• RN , Quality Improvement Specialist

    Trinity Health (Columbus, OH)
    …, a college of nursing (https://www.mccn.edu/) , a Medicare Advantage plan (https://www.medigold.com/) , and extensive outreach and ... community wellness programs, Mount Carmel Health System (https://www.mountcarmelhealth.com/) serves more than a million patients in...+ Serves as a QI liaison with external agencies ( CMS , ODH, TJC, etc) as well as Trinity Health… more
    Trinity Health (07/30/25)
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  • Profee Medical Coder Complex Surgical Pediatric

    Banner Health (OH)
    …and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services ( CMS ), Office of the Inspector General (OIG) and the ... (RHIT), in an active status with the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC). Certification… more
    Banner Health (07/30/25)
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  • Auditor, Risk Adjustment (Remote)

    Molina Healthcare (Cincinnati, OH)
    …and procedures to ensure accuracy, completeness, and compliance with Centers for Medicare and Medicaid Services ( CMS ) regulations and guidelines of risk ... CPC credential **Preferred Education** Bachelor's Degree in Business Administration, Health Care Management o To all current Molina employees: If you are interested… more
    Molina Healthcare (07/25/25)
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  • Compliance Analyst (MI Health Plan) - REMOTE…

    Molina Healthcare (OH)
    …inquiries. + Performs Plan Required Reporting. + Interpret and analyzes Medicare , Medicaid and MMP Required Reporting Technical Specifications. + Create and ... quarterly Key Performance Indicator (KPI) reports. + Support the management of the regulatory memo distribution process Ability to...notices of proposed rulemaking. + Manages user access to CMS . + Analyze data use critical thinking + Ability… more
    Molina Healthcare (07/19/25)
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  • Safety Quality Patient Experience Specialist II

    Cleveland Clinic (Garfield Heights, OH)
    …years of clinical experience + Previous experience in working with Joint Commission, HFAP, CMS (Centers for Medicare and Medicaid + In-depth knowledge of patient ... and evaluating clinical and support department staff regarding quality management regulations and standards of care. + Support medical...In some locations, ability to travel throughout the hospital system . + In some locations the ability to move… more
    Cleveland Clinic (07/18/25)
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  • Safety and Quality Patient Experience (SQPE)…

    Cleveland Clinic (Dover, OH)
    …healthcare experience + Previous experience in working with Joint Commission, HFAP, CMS (Centers for Medicare and Medicaid: Government agency that provides ... in educating and evaluating clinical and support department staff regarding quality management regulations and standards of care. + Support medical staff quality… more
    Cleveland Clinic (07/18/25)
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  • President ProMedica Physicians

    ProMedica Health System (Toledo, OH)
    …applicable regulatory agency rules and regulations to include but not limited to CMS 's Conditions of Participation, all Medicare and Medicaid rules and ... ability to effectively lead large groups of staff within a health system . Excellent time/project management skills and demonstrated ability to coordinate… more
    ProMedica Health System (07/17/25)
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  • Facility Coding Inpatient Complex Coder

    Banner Health (OH)
    …and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services ( CMS ), Office of the Inspector General (OIG) and the ... certification in an active status with the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC). Requires… more
    Banner Health (07/10/25)
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  • Vice President Client Engagement - Large Plan…

    Prime Therapeutics (Columbus, OH)
    …benefits consultants, key state leaders, industry trade associations, and Centers for Medicare and Medicaid Services ( CMS ); establish an effective communication ... teams, ensuring adequate representation for market-specific client needs; align account management activities across all lines of business and develop methodologies,… more
    Prime Therapeutics (07/02/25)
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