- 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
- 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)
- **About the Anywhere Leads Team** The Anywhere Leads Network comprises 500 brokers across Coldwell Banker, Century 21, ERA, Better Homes & Gardens Real Estate, ... the VP, Operations & Customer Insights. The Anywhere Leads Network team is focused on managing and growing our...the core of our revenue optimization strategy. As the ** Director of Leads Insights** , you will be a… 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
- 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
- Anywhere Real Estate (Cleveland, OH)
- **Job Title:** Director - Software Engineering - Experience Digital Channels **Summary of Role:** Are you a highly motivated and confident software engineer with a ... that will turn their vision into reality. As the director of experience engineering teams, you will be responsible...their successful delivery. As a thought leader, you will provide technology expertise solutions and help attract and retain… 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
- 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
- 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
- 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
- Elevance Health (Independence, OH)
- …health, long term services and supports, and psychosocial needs._ **Medical Management Clinician** **Location:** This role enables associates to work virtually ... hours may be necessary based on company needs. The **Medical Management Clinician** responsible for ensuring appropriate, consistent administration of plan benefits… more
- Elevance Health (Seven Hills, OH)
- Medical Management Clinician Associate - 40 hours, 4-5 days/week, Saturdays and Sundays **Location:** This role enables associates to work virtually full-time, with ... may be 12 hrs, 10 hours, or 8 hours. The **Medical Management Clinician Associate** responsible for ensuring appropriate, consistent administration of plan benefits… more
- Amergis (Independence, OH)
- …communities by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of healthcare and school-based ... healthcare programs, local insurance payors, physician groups, and case management groups. The Business Development Manager manages with an...features, and benefits of the company as a healthcare provider . + Develops a minimum of 10 pursuit plan… more