- Molina Healthcare (Columbus, OH)
- **Job Description** **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality ... 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
- Humana (Columbus, OH)
- …are looking for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager , Medicare Sales, motivates and drives a team of ... motivate and train a team of sales individuals. The Senior Manager , Medicare Sales, must...+ This role is part of Humana's Driver safety program and therefore requires an individual to have a… more
- Humana (Columbus, OH)
- …our caring community and help us put health first** Job Description Summary The Senior Product Manager Conceives of, develops, delivers, and manages products for ... customer use. The Senior Product Manager work assignments involve moderately...on track and delivers successfully. + Manages project and program interdependencies and potential roadblocks, establishes clear resolution paths,… more
- Danaher Corporation (Cincinnati, OH)
- …Business System (https://www.danaher.com/how-we-work/danaher-business-system) which makes everything possible. The Senior Field Reimbursement Manager (US REMOTE) ... customer engagement and responding to customer inquiries. This position reports to the Senior Director Market Access Americas and is part of the Value and Access… more
- CVS Health (Columbus, OH)
- …all with heart, each and every day. **Position Summary** The Vendor Account Senior Manager role encompasses ownership of managing relationships with third-party ... cost savings, process improvements, or consolidation. + **Project & Program Management:** + Identify project stakeholders, establish effective communication… more
- CVS Health (Columbus, OH)
- …Qualifications** + Pharmacist + 7-10 years work experience in healthcare + Medicare and/or Medicare -Medicaid Integrated Product Experience + Experience with Part ... for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed...includes an award target in the company's equity award program . Our people fuel our future. Our teams reflect… more
- CVS Health (Columbus, OH)
- …with provider engagement, relations, or account management. + Working knowledge of Medicare contracts. + An understanding of value based contracts, how they work, ... for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed...includes an award target in the company's equity award program . Our people fuel our future. Our teams reflect… more
- Humana (Columbus, OH)
- …part of our caring community and help us put health first** The Senior Application Architect designs and develops IT applications architecture solutions to business ... alignment with the enterprise architecture direction and standards. The Senior Application Architect work assignments involve moderately complex to...* Annual Incentive Plan * 401K - * Well-being program * Paid Volunteer Time Off * Student Loan… more
- Molina Healthcare (OH)
- …quality member intervention initiatives including all lines of business ( Medicare , Marketplace, Medicaid). Executes health plan's member and community quality ... focused interventions and programs in accordance with prescribed program standards, conducts data collection, monitors intervention activity including key… more
- BAYADA Home Health Care (Cuyahoga Falls, OH)
- BAYADA Home Health Care is currently seeking an experienced health care manager to fill the position of **Associate Director** in our Cuyahoga, OH Senior Living ... industry, preferably in home health care + Knowledge of Medicare regulations, including OASIS and PPS + Knowledge of...401k with company match, direct deposit and employee assistance program + To learn more about BAYADA Benefits, click… more
- OhioHealth (Marion, OH)
- …implementing, communicating, managing and monitoring the needs of the physician contracting program . This role is a subject matter expert, with current knowledge of ... is to: (a) lead and manage the physician contracting program by ensuring all individual physician and physician group...of the Inspector General, The Joint Commission, Center for Medicare & Medicaid Services, Internal Revenue Service, etc. This… more
- CVS Health (Columbus, OH)
- …current business trends and best practices by preparing analyses for senior management, stakeholders, and clients.** **Required Qualifications** **3+ year healthcare ... benefit administrators)** **5+ years of experience in government programs (Medicaid, Medicare )** **Adept at problem solving and decision-making skills** **Adept at… more
- CenterWell (Columbus, OH)
- …part of our caring community and help us put health first** The Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical ... records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Program … more
- CenterWell (Columbus, OH)
- …teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to ... includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age). + Current and ongoing Board… more
- CenterWell (Columbus, OH)
- …+ Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/ Medicare + Current nursing experience in Hospital, SNF, ... eligible dependents + Parental and caregiver leave + Employee charity matching program + Network Resource Groups (NRGs) + Career development opportunities Travel:… more
- Deloitte (Cincinnati, OH)
- Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk & Forensic team helps client leaders translate multifaceted risk and ... on Feb 28, 2026 Work you'll do As a Senior Consultant in our Regulatory, Risk, & Forensic Healthcare...meetings to explain CDI benchmarks, KPIs and demonstrate overall program accomplishments and challenges through analytics and dashboards +… more
- CenterWell (Columbus, OH)
- …is not guaranteed. There also may be opportunity to cover other aspect of the program , such as covering PTO for APPs in CenterWell Medical group (phase 1). There are ... **Knowledge of HEDIS measures and quality indicators** **Experience managing Medicare Advantage panel of patients with understanding of Best Practice… more
- Cleveland Clinic (Cleveland, OH)
- …will lead the development, implementation, and advancement of a comprehensive EHS program designed to ensure the safety of caregivers, patients, visitors and ... standards. In this highly collaborative role, you'll oversee key program areas-including industrial hygiene, hazardous materials management, occupational safety,… more