- JE Dunn Construction Company (Cleveland, OH)
- …to subordinate managers consults with supervisor as needed. + Career Path: Director of Field Operations. **Key Role Responsibilities - Core** _SUPERINTENDENT FAMILY ... subcontractors and self-performed work. + Coordinates and manages the care , custody and control of the project site. +...budget and costs by using the project management system's cost reports and data from the project manager. +… more
- Molina Healthcare (Cleveland, OH)
- …of strategic and operational project portfolios, with a focus on Network Cost of Care initiatives. Drive structure, organization, and decision-making across ... to C-level executives and manage key relationships with Corporate EPMO, IT, and Cost of Care stakeholders including COEs, Operating Domains, Med Econ, and… more
- Bellefaire JCB (Shaker Heights, OH)
- …Comprehensive health and Rx plans, including a zero- cost option + Wellness program including free preventative care + Generous paid time off, including ... clinical team members of the Residential Autism Services division. The Clinical Director of Residential Autism Services monitors the program 's assessment… more
- Elevance Health (Independence, OH)
- …+ **HealthOS and enterprise data platforms** + **Real-time Decisioning & Analytics (RDA)** + ** Cost of Care / Payment Integrity** + ** Care Management / ... Realization Office) and enterprise transformation leaders to assess clinical and medical cost implications of strategic initiatives. + Evaluate program designs… more
- Elevance Health (Cleveland, OH)
- …physical and/or behavioral health medical services, to ensure the appropriate and most cost -effective medical care is received. May be responsible for developing ... **Medical Director -Long Term Support and Services** _Preferred Location:...as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as… more
- Molina Healthcare (Cleveland, OH)
- …care and services through continuum among hospitals, skilled nursing facilities and home care to ensure quality, cost -efficiency, and continuity of care . ... disease management, and evidence-based guidelines. + Experience in Utilization/Quality Program management + HMO/Managed care experience **PREFERRED LICENSE,… more
- WTW (Cleveland, OH)
- **Description** The Associate Director works within the Financial, Actuarial and Analytics (FAA) team and closely with the Pharmacy Practice within Health and ... Benefits. As a Pharmacy Associate Director you will contribute to a wide variety of...team members to review and perform financial analyses including cost savings and data analysis projections, create, review and… more
- Sedgwick (Cleveland, OH)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Director - Customer Integration and Compliance **PRIMARY PURPOSE** **:** We are seeking ... a strategic and results-oriented Director to lead a high-performing team responsible for a...broad range of technical and operational functions supporting managed care and bill review services. This role is pivotal… more
- The Cigna Group (Cleveland, OH)
- …LOCATION: Must reside in the Cleveland or Independence, OH area.** The ** Director ** **,** **Provider Contracting Network Management** serves as an integral member of ... for the network solution. + Works to meet unit cost targets, while preserving an adequate network, to achieve...partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team player with… more
- Molina Healthcare (Cleveland, OH)
- …specific markets/regions. Contributes to overarching strategy to provide quality and cost -effective member care . Essential Job Duties * Provides behavioral ... ability to learn new programs. Preferred Qualifications * Experience with utilization/quality program management. * Managed care experience. * Peer review… more
- WTW (Cleveland, OH)
- **Description** As a Healthcare Financial/Actuarial Associate Director you will be a key member of the Financial Actuarial & Analytics (FAA) Community of Expertise. ... plan design, underwriting/funding and post-retirement/employment concepts + Guides teams on cost avoidance, risk and funding strategies and deliverables based on… more
- Molina Healthcare (Cleveland, OH)
- …least 2 years as a medical director in a managed care organization setting supporting utilization management/quality program management, or equivalent ... specific markets/regions. Contributes to overarching strategy to provide quality and cost -effective member care . Essential Job Duties * Provides behavioral… more
- Cleveland Clinic (Cleveland, OH)
- …and collaboration with prescribers across all covered entities, you will help maximize program savings, support patient care , and safeguard compliance. **This is ... research and surgery are advanced, technology is leading-edge, patient care is world class and caregivers are family. Here,...most respected healthcare organizations in the world. As the Director of Pharmacy - 340B, you will provide strategic… more
- Select Medical (Cleveland, OH)
- **Overview** **Cleveland Clinic Rehabilitation Hospital - Fairhill** ** Director of Quality Management** **(DQM)** **Opening in October, the Cleveland Clinic ... a difference from day one!** + **Start Strong:** Extensive and thorough orientation program to ensure a smooth transition into our setting. + **Advance Your… more
- Molina Healthcare (Cleveland, OH)
- … Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + Previous ... training of staff as needed. + Analyzes data and identifies medical cost savings and quality improvement opportunities. + Accounts for regulatory and accreditation… more
- Brookfield Properties (Cleveland, OH)
- …research, bidding, supplier selection and contract negotiations. Oversee ancillary income program and seeks new revenue opportunities for the company. Help promote ... improvement methodologies. This position is responsible for generating value through cost savings and continuous improvement of the operations. Essential Job… more
- Marriott (Cleveland, OH)
- …range for this position is $100,000 to $132,000 annually. Marriott offers a bonus program , comprehensive health care benefits, 401(k) plan with up to 5% company ... behaviors. * Develops means to improve profit, including estimating cost and benefit, exploring new business opportunities, etc. *...over and pride ourselves on delivering excellence in the care and comfort of our guests. Your role will… more
- nVent (Solon, OH)
- …stability and collaboration. + Implement strategic sourcing methodologies to optimize cost , quality, and delivery performance. + Drive supplier diversity and ... + Collaborate with enterprise supply chain teams to leverage cost and supplier relationship size and scale to attain...employees worldwide + Through our nVent in Action matching program , we provide funds to nonprofit and educational organizations… more
- Molina Healthcare (Cleveland, OH)
- …Implements cost control initiatives to positively influence the Medical Care Ratio (MCR) in each contracted region. * Leads preparation and negotiations ... with the Complex Provider Community that result in high quality, cost effective and marketable providers. Contract/Re-contracting with large scale entities involving… more
- Molina Healthcare (Cleveland, OH)
- …plans and objectives. Contributes to overarching strategy to provide quality and cost -effective member care . Essential Job Duties * Responsible for collaborating ... implementation, and oversight of technology that drives core utilization management, care management, long-term services and supports (LTSS), clinical operations and… more