Medicare 's Member Advocacy Center ... and data analytics. They will also be responsible for member retention initiatives, member engagement oversight, omnichannel...of Medicare knowledge + 1-2 years of project management experience + 1-3 years of… more
- Elevance Health (Columbus, OH)
- …Ability to multi-task while independently and effectively prioritizing work using time management , initiative, project management and problem-solving skills. ... **Audit & Reimbursement III - Medicare Cost Report Audit** **_Locations:_** _This is a...States based position._ **National Government Services** is a proud member of Elevance Health's family of brands. We administer… more
- Humana (Columbus, OH)
- …effectively manage multiple activities + Experience with public sector contract review + Project Management experience + Group Medicare experience is ... simple requests for proposals (RFPs)/request for renewals (RFRs) including full-scale project management , written narratives, and production necessary for final… more
- Elevance Health (Columbus, OH)
- …unit level and ensures operations' effective achievement of objectives. + Coordinates project management across department & divisional line. + Ability to ... **Director of Medicare Risk Adjustment Analytics and Reporting** **Location:** Alternate...project status and progress to business unit senior management . + Ensures accuracy and timeliness of output and… more
- Medical Mutual of Ohio (Dublin, OH)
- …in leading enterprise projects and teams in compliance with the Company's defined IT project management standards with the goal of delivering project ... self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans....with support, in compliance with the Company's defined IT project management standards with the goal of… more
- Public Consulting Group (Columbus, OH)
- …and Billing Services + Applied Technology + Outsourcing and Operations + Strategy + Project and Grants Management + Assessments and Feasibility Studies PCG is ... change lives for the better. The firm is a member of a family of companies with experience in...Monitor quality of staff day-to-day performance. + Work with Management to ensure project goals and expectations… more
- Humana (Columbus, OH)
- … management . + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial ... internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to… more
- Humana (Columbus, OH)
- … management . + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial ... internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to… more
- Humana (Columbus, OH)
- … management . + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial ... teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand how to… more
- Medical Mutual of Ohio (Dublin, OH)
- …people and experience with the listed architectures. + Functional understanding of project management principles and their application to Infrastructure projects ... fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Medical Mutual' s… more
- Medical Mutual of Ohio (Dublin, OH)
- …people and experience with the listed architectures. + Functional understanding of project management principles and their application to Infrastructure projects ... self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans....around town, just for being a Medical Mutual team member . + The opportunity to earn cash rewards for… more
- Public Consulting Group (Columbus, OH)
- …matrixed environment * Proficiency in Microsoft applications (Outlook, Word, Excel, PowerPoint, Visio, Project ) and project management tools * Ability to ... change lives for the better. The firm is a member of a family of companies with experience in...with clients, vendors, team members to establish and achieve project goals * Address problems through risk management… more
- Public Consulting Group (Columbus, OH)
- …or related field preferred . Experience with GAAP principles . Experience with project accounting. . Experience with Medicare or Medicaid cost reporting ... change lives for the better. The firm is a member of a family of companies with experience in...department and PCG grow and as deemed necessary by management . **Required Skills** + Ability to analyze account fluctuations… more
- Humana (Columbus, OH)
- …concepts (CI/CD, TDD) + 5+ years of experience coaching and mentoring teams on project management practices including Agile, Lean, Kanban, Waterfall. + 8+ years ... software, including full Microsoft suite (Excel, Power automate) + Project management software, Project , Jira,...from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. **Interview Format** As part… more
- Humana (Columbus, OH)
- …process to identify opportunities for enhanced clinical outcomes, cost control, quality, and member experience. This is a remote opportunity to join a dynamic team ... Lead will analyze complex problems and issues related to member care, care quality/outcomes, and medical cost. This role...of consulting experience + 2 or more years of project leadership experience + Experience in the health care… more
- Medical Mutual of Ohio (Columbus, OH)
- …Skills and Knowledge: . Expert in operation of scheduling software, change management , project leadership, restart/recovery, JCL, DR, and other software utilized ... fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Medical Mutual' s… more
- Humana (Columbus, OH)
- …problem solving and proficiency in executing solutions. + Demonstrated excellent skills in project and time management with proven ability to be flexible, adapt ... made toward achieving and maintaining Humana's health plan accreditations for Medicare and Medicaid. The Accreditation Manager's roles and responsibilities include… more
- Humana (Dublin, OH)
- …stakeholders to understand and improve the market **Additional Information** + Strong project management and organizational skills + Ability to analyze ... and external meetings + Proficiency in Microsoft PowerPoint, Excel and other presentation, project management and reporting tools As part of our hiring process… more
- Prime Therapeutics (Columbus, OH)
- …with regulatory compliance for Medicare /Medicaid/Commercial or ACA drug benefit + Project management experience + Certification or licensure in a related ... Audit Specialist, Sr. - Remote **Job Description** As a member of the Client Audit Management (CAM)...provide quality checks for CAM staff + Demonstrate high-level project management and organization capabilities by effectively… more
- Humana (Columbus, OH)
- …your state of residence without disciplinary action. + Minimum 5 years of project management and/or process improvement experience + Minimum 3 years utilization ... following areas: benchmarking, business process analysis and re-engineering, change management and measurement, and/or process-driven systems requirements. Begins to… more