• 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 ... DE) and Enterprise Quality, Safety, and Values (Health Outcomes Measures). Provide actionable opportunities in provider transformation aimed at high-quality,… more
    Highmark Health (08/20/25)
    - Related Jobs
  • Insurance Strategy Lead

    Humana (Columbus, OH)
    …US. At the core of this evolution is Humana's Insurance Segment, which provides Medicare Advantage , Medicaid, and other health plans to millions. By integrating ... of strategic initiatives and business areas, evolving key facets of the Medicare Advantage growth strategy, and identifying improvement opportunities for a key… more
    Humana (08/01/25)
    - Related Jobs
  • Medical Director - OneHome

    Humana (Columbus, OH)
    …internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand ... help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health, SNF, DME, dual Medicare more
    Humana (08/25/25)
    - Related Jobs
  • Senior Digital Product Owner - Ecommerce

    Humana (Columbus, OH)
    …the industry in how digital can be used to drive customer acquisition in the Medicare Advantage space. Within this business area, we are aggressively driving new ... of working, and employing next-gen technology to revolutionize how Medicare Advantage is sold. This role is...in Scrum meetings and product sprints + Reviewing key performance metrics on a regular cadence to ensure the… more
    Humana (08/27/25)
    - Related Jobs
  • Senior Clinical Vendor Partnerships Specialist

    Medical Mutual of Ohio (Brooklyn, OH)
    …group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and individual plans. Our plans provide peace of mind to more ... the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million...self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and… more
    Medical Mutual of Ohio (07/09/25)
    - Related Jobs
  • Financial Analyst

    Medical Mutual of Ohio (Brooklyn, OH)
    …group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and individual plans. Our plans provide peace of mind to more ... the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million...self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and… more
    Medical Mutual of Ohio (08/21/25)
    - Related Jobs
  • Mgr, Financial Forecasting & Systems

    Medical Mutual of Ohio (Brooklyn, OH)
    …group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and individual plans. Our plans provide peace of mind to more ... the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million...self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and… more
    Medical Mutual of Ohio (08/12/25)
    - Related Jobs
  • Sr Sourcing Specialist

    Medical Mutual of Ohio (Brooklyn, OH)
    …group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and individual plans. Our plans provide peace of mind to more ... the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million...self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and… more
    Medical Mutual of Ohio (07/22/25)
    - Related Jobs
  • Sr. Financial Analyst

    Medical Mutual of Ohio (Brooklyn, OH)
    …group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and individual plans. Our plans provide peace of mind to more ... the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million...self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and… more
    Medical Mutual of Ohio (08/12/25)
    - Related Jobs
  • Account Executive-Small Group

    Medical Mutual of Ohio (OH)
    …group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and individual plans. Our plans provide peace of mind to more ... the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million...self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and… more
    Medical Mutual of Ohio (07/25/25)
    - Related Jobs