- Molina Healthcare (Akron, OH)
- …Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of ... timelines are met. Defines use of in-house vs. vendor strategy for each HEDIS season. + May implement improvement...SKILLS & ABILITIES:** * 7+ years experience in managed healthcare Quality/HEDIS project management and HEDIS Audit * Demonstrated… more
- Molina Healthcare (Columbus, OH)
- …requirements/rules and are aligned with effective practices as identified in the healthcare quality improvement literature and within Molina plans. + Develops and ... concise summaries, key takeaways and action steps about Molina HEDIS processes, strategy and progress to national, regional and plan meetings. + Demonstrates ability… more
- Molina Healthcare (Dayton, OH)
- …Sr Specialist, Provider Engagement role implements Health Plan provider engagement strategy to achieve positive quality and risk adjustment outcomes through ... problem resolution for the Provider Engagement team. Communicates effectively with healthcare professionals and maintains compliance with policies. **Job Duties** *… more
- Molina Healthcare (Akron, OH)
- …optimizing operational departments, programs, and services in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in compliance ... strategies. + Leads and supports integrated duals product development and benefit strategy for markets. + Supports development of duals specific training. +… more
- Molina Healthcare (Cincinnati, OH)
- …be relied upon to make independent, informed decisions, contribute to health plan strategy , and act as a trusted voice in resolving complex business challenges that ... payment integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to… more
- Molina Healthcare (Akron, OH)
- …be relied upon to make independent, informed decisions, contribute to health plan strategy , and act as a trusted voice in resolving complex business challenges that ... payment integrity issues, and process gaps. + Apply understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to… more
- Molina Healthcare (Cincinnati, OH)
- …and Quality leaders to improve outcomes by managing Risk/Quality data collection strategy , analytics, and reporting, including but not limited to: Risk/Quality rate ... * Familiarity with running queries in Microsoft Azure or SQL server * Healthcare experience and functional risk adjustment and/or quality knowledge * Mastery of… more
- Molina Healthcare (Dayton, OH)
- …include implementing programs that are in alignment with Molina Healthcare 's strategic and operating plan; providing day-to-day leadership and management ... membership. + Develops and maintains a market-specific provider reimbursement strategy consistent with Reimbursement Tolerance Parameters (across multiple specialties/geographies).… more
- Norstella (Columbus, OH)
- Sr. Director, RWD Analytics and Innovation ( Healthcare & Life Sciences) Company: Norstella Location: Remote, United States Date Posted: Jul 30, 2025 Employment Type: ... datasets, piloting new analytical capabilities, harmonizing disparate data sources, and data strategy projects. This role will be pivotal in integrating diverse data… more
- EBSCO Information Services (Columbus, OH)
- …scalable engagement model for smaller accounts that aligns with EBSCO's broader strategy of supporting healthcare delivery across all sizes and settings ... New Logo team to focus on acquiring and supporting healthcare organizations within a defined segment. This defined segment...segment will primarily be focused on smaller hospitals and healthcare organizations. A key mission for this role is… more