- Molina Healthcare (Cleveland, OH)
- …and ensure adherence to business, system and regulatory requirements of Provider Data Management / Network Adequacy. **Knowledge/Skills/Abilities** + ... among multiple systems to ensure accurate reporting of the Provider Network across the enterprise. Validate data...Integrates work with other teams including New Markets team, Network Management , Product Teams, PDM and IT.… more
- Molina Healthcare (Cleveland, OH)
- …and system requirements of customers as it pertains to contracting, network management and credentialing. + **Knowledge/Skills/Abilities** + Strategically plans, ... **Job Description** **Job Summary** The Network Solutions Director is responsible for...solutions utilizing provider data such as the Provider Online Directory, Utilization Management , Customer Experience,… more
- The Cigna Group (Cleveland, OH)
- …reside in the Cleveland or Independence, OH area.** The ** Director ** **,** ** Provider Contracting Network Management ** serves as an integral member of ... management of the day to day contracting and network management activities for a local given...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- Molina Healthcare (Cleveland, OH)
- …and system requirements of customers as it pertains to contracting, network management and credentialing. **Knowledge/Skills/Abilities** * Strategically plans, ... in developing and implementing appropriate Corrective Action Plans for submission of provider network files, etc. * Engages with IT and other departments to… more
- Molina Healthcare (Cleveland, OH)
- … and senior leadership/ management . * Communicates new strategies to corporate provider network leadership for input. * Utilize standardized system(s) to ... Georgia _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for...including VBP program templates. Works with Legal and Corporate Network Management as needed to modify contract… more
- Elevance Health (Independence, OH)
- …on ethical and clinically appropriate use of healthcare data. + Partner with Provider Network leaders to shape modernization strategies that drive value-based ... **Manager, Medical Director - Transformation Initiatives** Location: This role requires...Payment Integrity** + **Care Management / Utilization Management (CM/UM) Modernization** + ** Provider Networking &… more
- Cleveland Clinic (Cleveland, OH)
- **Medical Director , Pediatric Cardiac Intensive Care Unit** The Division of Cardiology & Cardiovascular Medicine within the Pediatric and Adult Congenital Heart ... clinical skills and a strong history of leadership to serve as the Medical Director of our Pediatric Cardiac Intensive Care Unit (PCICU). The position will have a… more
- Molina Healthcare (Cleveland, OH)
- …as meeting or exceeding productivity standards. Educates and interacts with network and group providers and medical managers regarding utilization practices, ... guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization ...(QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
- Stanley Black and Decker (Valley City, OH)
- ** Director of Distribution Capabilities** **- Hybrid** Towson, MD or Valley City, OH **Come make the world and accelerate your success** It takes great people to ... CRAFTSMAN(R), STANLEY(R), CUB CADET(R), and HUSTLER(R). **The Job:** The Director of Distribution Capabilities is responsible for driving operational excellence… more
- Eaton Corporation (Beachwood, OH)
- Eaton Corporation has an opening for a Director Cloud Platform Engineering. This person will report directly to the Vice President IT Cloud Transformation. This will ... be a remote position. **Position Overview:** The Director is responsible for creating and establishing a product focused platform engineering mindset for enterprise… more
- Anywhere Real Estate (Cleveland, OH)
- ** Director , Strategic Partnerships & Planning** This role reports into an executive leader at Anywhere Integrated Services. Our team is focused on designing and ... base salary and variable compensation. **Key Responsibilities:** * Partner Management - Support ownerships of broker-owner relationships, input, and questions… more
- Anywhere Real Estate (Cleveland, OH)
- …and transaction coordination offerings. **About the Role** This new, high-profile Director , New Program Development role will be accountable for developing new ... + Excellent presentation skills; mastery of PowerPoint, Excel, and agile project management tools. + No industry experience required. Experience in franchising or… more
- BAYADA Home Health Care (Cuyahoga Falls, OH)
- …currently seeking an experienced health care manager to fill the position of **Associate Director ** in our Cuyahoga, OH Senior Living office. Are you looking for an ... care to our clients. **Responsibilities:** + Fully responsible for the management and services including budgeting, planning, recruiting and fiscal management… more
- Parker Hannifin Corporation (Cleveland, OH)
- Director , US Government Compliance Location : CLEVELAND, OH, United States Job Family : Program Management Job Type : Regular Posted : Aug 26, 2025 Job ID : ... more at www.parker.com (https://www.parker.com/us/en/home.html) or @parkerhannifin. Position Summary: The Director of US Government Compliance (USG) will operate with… more
- Molina Healthcare (Cleveland, OH)
- …+ Maintains contractual relationships with significant/highly visible providers. + Advises Network Provider Contract Coordinators and Specialists on negotiation ... provider and routine ancillary contracts. + Evaluates provider network and implement strategic plans with...models. Seeks input on new reimbursement models from Corporate Network Management and legal. + Educates internal… more
- Deloitte (Cleveland, OH)
- Deloitte Global is the engine of the Deloitte network . Our professionals reach across disciplines and borders to develop and lead global initiatives. We deliver ... that unite our organization. Work you'll do The Digital Collaboration Director will oversee the enterprise collaboration applications within the Global organization.… more
- Actalent (Cleveland, OH)
- Job Title: Director of Engineering The Director of Engineering leads the engineering function with strategic and technical oversight, focusing on aerospace ... ISO 9001, AS9100, AS13100, and NADCAP. + Proficiency in electronic systems management : ERP/MRP, QMS, and Microsoft Office. + Strong leadership, communication, and… more
- Sodexo (Cleveland, OH)
- …experiences into vibrant, high-performance environments. We're seeking a **Senior Director of Business Development** to spearhead growth for this transformative ... bid strategies for complex, high-value contracts that integrate both facilities management and culinary services in workplace environments. + Build and activate… more
- Molina Healthcare (Cleveland, OH)
- …through support and oversight for assigned markets, including D-SNP market performance management . + Function as Medicare subject matter expert and point of contact ... to and present in market performance review meetings. + Collaborate with Network teams on value-based services. + Partner with Government Contracts on regulatory… more
- JPMorgan Chase (Cleveland, OH)
- …for exceptionally talented individuals who are collaborative, confident and motivated to provide a first-class experience to clients within JP Morgan's US Private ... alongside a team of talented colleagues from other markets, businesses and functions to provide you with the opportunity to take your career to the next level. As… more