- Molina Healthcare (Akron, 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
- 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
- Elevance Health (Independence, 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
- Molina Healthcare (Akron, 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
- 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
- Cleveland Clinic (Warrensville Heights, OH)
- Accreditation Program Manager Join Cleveland Clinic South Pointe Hospital and experience world-class healthcare at its best. South Pointe Hospital provides ... the most respected healthcare organizations in the world. As an Accreditation Program Manager , you will coordinate the hospital accreditation activities ensure… 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 ... problem resolution, and planning. . Performs other duties as assigned. ** Sr . Sourcing Specialist** **Provides expertise to the Procurement Department in the… more
- Elevance Health (Independence, OH)
- …**Responsible for monitoring quality performance data, and managing clinical program development for population-based clinical quality measures, focusing on HEDIS.** ... the strategies, programs and tools to be implemented. + Leads program development activities. + Develops and coordinates presentations, communications and… more
- Gentiva (Independence, OH)
- …area. You will report directly to the Executive Director, Administrator, or Senior Patient Care Manager . You will be responsible for maintaining ... day. **Overview** We're looking for a **Full-Time** **Patient Care Manager , RN** to join our team in the **Cleveland/Independence**...a high performing hospice program including managing, overseeing, and directing patient care activities… more
- Elevance Health (Independence, OH)
- …or related Medicare experience which includes previous experience at a Senior Auditor level in health care, public accounting, or a government agency; or ... member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services… more
- CenterWell (Solon, OH)
- …+ Primarily conduct facility visits at the physicians' request to assist program clinical team in determining eligibility. + Ensure effective communication and ... collaboration with program staff and other field sales resources via weekly...license. + Must have strong knowledge of governmental regulations, Medicare eligibility requirements, comprehensive understanding of potential care plan… more
- CenterWell (Medina, OH)
- …equivalent + Completion of Certified Nursing Assistant or Certified Home Health Aide Program within the last 24 months + Must meet applicable state certification ... and have completed HHA/CNA course to work for a Medicare certified agency. + At least one year experience...paid time off, 401(k) retirement savings plan, employee assistance program , business travel and accident. **About Us** About CenterWell… more