- Humana (Columbus, OH)
- …own and evolve our enterprise-wide Anaplan platform across both Workforce Planning ( Finance ) and Workforce Management (HR) domains. This role requires a rare blend ... of functional and technical expertise, deep understanding of Finance and HR business processes, and the ability to...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …teams including individual markets and their leadership teams, Marketing & Communications, Finance , Revenue Cycle & Pop Health. Works closely with these groups to ... standards and directives regarding governmental/third party agencies (Medicare & Medicaid ) and/or third paLeads assigned negotiations of fee for service,… more
- CVS Health (Columbus, OH)
- …translating insights into action. You will collaborate cross-functionally with Finance , Operations, Compliance, Medical Management, Vendor Management, and other ... of dashboards, predictive models, and performance metrics that support ABHIL's Medicaid goals and cost-of-care initiatives **Job description** The **Senior Analyst,… more
- Humana (Columbus, OH)
- …business results across the CenterWell segment, both directly and through the Finance teams of each of the individual CenterWell businesses. This associate will ... to the enterprise. Key Responsibilities + Responsible for managing CenterWell level finance projects and / or deliverables that require input from multiple… more
- Humana (Columbus, OH)
- …or recovering from injury, illness, surgery or hospitalization. The Home Solutions Finance team is seeking a Senior Financial Analytics Professional. This individual ... to make an impact** **Required Qualifications:** + Bachelor's degree in finance , accounting or related field. + Experience with SQL, multi-dimensional databases… more
- Molina Healthcare (OH)
- …Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and ... impact of provider reimbursement changes + Provide data driven analytics to Finance , Claims, Medical Management, Network, and other departments to enable critical… more
- Molina Healthcare (Cincinnati, OH)
- …evaluate, and submit encounter deletions for Medicare Advantage, ACA, and Medicaid lines of business. This role has decision-making accountability for ensuring ... influence across multiple organizational functions - Payment Integrity, Claims, Encounters, Finance , and Actuarial + Proven experience in managing complex projects,… more
- Molina Healthcare (OH)
- …analysis across multiple states and lines of business (Medicare, Medicaid , Marketplace ACA). **KNOWLEDGE/SKILLS/ABILITIES** + Compiling and organizing health care ... Advantage members, the HHS model for Commercial ACA members, the CDPS model for Medicaid members, and others as needed + Must have a strong attention to detail… more
- MetroHealth (Cleveland, OH)
- …in the overall management of The MetroHealth System (MHS). Develops and executes finance strategy in support of MHS overall business plan and strategic direction. ... positive community relationships. Advances the organization's position with OHA, state Medicaid , ODM, and other constituents, as well as drives broader awareness… more
- Humana (Columbus, OH)
- …and prepares statutory accounts, financial statements and reports. + Assists in Finance Department special projects, such as FTE trend analysis, payments to ... subcontractors, cost accounting, monitoring third party spend, and supporting monthly finance reviews. + Performs ad hoc requests from Senior Leaders, Operational… more