- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- …standards and implementing procedures to ensure that the business units quality management and compliance program are effective and efficient in identifying, ... implements, and maintains policies, systems and procedures describing internal processes for management of quality and compliance with applicable regulations and… more
- Molina Healthcare (Cincinnati, OH)
- …the organizational health care costs for all lines of business and directly impacting Risk Revenue and Quality Compliance . Partner with VP Encounter to ensure ... **Job Description** **Job Summary** The AVP, Risk Adjustment Encounters is responsible for establishing enterprise-wide strategy, governance, and oversight of… more
- Molina Healthcare (Cleveland, OH)
- **Job** ** ** **Summary** Safeguard member trust and plan compliance by owning Molina's entire CMS Complaints Tracking Module (CTM) life cycle. As Director of CTM ... you keep complaint data synchronized across appeals & grievances, enrollment, claims , pharmacy, and quality functions. You surface systemic issues, steer partners… more
- Zurich NA (Cincinnati, OH)
- …leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We ... position you will be responsible for the overall account management , business development and analysis of a highly complex...and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more
- Evolent (Columbus, OH)
- …primarily focused on performing medical economics analysis in support of complex risk -based contract development and will partner with stakeholders of various levels ... across analytics, finance, and account management . **What You Will Be Doing:** + Develop and...presentations. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based… more
- Prime Therapeutics (Columbus, OH)
- …with assigned customers as well as ensuring ongoing contract performance through risk management activities including assurance of Service Level Agreement ... for the assigned account(s). + Ensures contract performance through risk management activities including such items as...as assurance of Service Level Agreement performance in Care Management Centers and Shared Services, assurance of claims… more
- Innomotics LLC (Norwood, OH)
- …the organization ensuring that EHS related aspects are reflected and evaluated in risk management / risk assessment activities (eg, for projects, products, ... the EHS policy objectives for the Company. + Provide support for the management of worker's compensation claims and return-to-work program. + Provide technical… more
- Zurich NA (Cleveland, OH)
- …leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We ... and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...location, role, skill set, and level of experience. In compliance with local laws, Zurich commits to providing a… more
- Molina Healthcare (Akron, OH)
- …regulatory compliance audit procedures. * At the direction of management , coordinates and performs oversight audits and validation activities to ensure ... laws and regulations, which will protect the Business from liability and potential risk . Ensures that the Business understands and complies with applicable laws and… more
- Turner & Townsend (Columbus, OH)
- …establishing and executing the high-level strategic direction of project controls including cost management , risk management and schedule management . + ... flow and financial plan. + Oversee and lead the risk management process for the project. +...baseline metrics. + Develop protocols and guidelines for Diversity Compliance , Monitoring and Reporting. + Establish the metrics and… more