- Molina Healthcare (Akron, 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 (Medina, OH)
- …+ Comprehensive health and Rx plans, including a zero- cost option. + Wellness program including free preventative care + Generous paid time off and holidays ... JCB: Join Our Team" (https://vimeo.com/894121531) on Vimeo! SUMMARY: The Director of Medina Programs will oversee all aspects of...new trends and developments in the industry. + Direct program staff in all aspects of daily operations including… more
- Molina Healthcare (Akron, OH)
- …care and services through continuum among hospitals, skilled nursing facilities and home care to ensure quality, cost -efficiency, and continuity of care . ... adjustment, disease management, and evidence-based guidelines. + Experience in Utilization/Quality Program management + HMO/Managed care experience **PR** **E**… more
- Molina Healthcare (Akron, 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
- The Cigna Group (Independence, 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 (Akron, 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
- Molina Healthcare (Akron, 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
- Molina Healthcare (Akron, 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 (Akron, 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
- Elara Caring (Akron, OH)
- …a unique opportunity to play a huge role in the growth of an entire home care industry. Here, each employee has the chance to make a real difference by carrying out ... our elite team of healthcare professionals, providing the Right Care , at the Right Time, in the Right Place....and continuing education opportunities for all employees at no cost + Opportunities for advancement + Comprehensive insurance plans… more
- Elara Caring (Akron, OH)
- …a unique opportunity to play a huge role in the growth of an entire home care industry. Here, each employee has the chance to make a real difference by carrying out ... our elite team of healthcare professionals, providing the Right Care , at the Right Time, in the Right Place....and continuing education opportunities for all employees at no cost + Opportunities for advancement + Comprehensive insurance plans… more
- BrightSpring Health Services (Akron, OH)
- …pharmacy where you can focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients. Our organization is in high growth mode , which ... helping our residents live their best lives + Lead care teams providing value to prescribers and nursing staff...providing value to prescribers and nursing staff + Navigate cost containment strategies to reduce drug spend and nursing… more
- PNC (Strongsville, OH)
- …process improvement. You will report to a Technology Enterprise Infrastructure Director . **Job Description** + Provides solutions for IT and business management ... owns and drives the identification, evaluation and direction of solutions that are cost effective and meet complex business requirements. + Serves as the central… more
- PNC (Strongsville, OH)
- …various levels across organization using metrics that reflect progress against cost and rationalization objectives * Provide thought leadership in technology ... as well as reference architectures for patterns * Presentation and Executive and Director meetings to drive strategies and roadmaps Some key desired skills: *… more
- Molina Healthcare (Akron, OH)
- …direction of the SVP of Network Strategy and Services. **Job Duties** + Lead Program Director team, managing all aspects of team's mission and deliverables. + ... health plans. + Lead market performance improvement initiatives (SAIs, annual unit cost budgeting, etc.). + Present performance strategies and updates to senior… more
- Apple American Group (Wadsworth, OH)
- …each of these brands. We will achieve this by focusing on our core values; Care Genuinely for People, Play like a Champion, and Win as One. Position Description As ... + Performs routine maintenance and immediately reports to the General Manager/Area Director of needed repairs. + Promotes quality recruitment and referrals of… more