- Molina Healthcare (Akron, OH)
- **JOB DESCRIPTION** **Job Summary** Lead operational readiness initiatives across provider data and credentialing functions, supporting both new implementations ... operational readiness efforts for new processes, systems, and operational initiatives across provider data and credentialing + Driving launch execution for new… more
- Molina Healthcare (Akron, OH)
- …Information process functions. + Partner with stakeholders to creatively design solutions utilizing provider data such as the Provider Online Directory, ... **Job Description** **Job Summary** The Network Solutions Director is responsible for leading a team designing...combination of education and experience **Required Experience** 7-9 years Provider Data **Preferred Education** Graduate Degree or… more
- Molina Healthcare (Akron, OH)
- **Job Description** **Job Summary** The Director , Clinical Data Acquisition for Risk Adjustment, is responsible for the implementation, monitoring, and oversight ... with the Health Plan Risk/Quality leaders to strategically plan for supplemental data source (SDS) acquisition from providers as well as Electronic Medical Record… more
- Molina Healthcare (Akron, OH)
- …programs focused on provider enablement, ensuring access to tools, training, and data for success in VBC models. + Design and implement VBC training programs, ... This role focuses on equipping providers with the tools, training, data , and support needed to deliver high-quality, efficient care. Oversees initiatives… more
- Molina Healthcare (Akron, OH)
- …and effective resource management. + Develops and implements a Utilization Management program and action plan, which includes strategies that ensure a high quality ... activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid,… more
- Molina Healthcare (Akron, OH)
- …and effective resource management. + Develops and implements a Utilization Management program and action plan, which includes strategies that ensure a high quality ... activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid,… more
- EMCOR Group (Barberton, OH)
- **About Us** We provide industry-leading, end-to-end fire protection, mechanical, and HVAC services. Our skilled tradespeople work in virtually every market across ... clients significant financial strength, unmatched bonding capability, an award-winning safety program , and large-scale purchasing power. With 16 locations and over… more
- Molina Healthcare (Akron, OH)
- …HMO/Managed Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + Previous ... Assists in recruitment, hiring and training of staff as needed. + Analyzes data and identifies medical cost savings and quality improvement opportunities. + Accounts… more
- Molina Healthcare (Akron, OH)
- **Job Description** **Job Summary** The Director of Cyber Recovery will oversee and manage Disaster Recovery related to the Information Technology (IT) ... Azure Cloud services such as VMs, storage, databases, AKS, Data Factory, and App Services. + Proficient in ...+ Able to deliver formal training on Cyber Recovery Program to stakeholders. **Essential Job Responsibilities:** + Maintain, manage,… more
- Molina Healthcare (Akron, OH)
- …requiring consistent oversight. May include travel up to 25%. * Defines program scope, establish approach for implementation and maintain program infrastructure ... of Corporate Operations units via establishment of an internal compliance program , including annual, periodic, focal, etc. audits. * Performance Management &… more
- Molina Healthcare (Akron, OH)
- …and identifies and implements solutions with alignment from key stakeholders. * Uses data to evaluate actual to expected program performance. * Synthesizes and ... to establish strategic plans and objectives. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Under the… more
- Molina Healthcare (Akron, OH)
- …care in the most effective setting. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Determines ... services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies to ensure high-quality… more
- Molina Healthcare (Akron, OH)
- **Job Description** **Job Summary** The In-Home Assessment Program Manager is part of our innovative Risk Adjustment department to assist our diverse team of data ... be assist with implementing and managing the in-home assessment program that leads to the overall achievement of improved...by acting as a key business partner to the Director , Prospective Programs, Market & Segment Leaders, health plan… more
- BrightSpring Health Services (Canton, OH)
- …and upholds the agency's mission and values. Working closely with the Executive Director and leadership team, the Program Manager leads staff, coordinates ... Our Company ResCare Community Living Overview The Program Manager is responsible for overseeing the daily...forecasts, meet financial targets, and manage claims authorization. + Provide on-call support and respond to crises within the… more
- Sunrise Senior Living (Cuyahoga Falls, OH)
- …Over meetings by the lead care manager. + Notify supervisor and resident care director if a resident has increased care needs. + Inform supervisor of any resident ... all times including Personal Protective Equipment (PPE), fire extinguishers, Safety Data Sheets (SDS), and Lockout Tagout procedures. + Report all… more
- Sunrise Senior Living (Cuyahoga Falls, OH)
- …limited to the essential functions listed as follows: **Medication Administration** + Provide the highest degree of quality care and services by administering ... pertinent information about residents. + Receive medication updates from Resident Care Director (RCD) or Wellness Nurse. + Administer, assist with, and observe… more
- Elara Caring (Akron, OH)
- …We know there's no place like home, and that's why our teams continue to provide high-quality care to more than 60,000 patients each day in their preferred home ... to each visit and provides care according to physician's orders, assessment data , and established standards and guidelines. + Incorporates patient care goals… more
- Packing Corp of America (Massillon, OH)
- …Replaces the Director - Human Resources in his/her absence to provide consistent application of policy and procedures. Assists with the development & ... agenda for labor contract negotiations. Assists with administration of PCA salary program & insures compliance with budget. Assists with recruitment, screening &… more