- Highmark Health (Columbus, OH)
- …and Provider support teams, Actuary, Finance, Highmark Health Solutions, Health Plan Operations . **ESSENTIAL RESPONSIBILITIES** + Perform management ... business. This will require aligning new models to the health plan 's strategic objectives based on a...Plan , organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and… more
- CVS Health (Columbus, OH)
- …in project execution. **Required Qualifications** + 5+ years of progressive experience in health plan clinical operations with a focus on medical ... At CVS Health , we're building a world of health...other executives on key performance indicators and outcome + Plan and facilitate meetings, including creating agendas, preparing presentation… more
- Evolent (Columbus, OH)
- …space with participation in national forums related to oncology care + Experience in health plan operations highly desirable. + Proficiency creating and ... experience + 5+ years of senior level experience leading clinical operations in a health plan environment + Skilled communicator with executive presence… more
- Humana (Columbus, OH)
- …+ Advanced Degree (such as MSN, MBA, MHA, MPH). + Experience in managed care, health plan operations , or Medicare Advantage programs (including various SNP ... **Become a part of our caring community and help us put health first** The Clinical Business Lead works on problems of diverse scope and complexity ranging from… more
- Molina Healthcare (Dayton, OH)
- …and meet federal requirements. **KNOWLEDGE/SKILLS/ABILITIES** + The lead demonstrates superior SME on health plan operations and Medicare and MMP program ... **Job Summary** Responsible for the management of the benefits, operations , communication, reporting, and data exchange of the Medicare...of experience in the managed healthcare industry in a health plan or related field with MMP… more
- Molina Healthcare (Cincinnati, OH)
- …requirements for government-sponsored healthcare programs. This role provides exposure to compliance operations , health plan operations , and regulatory ... Molina's culture, Mission and Values. Molina Healthcare's Compliance team supports compliance operations for all Molina product lines enterprise wide. It is a… more
- ProMedica Health System (Toledo, OH)
- …**Shift:** Days (United States of America) **Job Summary:** As the Director, Operations for Pediatric Behavioral Health , you collaborate with senior leadership ... expenses, and improving satisfaction scores. You will have oversight of operations , assess operational processes, and lead the development of new techniques,… more
- Elevance Health (Mason, OH)
- **Director II, Digital Claims Operations (Dir II Digital Ops)** Location: This role requires associates to be in-office **3 days per week** , fostering collaboration ... a commutable distance from an office._ The **Director II, Digital Claims Operations ** oversees a combined digital and operations unit(s); executes strategies… more
- Cardinal Health (Grove City, OH)
- …support health and well-being. + Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings plan + Access to ... **Anticipated salary range:** $67,500 - $96,300 **Bonus eligible:** No **Benefits:** Cardinal Health offers a wide variety of benefits and programs to… more
- Cardinal Health (Columbus, OH)
- …support health and well-being. + Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings plan + Access to ... **_What Customer Service Operations contributes to Cardinal Health_** Customer Service is...The job works directly with customers to strengthen Cardinal Health 's operational performance, strengthen existing customer relationships and assists… more