- Molina Healthcare (Akron, OH)
- …design solutions utilizing provider data such as the Provider Online Directory, Utilization Management , Customer Experience, Enrollment, and Claims ... **Job Description** **Job Summary** The Network Solutions Director is responsible for leading a team designing...combination of education and experience **Required Experience** 7-9 years Provider Data **Preferred Education** Graduate Degree or… more
- Molina Healthcare (Akron, OH)
- … Information process functions. * Directs the development, implementation and maintenance of provider data in the claims payment system. * Supports critical ... databases. Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of… more
- Molina Healthcare (Akron, OH)
- …optimization, and service delivery + Overseeing implementation of scalable solutions for provider onboarding, data management , and credentialing operations + ... **JOB DESCRIPTION** **Job Summary** Lead operational readiness initiatives across provider data and credentialing functions, supporting both new implementations… more
- Molina Healthcare (Akron, OH)
- …and ensure adherence to business, system and regulatory requirements of Provider Data Management /Network Adequacy. **Knowledge/Skills/Abilities** + ... work with other teams including New Markets team, Network Management , Product Teams, PDM and IT. **Job Qualifications** **REQUIRED...EXPERIENCE:** + Advanced Excel skills. + Power BI. + Provider Data Analytics. To all current Molina… more
- Molina Healthcare (Akron, OH)
- **Job Description** **Job Summary** The Director , Clinical Data Acquisition for Risk Adjustment, is responsible for the implementation, monitoring, and oversight ... and data completeness training, onboarding for CDA team members, vendor management for chart collection vendors, Supplemental data , and chart collection… more
- Molina Healthcare (Akron, OH)
- …or Contact Center technology leadership. + 5+ years in a senior management or director -level role overseeing **large-scale, cloud-based UCaaS/CCaaS environments ... **Job Description** **Job Summary** The Director of IT (Telecom) provides strategic and operational...and simplify secure access across channels. + Collaborate with data and analytics teams to leverage AI-driven insights for… more
- The Goodyear Tire & Rubber Company (Akron, OH)
- …dual reporting to Director , Global Leadership Development & Learning (India) and Director , Global Talent Management Capability & Strategy (USA). Job Duties / ... The Global Organizational Design & Effectiveness Director is a pivotal leadership role responsible for designing and executing strategic talent and team… more
- Molina Healthcare (Akron, OH)
- …regarding utilization practices, guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization Management ... activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid,… more
- Molina Healthcare (Akron, OH)
- …regarding utilization practices, guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization Management ... activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid,… more
- Elevance Health (Canton, OH)
- **Medical Director -Long Term Support and Services- MyCare OHIO** _Preferred Location: Ohio._ _Please note that per our policy t_ _his role enables associates to ... health, long term services and supports, and psychosocial needs._ The **Medical Director -Long Term Support and Services- MyCare OHIO** is responsible for (LTSS)… more
- Molina Healthcare (Akron, OH)
- …of value-based care models, provider enablement strategies, and population health management . + Strong knowledge of data integration, EMR systems, and ... programs focused on provider enablement, ensuring access to tools, training, and data for success in VBC models. + Design and implement VBC training programs,… more
- EMCOR Group (Barberton, OH)
- …fast-paced multi-tasked environment with a focus towards administration, organization, reporting, data management , and customer service. **Essential Duties / ... **About Us** We provide industry-leading, end-to-end fire protection, mechanical, and HVAC...virtually every market sector and facility type. **Job Title: Director of Design** The primary function of this role… more
- Molina Healthcare (Akron, OH)
- …HMO/Managed Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + Previous ... Assists in recruitment, hiring and training of staff as needed. + Analyzes data and identifies medical cost savings and quality improvement opportunities. + Accounts… more
- Bober Markey Fedorovich (Akron, OH)
- …expectations, achieve or exceed deadlines to ensure satisfaction. + Actively lead engagement management . + Provide thought leadership and expertise to the team ... awesome team you can call friends. Job Description: The Director leads a dynamic team of professionals within our...and grow the practice group. + Timely and effective management of client and prospective client correspondence to manage… more
- Molina Healthcare (Akron, OH)
- …and problem-solving capabilities. + **Preferred Experience** 10 years + of IT Data Center Operations, Project Management , Disaster Recovery, Business Continuity ... **Job Description** **Job Summary** The Director of Disaster Recovery (DR) will oversee and...the Network Operating Center (NOC) and Enterprise Business Continuity Management (EBCM) Team. This role is primarily responsible for… more
- Sanofi Group (Akron, OH)
- **Job Title:** Regional Business Director , Mideast **Location:** US Remote **About the Job** Regional Business Directors (RBDs) are key members of the national sales ... serve as strategic leaders and collaborate closely with partners across Account Management , CPE, Marketing, Medical, and Patient Support Services to ensure the… more
- Molina Healthcare (Akron, OH)
- …compliance program, including annual, periodic, focal, etc. audits. * Performance Management & KPI Expertise: Develop, implement, and monitor KPIs, including leading ... adherence, diagnose root causes of misses, and drive accountability across functions. * Data Insight & Decision Support: Ingest and interpret complex data from… more
- Molina Healthcare (Akron, OH)
- …care in the most effective setting. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Determines ... health care services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies to ensure… more
- Molina Healthcare (Akron, OH)
- …practice. * Deep understanding of clinical operations: utilization management , care management , etc. * Ability to provide hands-on, immersive and directed ... to establish strategic plans and objectives. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Under the… more
- Charles River Laboratories (Ashland, OH)
- …assigned nonclinical research studies of basic to moderate complexity, to include study management , interpretation and reporting of study data , and assuring the ... ESSENTIAL DUTIES AND RESPONSIBILITIES: * Serve as a study director in the direction and execution of assigned studies...management and study scheduling, conduct and reporting. * Provide technical and scientific guidance to the research staff.… more