• Account Administrator II

    Medical Mutual of Ohio (Dublin, OH)
    …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. **Account ... and Knowledge:** + Knowledge of health insurance products and sales and service operations(underwriting, stop loss, benefit plan...self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and… more
    Medical Mutual of Ohio (09/04/25)
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  • Membership Growth Consultant

    ChenMed (Cleveland, OH)
    …is required. Working with seniors a plus, as is a general understanding of Medicare Advantage + A minimum of 2 years of business-to-business experience or ... initiatives that will appropriately drive new patient growth. + Schedules one-on-one sales meetings, referral relationships with Plan agents, independent brokers… more
    ChenMed (10/07/25)
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  • Value-Based Reimbursement Specialist

    Highmark Health (Columbus, OH)
    …gain share and risk share models and will be implemented for the Organization's Medicare Advantage , Medicaid, ACA, and commercial populations with the goal of ... + 3 years of experience in data analysis, interpretation, and outcomes strategic plan development. + 1 year experience with Medicare STARS, Medicaid HEDIS,… more
    Highmark Health (08/20/25)
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  • Sr PM / Program Manager ( HealthCare Payer)

    Capgemini (Cincinnati, OH)
    …of **Program Manager / Sr Project Manager** - Markets and Growth portfolio Medicare Advantage / DSNP/ Medicaid or Exchange program/ product build knowledge ... or many functions) E2E set of Pharmacy Benefits Experience in working with Plan and Pharmacy Benefits Manager Setting up Pharmacy call center Pharmacy member… more
    Capgemini (08/30/25)
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