- Molina Healthcare (Akron, OH)
- …payment integrity and other cost recovery processes + Direct PM experience in Managed Care Operations (claims, system configuration, provider data management ... + 3-5 years in Managed Care with emphasis on Managed Care Operations **Preferred License, Certification, Association** + PMP, CAPM, PMI-ACP, PMI-PBA… more
- Deloitte (Cleveland, OH)
- ServiceNow Senior Manager - Consulting Managed Services Enterprise Operations as a Service provides multi-year managed service contracts to support ... and transformative business changes through five key services: SAP Operations , Oracle Operations , IT Operations ,...Deloitte is where ambition meets opportunity. As a Deloitte Senior Manager, you will have the opportunity to lead… more
- Molina Healthcare (Akron, OH)
- …or equivalent combination of education and experience **Required Experience** + 3-5 years managed care experience, including 2+ years in Provider Claims and/or ... level (or higher) **Preferred Education** Bachelor's Degree **Preferred Experience** + 5+ years managed care experience + QNXT; SQL experience + Crystal Reports… more
- Molina Healthcare (Akron, OH)
- …in billing, claims, encounters, and data analysis + 5 years or more of managed care experience + Knowledge of advanced data analysis techniques + Skilled ... with preparing portions of materials and information for Monthly Governance and Operations Reviews + Performs root cause analysis of claims and encounter data… more
- Molina Healthcare (Akron, OH)
- …**Required Experience** + 5-7 years of business analysis experience, + 6+ years managed care experience. + Demonstrates proficiency in a variety of concepts, ... with multiple types of business data. May be internal operations -focused or external client-focused. **KNOWLEDGE/SKILLS/ABILITIES** + Elicit requirements using… more
- Molina Healthcare (Akron, OH)
- …health care vendor, commercial health insurance, large physician practice, managed care organization, etc.) * Advanced proficiency with retrieving specified ... BI, and/or Tableau and data management. * Advanced understanding health care operations (utilization management, disease management, HEDIS quality measures,… more
- Molina Healthcare (Akron, OH)
- …At least 8 years health care experience, including 6 years of managed care experience supporting clinical operations and clinical/quality improvement ... active and unrestricted in state of practice. * Deep understanding of clinical operations : utilization management, care management, etc. * Ability to provide… more
- PNC (Brecksville, OH)
- …Manager Lead you will have an exciting opportunity to work as a senior Data & Transformation lead within Retail Lending Card Modernization organization. In this ... * Provide oversight to ensure legacy coexistence and phased adoption are managed with minimal disruption * Communicate adoption progress, risks and business value… more
- PNC (Cleveland, OH)
- …that impacts how digital information is processed and working capital is managed . As a leader in digital payment transformation, PNC Treasury Management (TM) ... their organization. The Treasury Management platform helps clients optimize their financial operations by: + Offering a robust set of traditional and emerging… more
- The Cigna Group (Independence, OH)
- …+ Intimate understanding and experience with larger, more complex integrated delivery systems, managed care , and provider business models. + Team player with ... with matrix partners including but not limited to, Claims Operations , Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and… more
- The Cigna Group (Independence, OH)
- …relationships with provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team player with ... of the Provider Contracting Team and reports to the Provider Contracting Senior Manager. This role assists in developing the strategic direction and management… more
- Stanley Black and Decker (Valley City, OH)
- …sense of purpose and integrity. People with a relentless pursuit of excellence. People who care about making things better For Those Who Make The World (TM) . Sound ... important information. Product Management also manages resource planning and works with operations and engineering to drive Design To Value (DTV), productivity and… more