- Molina Healthcare (Cincinnati, OH)
- …Qualifications** + At least 6 years of experience in previous roles in a managed care organization, health insurance or directly adjacent field, or equivalent ... + Provides status and updates to health plan/product team partners, senior management and stakeholders. + Communicates requirement interpretations and changes to… 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
- Molina Healthcare (Cincinnati, 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
- CenterWell (Fort Mitchell, KY)
- …by clinical personnel. + Develops, plans, implements, analyzes, and organizes clinical operations for a specific location managed . + Conducts/delegates the ... the Human Resources Department and the Executive Director/Director of Operations . + Participates in the interviewing, hiring, training, and...at the center. As the nation's largest provider of senior -focused primary care , one of the largest… more
- Elevance Health (Cincinnati, 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
- Capgemini (Cincinnati, OH)
- …entire breadth of business needs, from strategy and design to managing operations with deep industry expertise and command of fast-evolving fields including cloud, ... accounts + The ability to develop profitable business from our managed accounts, has overall accountability achieving booking, revenue and profitability objectives… 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