- ProMedica Health System (Toledo, OH)
- …will have accountability for medical group performance related to population health measures in accordance with value-based care initiatives, ACOs and other ... leaders crucial to the organization's success. Supports and enhances Population Health initiatives, including the development of ACO strategies, risk stratification,… more
- Insight Global (Dayton, OH)
- …to join the team of one of their top healthcare clients as a Member Health Assessor. This individual will be working alongside a team of 20+ individuals and will ... to the Care Coordinators internally based on assessment outcomes and assist with health education for the members, as necessary. Throughout this person's day to day,… more
- Cardinal Health (Columbus, OH)
- …state or local law._ _To read and review this privacy notice click_ here (https://www.cardinalhealth.com/content/dam/corp/email/documents/corp/cardinal- health ... Cardinal Health Sonexus (TM) Access and Patient Support helps...complete accurate referrals and applications and keep updated on policy or procedural changes + Investigate and resolve patient/physician… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... of the managed care industry including Medicare Advantage, Managed Medicaid , or other Medical management organizations, hospitals/ Integrated Delivery Systems,… more
- Bon Secours Mercy Health (Lorain, OH)
- …of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health - Youngstown, Ohio or Bon Secours - Franklin, ... At Bon Secours Mercy Health , we are dedicated to continually improving ...for care; understand and communicates Center for Medicare & Medicaid Services (CMS) medical necessity and admission criteria. Establishes… more
- CVS Health (Columbus, OH)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...the member through their members plan of benefits, Aetna policy and procedures as well as having knowledge of… more
- Prime Therapeutics (Columbus, OH)
- …PBM industry, with expert knowledge of Managed Medicaid , Medicare Part D, and health plans + Extensive experience with policy and regulatory actions as it ... pharmaceutical manufacturers, with specific emphasis on Medicare Part D and Managed Medicaid . The Sr Director, Pharm Trade Relations leads a team of directors… more
- National Youth Advocate Program (Greenville, OH)
- …phone allowance, paid parental leave **What is OhioRISE?** The Ohio Department of Medicaid (ODM) is committed to improving the health of Ohioans and ... An OhioRise Moderate Care Coordinator is a professional working under Ohio Medicaid 's OhioRise program serving children with complex needs across behavioral … more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** CenterWell's Home Solutions Organization is a leading provider of home-based care and ... post-acute value-based services. The Home Health Business Unit is one of the largest providers...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Delaware Valley ACO (DVACO) is an accountable care organization that participates in the ... Centers for Medicare and Medicaid Services' Medicare Shared Savings Program (MSSP), plus other...venture among three stakeholders: Humana (majority owner), Main Line Health System, and Jefferson Health System. Humana… more
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