- Humana (Columbus, OH)
- …& Clinical Innovation + Corporate Strategy & Transformation Office + Medicare & Medicaid Market Operations + Provider Relations & Network Performance + Marketing & ... Customer Engagement (including MarketPoint) + Finance , Accounting & Risk Management + Human Resources &...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- Molina Healthcare (OH)
- …objectives. + Collaborate with cross-functional teams including Product, Sales, Compliance, Finance , and Clinical Operations to align strategy with execution. + ... or equivalent combination of relevant education and experience + Medicare and/or Medicaid Managed Care experience + Quantitative aptitude + Strong leadership in a… more
- Molina Healthcare (OH)
- …with other Core Ops areas of responsibilities) within Medicare and Medicaid . Role is predicated on building relationships with vendors, stakeholders, functional ... Level Agreements between the parties. **Job Duties** + Develops Medicare and Medicaid vendor strategies aligned with CMS and State regulations, including contract… more
- Prime Therapeutics (Columbus, OH)
- …the Chief Compliance Officer's reporting to the Corporate Compliance Committee (CCC) and Finance , Compliance & Audit Committee (FCA) meeting materials. + Act as a ... within a highly regulated industry, including experience with Medicare, Medicaid , and the Affordable Care Act (ACA) + Must...study, such as Juris Doctor + Medicare Part D, Medicaid , and/or Affordable Care Act knowledge and experience **Physical… more
- Elevance Health (Mason, OH)
- …and AI solutions that uncover early signals in cost trends across Medicaid , Medicare, Local Group, and Individual markets. You'll collaborate with actuaries, ... finance leaders, and business stakeholders to enhance decision-making through...translate complex data into actionable insights for business and finance leaders. + Design and implement scalable machine learning… more
- Cardinal Health (Columbus, OH)
- …contributes to Cardinal Health_** Contracts and Billing is responsible for finance related activities such as customer and vendor contract administration customer ... and work streams. + Demonstrates experience working collaboratively in a finance environment coupled with strong internal controls. + Possesses understanding of… more
- Humana (Columbus, OH)
- …including compliance with SOX 404 requirements. + Collaborate cross-functionally with Finance , Legal, Treasury, and Regulatory Financial Reporting, et al to align ... to make an impact** **Required Qualifications** + Bachelor's degree in Accounting or Finance ; CPA required, Master's in Tax or Accounting preferred. + 10+ years of… more
- Elevance Health (Mason, OH)
- …team driving advanced analytics and actuarial innovation across Local Group, Individual, Medicaid , and Medicare businesses. We are pioneering the use of weekly trend ... into clear, actionable intelligence for actuarial pricing, medical cost management, and finance teams. + Partner with data engineering and business stakeholders to… more
- Humana (Columbus, OH)
- …multi-agent alignment + Experience in regulated domains such as healthcare, finance , or defense **Additional Information** **Location/Work Style:** Remote US **Why ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- Banner Health (OH)
- …wide array of disciplines. Whether your background is in Human Resources, Finance , Information Technology, Legal, Managed Care Programs or Public Relations, you'll ... with coding rules and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General… more