- CVS Health (Columbus, OH)
- …management of Aetna's integrated products (HIDE/FIDE) that serve Medicare Advantage populations, including Dual-Eligible Special Needs Plans (D-SNP). This role ... enhancements **Required Qualifications** 7+ years of experience with Medicare Advantage , DSNP, HIDE and FIDE plans. **Preferred Qualifications** Strategic thinker… more
- Composite Advantage (Dayton, OH)
- Composite Technician - Construction Based Work Creative Composites Group - Composite Advantage - Dayton, Ohio A Composite Technician will perform a wide variety of ... writing + Ability to foster a cooperative work environment EEO/ADA Statement Composite Advantage is an equal opportunity employer, and does not discriminate on the… more
- Molina Healthcare (Columbus, OH)
- …**Job Summary** Establish a specifically designed compliance program that effectively prevents and/or detects violation of applicable laws and regulations, which will ... protect the Business from liability of fraudulent or abusive practices. Ensures that the Business understands and complies with applicable laws and regulations pertaining to the Health Care environment. Ensures the Business' accountability for compliance by… more
- Humana (Columbus, OH)
- …other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand how to operationalize this knowledge in ... preferred** + Knowledge of the managed care industry including Medicare Advantage , Managed Medicaid and/or Commercial products, or other Medical management… more
- Humana (Columbus, OH)
- …and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand how to operationalize this knowledge in ... + Knowledge of the managed care industry including Medicare Advantage , Managed Medicaid, or other Medical management organizations, hospitals/ Integrated… more
- Humana (Columbus, OH)
- …highest priority projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Senior Strategy Advancement Professional, you will ... strategic initiatives and business areas, evolving key facets of the Medicare Advantage growth strategy, leading the development of the annual Medicare Advantage… more
- Medical Mutual of Ohio (OH)
- …self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. **Supports corporate and departmental ... lifecycle processes for all lines of business (Commercial, Marketplace, Medicare Advantage , and Medicaid), including HEDIS audit submission, Consumer Assessment of… more
- Humana (Columbus, OH)
- …expertise. The Behavioral Health Medical Directors will learn Medicare, Medicare Advantage and Medicaid requirements, and will understand how to operationalize this ... Qualifications** + Knowledge of the managed care industry including Medicare Advantage and Managed Medicaid products, or other Medical management organizations,… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. **Provides critical analytical support to ... insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and individual plans. Our plans provide peace of mind… more
- Medical Mutual of Ohio (Dublin, OH)
- …self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. **Account Administrator II** **Job ... insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and individual plans. Our plans provide peace of mind… more