- PharmaCord (Cincinnati, OH)
- …report it to our Talent Acquisition team immediately at ###@pharmacord.com This is a remote role. Candidates must reside in the state of Ohio. When you join the ... team as an Executive Case Manager , you'll have the opportunity to make a difference...of experience in insurance reimbursement, patient access, direct patient care , and/or patient education experience will be considered in… more
- TEKsystems (Cincinnati, OH)
- Care Manager Remote Pay Rate: $21/hr Schedule: M-F, shifts range 8am-8pm EST, must have full availability in this timeframe Anticipated Start Date: 12/1/2025 ... 6 Month Contract Description Care Manager responsibilities will vary by program...assistance programs and/or varied adherence support. This is a remote position. Primary Responsibilities: - Responsible for all inbound… more
- Molina Healthcare (Covington, KY)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care , ... staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
- Danaher Corporation (Cincinnati, OH)
- …decision making-we are enabling clinicians to deliver the best possible care to their patients with improved efficiency, clinical confidence, adaptive collaboration, ... everything possible.The North America Commercial (NACO) CRM and Sales Enablement Manager for Beckman Coulter Diagnostics is responsible for driving the effectiveness… more
- Sanofi Group (Cincinnati, OH)
- **Job Title:** Strategic Account Manager - Vaccines **Location:** US Remote /Field - Cincinnati, OH **About the Job** The Strategic Account Management organization ... and their position within the healthcare environment including value-based health care , their competitors, and financial levers. + Identify and qualify high… more
- J&J Family of Companies (Cincinnati, OH)
- …United States **Job Description:** Johnson & Johnson is hiring for a ** Manager , Strategic Accounts** for Shockwave Medical Inc. located in **Cincinnati/ Columbus/ ... Our Shockwave Medical portfolio aims to establish a new standard of care for medical device treatment of atherosclerotic cardiovascular disease through its… more
- Molina Healthcare (Covington, KY)
- **JOB DESCRIPTION** **Job Summary** The Manager , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... signs of trends or other issues related to medical care costs. + Work with clinical, provider network and...vendor, commercial health insurance company, large physician practices, managed care organization, etc.) + Strong Knowledge of SQL and… more
- Molina Healthcare (Covington, KY)
- **Job Description** **Job Summary** Molina Medicare Stars Program Manager functions oversees, plans and implements new and existing health care quality ... years of Medicare Stars Program and/or Project management experience. * Managed Care experience. * Experience working in a cross functional highly matrixed… 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 ... through sequential transformations and identify opportunities to close quality and risk care gaps. * Proactively communicate risks and issues to stakeholders and… more
- Molina Healthcare (Covington, KY)
- …: * 5-7 years of Program and/or Project management experience. * Managed Care experience. * Experience working in a cross functional highly matrixed organization. ... **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** : * PMP, Six Sigma Green Belt, Six Sigma Black Belt Certification and/or comparable coursework desired. To all current Molina employees: If you are interested in applying for this position, please apply through… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …clinical and operational excellence. **Primary Function/General Purpose of Position** The Post Acute Care Manager provides care to patients who are ... care of specific patients, as well as population level care and performance. This is a remote /work at home position. Hire must be open to working eastern… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …for clinical and operational excellence. **Primary Function/General Purpose of Position** The Manager , Post Acute Care Operations position is accountable for ... to maintain site appropriateness and improve patient outcomes in the care continuum. **This is a remote /work at home position. Hire must be open to working… more
- Molina Healthcare (Covington, KY)
- …of experience in a pharmacy, Medication Therapy Management (MTM), Pharmacy Benefit Manager (PBM), and/or managed care setting, or equivalent combination of ... Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care . **Essential Job… more
- Molina Healthcare (Covington, KY)
- …initiating and managing member and/or community interventions (eg, removing barriers to care ) and other federal and state-required quality activities + Monitors and ... within the organization + Supports provision of high-quality clinical care and services by facilitating/building strategic relationships with community-based… more
- Molina Healthcare (Covington, KY)
- …+ At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, including ... and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape recommendations and… more
- Molina Healthcare (Covington, KY)
- …and other data in collaboration with other HEDIS staff. + Assists the Manager and Supervisor(s) and/or performs the coordination and preparation of the HEDIS medical ... loads data into the HEDIS application. + Assists the manager /lead and quality improvement staff with physician and member...seasons/years medical record collection experience. + 3+ years managed care experience. + Basic knowledge of HEDIS and NCQA… more
- Molina Healthcare (Covington, KY)
- …+ Works with the Case Management department as part of a member-centered interdisciplinary care team. + Works with the PBM to manage formulary changes and update ... the pharmacy call center team as delegated by the Manager . + Identifies and implements programs to improve clinical...+ Medicare Part D or Medicaid experience. + Managed care experience. To all current Molina employees: If you… more
- Molina Healthcare (Covington, KY)
- …of Molina Healthcare's Records and Information Management Team, reporting to the Manager , Information Governance. This role will support the overall management of ... **Preferred Qualifications:** + Experience in large (Fortune 500 or equivalent) health care company or other regulated industry preferred. + Knowledge of library… more
- Molina Healthcare (Covington, KY)
- …review and/or member appeals and grievance processing/resolution, including 2 years in a manager role. * Experience reviewing all types of medical claims (eg HCFA ... years supervisory/management experience with appeals/grievance processing within a managed care setting. **Required License, Certification, Association** N/A **Preferred Education**… more
- Black & Veatch (Cincinnati, OH)
- **Client Account Manager - Food & Beverage** Date: Sep 19, 2025 Location: US Company: Black & Veatch Family of Companies **Together, we own our company, our future, ... we are looking for you! As the **Client Account Manager for Food** , Beverage and Agribusiness, you will...may be worked in the office or at a remote location.** + **During non-travel work weeks, business traveler… more
