- Molina Healthcare (Akron, OH)
- …a high level of customer service. Previous experience in Medicare, Medicaid, and/or Managed Care is very helpful. Top notch communication skills, both written ... to collaborate internally and externally with members, providers, team members, and manager . Basic understanding of managed healthcare systems and Medicare.… more
- JPMorgan Chase (Columbus, OH)
- …Handle client account requests and maintenance. + Align client accounts for Manager Model Trades. + **Knowledge and Oversight:** + Maintain a comprehensive ... mutual funds, exchange-traded funds, structured notes, hedge funds, and separately managed accounts. + Perform account oversight for model drift and strategy… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …areas highlighted by the OIG, Medicare, State Medicaid, State Insurance Fraud; Managed Care or Governmental Value-Based payment programs and/or other enforcement ... required. + Demonstrated working knowledge of Medicare and Medicaid, Insurance Managed Care including documentation, coding, reimbursement methodologies, as well… more
- Elevance Health (Mason, OH)
- …**Minimum Requirements:** + Requires BA/BS in Pharmacy. + Minimum of 2 years of managed care pharmacy (PBM) experience or residency in lieu of work experience; ... + Microsoft Excel experience strongly preferred. + PBM or managed care experience strongly preferred. + Passionate...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Molina Healthcare (OH)
- …with a minimum of 2 years' experience in health plan member interventions, managed care , or equivalent experience. + Demonstrated solid business writing ... to identify opportunities for improvement + Surfaces to the Manager and Director any gaps in processes that may...1 year of experience in Medicare and in Medicaid managed care + Experience with data reporting,… more
- Sedgwick (Columbus, OH)
- …of education and experience required to include two (2) years of claims management, managed care or other related experience. **Skills & Knowledge** + In depth ... technology and regulatory compliance. + Serves as a project manager and process owner for all components of a...knowledge of claims management, managed care and/or absence management processes and… more
- SAM LLC (Akron, OH)
- …petabytes of complex spatial data into intelligent insights in a holistic Managed Geospatial Services (TM) (MGS (TM) ) framework. As North America's premiere ... redefine and transform how infrastructure assets are developed and managed throughout their lifecycles. Your Impact at SAM Are...accurate and safety procedures are being followed + Take care of your assigned tools, equipment, and vehicle with… more
- Surveying And Mapping, LLC (Akron, OH)
- …petabytes of complex spatial data into intelligent insights in a holistic Managed Geospatial Services (TM) (MGS (TM) ) framework. As North America's premiere ... redefine and transform how infrastructure assets are developed and managed throughout their lifecycles. Your Impact at SAM Are...are accurate and safety procedures are being followed Take care of your assigned tools, equipment, and vehicle with… more
- Molina Healthcare (Toledo, OH)
- …in care management, utilization management, behavioral health, medical, and/or managed care setting, or equivalent combination of relevant education and ... with enterprise partners and multidisciplinary team coordinating integrated delivery of care across the continuum. Contributes to overarching strategy to provide… more
- Elevance Health (OH)
- …systems. + BS in nursing preferred. + Participation and/or certification in a managed care or utilization management organization preferred. + Ability to ... settings to maximize their health, independence, and quality of life through home- care and community based services The **Virtual** **Triage Nurse I - CareBridge… more