• Specialist, Quality Interventions/QI Compliance…

    Molina Healthcare (Akron, OH)
    …of programs for members in accordance with prescribed quality standards; conducts data collection, reporting and monitoring for key performance measurement ... **Preferred Experience** 1 year of experience in Medicare and in Medicaid . **Preferred License, Certification, Association** + Certified Professional in… more
    Molina Healthcare (11/21/25)
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  • Actuary, Pricing

    Humana (Columbus, OH)
    …address gaps to targeted metrics. Leverages market level projections and experience data tools to research root cause and capture insights. Researches and ... relevant advanced degree, recent and relevant work experience, and/or other relevant professional designations. + MAAA + Strong communication skills + Experience in… more
    Humana (11/18/25)
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  • Associate Director, Market Access Engagement…

    Sumitomo Pharma (Columbus, OH)
    …various payers (commercial and government payers to include FFS and Managed Medicaid ) and remove reimbursement barriers to treatment + Build and maintain strong ... and adherence to compliance and corporate policies including appropriate documentation and reporting **Who You Are** You are a highly motivated, engaging and… more
    Sumitomo Pharma (10/31/25)
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