- Molina Healthcare (Dayton, OH)
- **Job Description** **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements ... initiatives to improve Star Ratings. * Serves as the Medicare Stars subject matter expert to Program Managers and in functional areas; leads programs to meet… more
- CVS Health (Columbus, OH)
- …largest CVS Health PBM clients. The Medicare Business Analytics - FEP - Sr . Manager provides technical, analytical and business support for the FEP Account ... team. The role serves as the authority for FEP program data analytics, trend analysis, contractual guaranteed financial metrics,...the Medicare Business Analytics - FEP - Sr . Manager incorporates these into all aspects… more
- Gilead Sciences, Inc. (Cleveland, OH)
- …that will improve the lives of patients with life-threatening illnesses worldwide. The ** Sr .** **Field Reimbursement Manager - HIV Prevention (** ** Sr . ... in navigating the complexities of the healthcare system. The Sr . FRM HIV Prevention will provide in-person and virtual...and reimbursement outcomes. + Assist the internal patient support program team in enhancing hub and FRM processes, such… more
- Cardinal Health (Columbus, OH)
- …receives detailed instruction on new assignments + Consults with supervisor or senior peers on complex and unusual problems **_Responsibilities_** The Case ... Manager supports patient access to therapy through Reimbursement Support...therapy through Reimbursement Support Services in accordance with the program business rules and HIPAA regulations. This position is… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …plans. Implements and manages the implementation and daily operation of the Medicare Advantage Compliance Program and all compliance-related activities for the ... and Federal Regulations that affect our various company products, specifically Medicare Advantage program regulations, and Statutory Requirements. . Proficiency… more
- Prime Therapeutics (Columbus, OH)
- …and drives every decision we make. **Job Posting Title** PBM Contract Representative Sr - LA Medicaid **Job Description** The Senior Contract Representative is ... years of comprehensive experience working with Rebate contracts, or within Medicare /Medicaid (eg insurance, government program operations, managed care… more
- Medical Mutual of Ohio (OH)
- …any oversight process questions. . Performs other duties as assigned. ** Senior Medicare Pharmacy Coordinator** Working under limited supervision, administers ... mail pharmacy. . Intermediate Microsoft Office skills (Excel, Word, Power Point). ** Senior Medicare Pharmacy Coordinator** . Associate Degree in Business… more
- Molina Healthcare (OH)
- **Knowledge/Skills/Abilities** * Responsible for program development, implementation, and management of process improvement initiatives. * Coordinates, directs, and ... Conduct meetings and disseminates communication related to process improvement activities to senior leadership and staff as needed. * Knowledge of HEDIS measurement… more
- CVS Health (Columbus, OH)
- …within network as well as other business areas (clinical, operations, Medicare segment). **Required Qualifications** + Successful project management experience in ... increasingly more complex projects across a highly-matrixed organization + Project/ program expertise in stakeholder facilitation, communications and relationship management… more
- Trinity Health (Columbus, OH)
- …on day one + Generous paid time off programs + Employee recognition incentive program + Tuition/professional development reimbursement + Relocation assistance ... own in Columbus. Learn more at www.experiencecolumbus.com ! **About the job:** + Senior Project Manager is responsible for overseeing and managing the facility… more
- Humana (Columbus, OH)
- …and help us put health first** Humana's Marketing organization is seeking a Senior Professional experienced in marketing content and campaign planning to join the ... team. The Senior Marketing Campaign Management Professional reports directly to the...off, holidays, volunteer time and jury duty pay + Recognition pay + 401(k) retirement savings plan with employer… 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
- Cardinal Health (Columbus, OH)
- …+ Pharmacy benefits management experience preferred with specific knowledge of Medicare , Medicaid and commercially insured payer common practices and policies, ... and internal customers, create and complete applications for enrollment within program timeframes, review forms and supporting documentation thoroughly for any… more
- Medical Mutual of Ohio (OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Medical Mutual' s ... **Corporate Strategy Analyst III** The Corporate Strategy team works closely with senior leaders across the organization to define the long-term direction of Medical… 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
- Medical Mutual of Ohio (OH)
- …coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Responsibilities** **Project Manager II** Leads ... Performs other duties as assigned. . Continuous Education and Staff Development. ** Senior Project Manager ** Manages enterprise projects, programs, and teams with… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Medical Mutual' s ... Manages multiple assignments with competing deadlines. Works with team and manager to prioritize deliverables. Coordinates with teammates to ensure deliverables are… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Medical Mutual' s ... and initiatives for all lines of business (Commercial, Marketplace and Medicare Advantage). Manages reporting and analyses of quality measurement results (including,… more
- Mathematica (Columbus, OH)
- …We are seeking a highly motivated person to join our team as an *IT Program Manager * in the Delivery Management practice in Health Solutions Insights. As an ... IT Program Manager , you will lead teams and...work with our largest client, Centers for Medicaid & Medicare Services (CMS). Most staff working on CMS contracts… more
- Molina Healthcare (OH)
- …Clinical Systems, Medical Economics, Market Engagement, etc. to ensure efficient and effective program delivery + Package material for senior leaders, up to and ... Economics and Finance teams, drive, plan and manage a comprehensive program focused on identifying, defining, designing, implementing and tracking performance for… more