- Molina Healthcare (Columbus, OH)
- …they may have technical team members. **Expanded Scope:** The Senior Project Manager for Claims Operations drives complex, multi-workstream initiatives ... on-budget delivery. **Tools/Methods (examples):** Salesforce, QNXT (or similar core claims ), JIRA/Azure DevOps, MS Project /Smartsheet, Visio/Miro/Lucid, SQL,… more
- CVS Health (Columbus, OH)
- …evolving needs of our business. The Commercial Claim team handles complex project work that crosses many Aetna Technology domains/applications. A Release Manager ... experienced Engineer to join our Commercial Claim Adjudication team. As a Release Manager , you will contribute to product strategy by: + Leading multiple Agile teams… more
- Turner & Townsend (Columbus, OH)
- …markets around the world. **Job Description** **Turner & Townsend** are seeking an experienced ** Senior ** ** Project Controls Manager ** to join our team. The ... opportunity and complexity into success. Our capabilities include programme, project , cost, asset and commercial management, controls and performance, procurement… more
- Molina Healthcare (Columbus, OH)
- …to manage resources, mitigate risks, and ensure stakeholder satisfaction. Although a project management role, this role will be assigned some operations initiatives ... monitors task activities, and ensures state contract timelines are met. Monitors the project from inception through delivery. May engage and oversee the work of… more
- ABM Industries (Columbus, OH)
- **Overview** Sr. Project Manager operates rental cars in a safe manner to move them to and from various locations of the car rental facility. Dispatches drivers ... any way and that the accident is promptly reported to the District Manager , Safety, Claims and Customer. + Looks for root causes of accidents and communicates… more
- Turner & Townsend (Columbus, OH)
- …markets around the world. **Job Description** **Turner & Townsend** is looking for a ** Senior Risk Manager ** to join our growing team. The ideal individual will ... opportunity and complexity into success. Our capabilities include programme, project , cost, asset and commercial management, controls and performance, procurement… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- …associated regulatory challenges to the GRL, global regulatory team, assigned project teams, and internal/external functional business units as needed. Works ... regulatory challenges to the GRL, global regulatory team, assigned project teams, and internal/external functional business units as needed....you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- CVS Health (Columbus, OH)
- …a liaison to internal colleagues to interpret contracts, drive cost savings, resolve claims and other service issues. **Required Qualifications** + A minimum of 3 ... methodologies and contracting strategies. + Strong communication, critical thinking, project management and problem-solving skills. + A willingness to actively… more
- Molina Healthcare (Columbus, OH)
- …recommendations for improvement to decision-makers. At the direction of the Manager , Encounters, collaborates with cross-functional teams to identify and resolve ... rejection inventory, and works with other areas including IT, health plan, claims , provider, enrollment, regulators, and external vendors, as needed, to remediate… more
- Molina Healthcare (Columbus, OH)
- …projects + Responsible for analytics and reporting, acting as a Jr Project manager to oversee vendor implementations, coordinating data extractions, gathering ... SQL, PowerBI, databricks. + Experience on ETL , healthcare specifically claims is highly preferred. **JOB QUALIFICATIONS** **Required Education** Associate degree or… more
- Molina Healthcare (Columbus, OH)
- …Supporting the OH Plan, the candidate will act as the Ohio Operation lead on Claims and Encounters as well as the liaison to our state regulator in these areas. ... developer role but the candidate must be technically inclined and interface with IT, Claims , and Encounter Teams. Must be a self-starter willing to learn. Must be a… more
- Public Consulting Group (Columbus, OH)
- …a deep understanding of Medicaid waivers. **Duties and Responsibilities** + Serves as project manager and subject matter expert within the practice including ... more, visit www.publicconsultinggroup.com . Summary: We are seeking a senior -level, detail-oriented and self-motivated Medicaid Waiver Evaluation Consultant to join… more