- Battelle Memorial Institute (Columbus, OH)
- …technical leader interfaces are the program managers, contracts, finance, quality, operations , suppliers, and our customers. This engineering leadership position is ... has a thorough knowledge of contractual issues relative to the program being managed relevant to scope of the work, scheduling and subcontracts. Advises contract… more
- Molina Healthcare (Columbus, 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
- Humana (Columbus, OH)
- …+ Bachelor's Degree. + Three (3) or more years of experience in managed care operations , provider reimbursement and analytics and/or value-based ... reporting, and scorecard/reconciliation reporting. + Understanding of Medicaid and/or Medicaid managed care . + Ability to understand and analyze financial,… more
- Datavant (Columbus, OH)
- …sciences companies, government agencies, and those who deliver and pay for care . By joining Datavant today, you're stepping onto a high-performing, values-driven ... realize our bold vision for healthcare. **Job Summary** The Senior Manager, Facilities at Datavant will lead all aspects...Facilities at Datavant will lead all aspects of facilities operations across our locations around the world, ensuring safe,… more
- Western Digital (Columbus, OH)
- …needs * Facilitate technical requirements and maintain well-defined roadmaps with senior stakeholders **Legal Technology Leadership** * Serve as in-house expert on ... Change Management** * Continuously identify automation and innovation opportunities in legal operations * Track system usage, impact, and satisfaction metrics * Lead… more
- Cardinal Health (Columbus, OH)
- …management preferred. + Familiarity with Medicare, Medicaid, commercial insurance plans, and managed care preferred. + Proficiency in billing software (eg ... **_What Revenue Cycle Management (RCM) contributes to Cardinal Health_** Practice Operations Management oversees the business and administrative operations of a… more
- Molina Healthcare (Columbus, OH)
- …**Required Experience** + 5-7 years of business analysis experience, + 6+ years managed care experience. + Demonstrates proficiency in a variety of concepts, ... with multiple types of business data. May be internal operations -focused or external client-focused. **KNOWLEDGE/SKILLS/ABILITIES** + Elicit requirements using… more
- Centene Corporation (Columbus, OH)
- …**Education/Experience:** Current state RN license preferred. Previous experience in a managed care organization strongly preferred. 3+ years of leadership ... The Vice President of Population Health & Health Outcomes is a senior leadership role responsible for developing and executing strategies that drive measurable… more
- CenterWell (Columbus, OH)
- …+ Previous Commercial, Medicare and/or Medicaid experience + Previous clinical experience in managed care **Additional Information** + This is a remote position ... and help us put health first** The Staff Specialty Operations Pharmacist applies clinical and operational knowledge to ensure...at the center. As the nation's largest provider of senior -focused primary care , one of the largest… more
- Cardinal Health (Columbus, OH)
- …strategic C-suite and senior executive leadership partnerships with payers and managed care organizations + Comprehensive understanding of the evolving ... covering both strategic hunting and complex account management with payers and managed care organizations. By combining rigorous performance management with… more
- Cardinal Health (Columbus, OH)
- …and managing strategic relationships with C-suite payor executives as well as managed care clinical/network management/ operations leaders + Full cycle ... OH. The _Director of Business Development, Market Access_ is a seasoned managed care executive and strategic individual contributor responsible for developing… more
- Molina Healthcare (Columbus, OH)
- …health care vendor, commercial health insurance, large physician practice, managed care organization, etc.) * Advanced proficiency with retrieving specified ... BI, and/or Tableau and data management. * Advanced understanding health care operations (utilization management, disease management, HEDIS quality measures,… more
- Prime Therapeutics (Columbus, OH)
- …as HIPAA, Anti-Kickback Statute, and False Claims Act, with a focus on PBM and managed care operations + Experience engaging with regulatory bodies (eg, CMS, ... company's brand and business + Provide strategic advice to senior leaders on the most complex legal scenarios +...of experience as an attorney and 5 years representing managed care companies, health care … more
- Evolent (Columbus, OH)
- …and proficiency + Personally initiate and foster executive level relationships at managed care organizations or health systems and large provider groups ... sales with long cycles requiring diverse stakeholder management + Knowledge of the managed care and provider markets (both payers and risk-bearing organizations)… more
- Molina Healthcare (Columbus, OH)
- …At least 8 years health care experience, including 6 years of managed care experience supporting clinical operations and clinical/quality improvement ... active and unrestricted in state of practice. * Deep understanding of clinical operations : utilization management, care management, etc. * Ability to provide… more
- Prime Therapeutics (Columbus, OH)
- …kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of ... Strategist is responsible for partnering with cross functional stakeholders and senior leaders to implement innovative solutions that advance or achieve Prime's… more
- OhioHealth (Columbus, OH)
- …a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be ... quality and in working order. Ensure all firearms are well maintained and managed according to the highest standards. Develop and implement annual budgets and… more
- UMB Bank (Columbus, OH)
- …assessment and underwriting of new SBCRE (Small Balance Commercial Real Estate) managed investment loans (non-owner occupied CRE loans $1,000,000 to $5,000,000) in ... suitable for each credit request. + Present loan submissions to the UMB senior loan committee on behalf of relationship managers and answer questions relative to… more
- Molina Healthcare (Columbus, 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
- Cardinal Health (Columbus, OH)
- …management preferred. + Familiarity with Medicare, Medicaid, commercial insurance plans, and managed care preferred. + Proficiency in billing software (eg ... Financial Assistance Counseling (RCM) contributes to Cardinal Health_** Practice Operations Management oversees the business and administrative operations … more
