- Molina Healthcare (Dayton, OH)
- …of strategic and operational project portfolios, with a focus on Network Cost of Care initiatives. Drive structure, organization, and decision-making across ... to C-level executives and manage key relationships with Corporate EPMO, IT, and Cost of Care stakeholders including COEs, Operating Domains, Med Econ, and… more
- Elevance Health (Mason, OH)
- …+ **HealthOS and enterprise data platforms** + **Real-time Decisioning & Analytics (RDA)** + ** Cost of Care / Payment Integrity** + ** Care Management / ... Realization Office) and enterprise transformation leaders to assess clinical and medical cost implications of strategic initiatives. + Evaluate program designs… more
- Elevance Health (Mason, OH)
- …appeals for physical health medical services, to ensure the appropriate and most cost -effective medical care is received. May be responsible for developing and ... **Medical Director -Dermatology Appeals** **Location:** This role enables associates to...as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as… more
- Molina Healthcare (Dayton, OH)
- …care and services through continuum among hospitals, skilled nursing facilities and home care to ensure quality, cost -efficiency, and continuity of care . ... adjustment, disease management, and evidence-based guidelines. + Experience in Utilization/Quality Program management + HMO/Managed care experience **PR** **E**… more
- Molina Healthcare (Dayton, OH)
- …care and services through continuum among hospitals, skilled nursing facilities and home care to ensure quality, cost -efficiency, and continuity of care . ... disease management, and evidence-based guidelines. + Experience in Utilization/Quality Program management + HMO/Managed care experience **PREFERRED LICENSE,… more
- Sedgwick (Dayton, OH)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Director - Customer Integration and Compliance **PRIMARY PURPOSE** **:** We are seeking ... a strategic and results-oriented Director to lead a high-performing team responsible for a...broad range of technical and operational functions supporting managed care and bill review services. This role is pivotal… more
- Molina Healthcare (Dayton, OH)
- …specific markets/regions. Contributes to overarching strategy to provide quality and cost -effective member care . Essential Job Duties * Provides behavioral ... ability to learn new programs. Preferred Qualifications * Experience with utilization/quality program management. * Managed care experience. * Peer review… more
- Molina Healthcare (Dayton, OH)
- … Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + Previous ... training of staff as needed. + Analyzes data and identifies medical cost savings and quality improvement opportunities. + Accounts for regulatory and accreditation… more
- Cintas (Mason, OH)
- **Requisition Number:** 183102 Cintas is seeking a Tax Director . Responsibilities include leading the quarterly and annual domestic and international tax computation ... competitive medical, dental and vision benefits, featuring employee health care premiums that are 30% lower than the national...our medical plan options is even offered at zero cost to our partners. Additionally, our employee-partners enjoy: *… more
- RELX INC (Dayton, OH)
- …refine and execute a multi-year roadmap to accelerate content delivery while managing cost to plan. + Build, coach, and inspire a nimble and high-performing ... learning, and AI-first thinking. + Monitor and act on KPIs ( cost efficiency, productivity, turnaround time, content freshness); provide executive-ready reporting and… more
- Molina Healthcare (Dayton, OH)
- …Implements cost control initiatives to positively influence the Medical Care Ratio (MCR) in each contracted region. * Leads preparation and negotiations ... with the Complex Provider Community that result in high quality, cost effective and marketable providers. Contract/Re-contracting with large scale entities involving… more
- Molina Healthcare (Dayton, OH)
- …plans and objectives. Contributes to overarching strategy to provide quality and cost -effective member care . Essential Job Duties * Responsible for collaborating ... implementation, and oversight of technology that drives core utilization management, care management, long-term services and supports (LTSS), clinical operations and… more
- Leonardo DRS, Inc. (Beavercreek, OH)
- …management approval prior to making decisions that will cause deterioration of established program , cost and schedule objectives. + May be required to ensure ... of multiple programs within contract requirements to assure that cost , schedules and performance goals are met. Lead all...are conducted under the guidance of senior level management ( Director of Programs, or LOB Lead). Works closely with… more
- Gentiva (Dayton, OH)
- **Overview** **Expand Care . Lead with Compassion. Transform Lives.** We are seeking a Clinical Manager to join our Advanced Illness Management (AIM) team. This role ... reports directly to the Director of AIM and is responsible for coordinating and...activities of the Advanced Illness Management (AIM) and Palliative Care department. The Clinical Manager ensures excellence in clinical… more
- Guidehouse (Beavercreek, OH)
- …+ Provide advisory support for source selections and respond to internal and external program inquiries + Support Director 's Action Group (DAG) and Program ... Ability to Obtain Secret **What You Will Do** **:** The Senior Acquisition Program Manager will provide comprehensive support across the Department of Defense (DoD)… more
- Fresenius Medical Center (Dayton, OH)
- …and customer service philosophy. Adheres to the Organization Compliance Program , including following all regulatory and Organization policy requirements. Provides ... direct nursing care pre, during and post procedure, under the direction...post procedure, under the direction of the Facility Manager, Director of Nursing and/or Charge Registered Nurse, utilizing standard… more
- RELX INC (Dayton, OH)
- …applied to support business strategies. This role will partner with the Operations Director , business units, Offshore teams as well as other technical teams to ... time-critical projects. Incumbents will conduct analysis, needs assessments, and preliminary cost -benefit analysis. They also review estimates and designs to ensure… more