- Molina Healthcare (Cincinnati, OH)
- …payment integrity and other cost recovery processes + Direct PM experience in Managed Care Operations (claims, system configuration, provider data management ... + 3-5 years in Managed Care with emphasis on Managed Care Operations **Preferred License, Certification, Association** + PMP, CAPM, PMI-ACP, PMI-PBA… more
- Molina Healthcare (Cincinnati, OH)
- …+ Proven experience handling provider disputes, appeals, and overpayment recoveries in a managed care or payer environment. + In-depth knowledge of medical and ... **JOB DESCRIPTION** **Job Summary** Provides senior level support for accurate and timely intake...4 years of experience in previous roles in a managed care organization, health insurance or directly… more
- Molina Healthcare (Cincinnati, OH)
- …or equivalent combination of education and experience **Required Experience** + 3-5 years managed care experience, including 2+ years in Provider Claims and/or ... level (or higher) **Preferred Education** Bachelor's Degree **Preferred Experience** + 5+ years managed care experience + QNXT; SQL experience + Crystal Reports… more
- Elevance Health (Mason, OH)
- …health care analytics, financial reporting, business analysis within health insurance/ managed care environment; or any combination of education and ... responsible for directing and overseeing health plan financial analysis, cost of care analytics, trend analysis, financial reporting, financial operations , and… more
- Molina Healthcare (Cincinnati, OH)
- …Qualifications** + At least 4 years of experience in previous roles in a managed care organization, health insurance or directly adjacent field, or equivalent ... **JOB DESCRIPTION** **Job Summary** Provides senior level support for accurate and timely intake...of changes that impact the product. + Engages with operations leadership and Plan Support functions to review compliance-based… more
- Robert Half (Cincinnati, OH)
- …independent and locally owned Member Firms provide clients with consulting and managed solutions in finance, technology, operations , data, analytics, digital, ... is a passion. We lean into our mission: We Care . We Collaborate. We Deliver. At every level, we...+ Demonstrated track record of working effectively with a senior executive in a fast-paced and service-oriented corporate environment… more