- PharmaCord (Cincinnati, OH)
- …the ability to think critically and issue resolution. Knowledge of healthcare compliance regulations, including HIPAA and Medicare/Medicaid guidelines. ... insurance coverage and common access and reimbursement challenges affecting patients, healthcare providers and clients. The Executive Case Manager … more
- Elevance Health (Mason, OH)
- ** Healthcare Compliance Manager ** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, ... unless an accommodation is granted as required by law. The ** Healthcare Compliance Manager ** is responsible for managing foundational and strategic… more
- Molina Healthcare (Covington, KY)
- …navigate online portals and databases. **Preferred Qualifications** + Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM), ... **Job Summary** Provides subject matter expertise and leadership to healthcare services function - providing support for project/program/process design, execution,… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …and operational excellence. Job Description **Summary** Works collaboratively with the Compliance Manager on creating auditing protocols which align with ... Bon Secours Mercy Health's overall compliance audit and compliance responsibilities relative to...and regulations and current industry changes that may impact healthcare revenue cycle services domestic and international through personal… more
- Healthcare Services Group, Inc. (Newport, KY)
- Overview Who We Are Healthcare Services Group (HCSG) is an experienced partner managing housekeeping, laundry, dining, and nutritional services within the ... healthcare market. For over 45 years, we have provided...to see you succeed! Position Summary Our exciting District Manager -In-Training (MIT) program allows you to learn and grow… more
- Molina Healthcare (Covington, KY)
- …submissions to NCQA and regulatory bodies, ensuring accuracy and timeliness. ** Compliance & Quality Improvement** + Monitors key performance indicators (KPIs) and ... rehearsals. + Ensures survey readiness by maintaining documentation and evidence of compliance . **Consultation & Collaboration** + Serves as a strategic advisor to… more
- Molina Healthcare (Covington, KY)
- …to adequacy, financial performance and operational performance, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in ... compliance with all relevant federal, state and local regulations....based on feedback rom assigned MHI attorney. * Assists Manager and/or Director in the negotiation of medical group/IPA… more
- Healthcare Services Group, Inc. (Cincinnati, OH)
- Overview Who We Are Healthcare Services Group (HCSG) is an experienced partner managing housekeeping, laundry, dining, and nutritional services within the ... healthcare market. For over 45 years, we have provided...opportunities to see you succeed! Position Summary Our exciting Manager -In-Training (MIT) program gives you the opportunity to learn… more
- Molina Healthcare (Covington, KY)
- **Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position ... and make decisions as needed while collaborating with other teams. * Ensure compliance with all regulatory audit guidelines by adhering to roadmap of deliverables… more
- Capgemini (Cincinnati, OH)
- **About the job:** Job role responsibilities of **Program Manager / Sr Project Manager ** - Markets and Growth portfolio Medicare Advantage/ DSNP/ Medicaid or ... of Pharmacy Benefits Experience in working with Plan and Pharmacy Benefits Manager Setting up Pharmacy call center Pharmacy member materials Provider Materials State… more
- Molina Healthcare (Covington, KY)
- **JOB DESCRIPTION** **Senior Project Manager - IT Security Programs** **Role Overview** We are seeking a **Project Management leader** responsible for driving the ... operational security projects, ensuring alignment with business objectives and compliance requirements. The role requires strong communication and coordination… more
- Molina Healthcare (Covington, KY)
- …and marketable providers. **KNOWLEDGE/SKILLS/ABILITIES** + In conjunction with Director/ Manager Provider Contracts, negotiates high priority physician group and ... meeting Molina's network adequacy standards. + Assesses contract language for compliance with Corporate standards and regulatory requirements and review revised… more
- US Bank (Cincinnati, OH)
- …and discover what you excel at-all from Day One. **Job Description** The Compliance /Regulatory Risk Manager will support the oversight and governance of prepaid ... First Line CRO program managers to maintain a strong compliance posture. Partners with leaders in their assigned Line...may vary based on role, location or hours): + Healthcare (medical, dental, vision) + Basic term and optional… more
- Molina Healthcare (Covington, KY)
- **JOB DESCRIPTION** **Job Summary** Establish a specifically designed compliance program that effectively prevents and/or detects violation of applicable laws and ... the Health Care environment. Ensures the Business' accountability for compliance by overseeing, follow-up and resolution of investigations. **KNOWLEDGE/SKILLS/ABILITIES**… more
- Molina Healthcare (Cincinnati, OH)
- …milestones to stakeholders and leadership. + Ensures quality standards and compliance with company policies. + Facilitates meetings, workshops, and presentations. + ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- Synchrony (Cincinnati, OH)
- …**Role Summary/Purpose:** The role reports directly to the SVP and General Manager for CareCredit's Wellness organization and has P&L Responsibility for the ... Healthcare Specialty Markets. Core responsibilities are to develop and...reporting to evaluate and drive growth usage. + Lead compliance initiatives/disputes to resolution and communicate to HQ. +… more
- Walgreens (Cincinnati, OH)
- …in events that reflect the unique communities we serve as requested by Store Manager , Healthcare Supervisor, or District Manager . Operations + Counsels ... and ensures compliance with employment laws. + Partners with Store Manager to establish expectations and goals, promote teamwork and foster a shared vision.… more
- Molina Healthcare (Covington, KY)
- …business areas and owners to ensure processes and reporting exists to demonstrate compliance to regulatory requirements. * Supports Manager and Director with ... healthcare related field **PREFERRED EXPERIENCE:** 4-6 years experience in healthcare industry in related field desired (Regulatory, Compliance and Auditing)… more
- GE HealthCare (Cincinnati, OH)
- …relocate more than 30 miles from your current location without approval from your manager . * Complete all planned Quality and Compliance training within the ... **Job Description Summary** As a Skillbridge Intern at GE Healthcare , every moment partnering with customers is an opportunity to impact the lives of patients.… more
- Capgemini (Cincinnati, OH)
- **Role Overview** We are seeking a dynamic and technically proficient Healthcare Product & Engagement Manager to lead product strategy, client engagement, and ... management, engagement delivery, or technical consulting. - Strong understanding of healthcare data governance, interoperability, and HIPAA compliance . - Proven… more
