- Molina Healthcare (Cincinnati, 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 (Cincinnati, 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
- ADM (Erlanger, KY)
- **102062BR** **Job Title:** Senior Manager ITSM - Applications - Erlanger, KY **Department/Function:** Information Technology **Job Description:** ** Senior ... for a results oriented Service Owner role within Global Technology's Operations Excellence and Provider Performance function **Purpose and Scope:** The Service… more
- Molina Healthcare (Covington, KY)
- …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 (Covington, KY)
- …**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 (Covington, KY)
- …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 (Covington, KY)
- …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
- Molina Healthcare (Covington, KY)
- …Qualifications** + At least 4 years of experience in previous roles in a managed care organization, health insurance or directly adjacent field, or equivalent ... **JOB DESCRIPTION** **Job Summary** Provides senior level support for accurate and timely intake...of changes that impact the product. + Engages with operations leadership and Plan Support functions to review compliance-based… more
- Robert Half (Cincinnati, OH)
- …independent and locally owned Member Firms provide clients with consulting and managed solutions in finance, technology, operations , data, analytics, digital, ... is a passion. We lean into our mission: We Care . We Collaborate. We Deliver . At every level,...team, you will oversee a team of analysts and senior analysts through multiple projects to ensure quality and… more
- Robert Half (Cincinnati, OH)
- …independent and locally owned Member Firms provide clients with consulting and managed solutions in finance, technology, operations , data, analytics, digital, ... is a passion. We lean into our mission: We Care . We Collaborate. We Deliver. At every level, we...+ Demonstrated track record of working effectively with a senior executive in a fast-paced and service-oriented corporate environment… more