- Humana (Columbus, OH)
- …such as VLOOKUP) **Preferred Qualifications** + Experience researching and resolving provider reimbursement inquiries + Experience with Optum Rate Manager + ... community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an… more
- Gentiva (Cincinnati, OH)
- …Inspire Excellence. Elevate Hospice Care.** We are seeking a Senior Patient Care RN Manager to join our hospice team. Reporting directly to the Executive Director or ... company policies and regulatory standards. **As a Senior Hospice RN Patient Care Manager , you will:** + Lead and support hospice patient care operations to ensure… more
- Kestra Medical Technologies, Inc (Cleveland, OH)
- …and their care teams harmoniously monitor, manage, and protect life. A Territory Manager is responsible for securing new business and managing a sales area ... addition to direct sales responsibilities for a given territory, the Territory Manager provides training, on-going product service and support, and assistance in the… more
- Molina Healthcare (Akron, OH)
- **Job Description** **Job Summary** The Health Plan Operations, Payment Integrity Program Manager is an individual contributor role designed for a highly capable ... of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape recommendations and action plans. +...years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health… more
- Humana (Columbus, OH)
- …of the business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess Medicare , Medicaid, and/or and Group ... community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies,...match * Generous Paid Time Off accrual * Tuition Reimbursement * Parent Leave * Go365 perks for well-being… more
- Molina Healthcare (OH)
- **JOB DESCRIPTION** **Job Summary** The Manager , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... expert on developing financial models to evaluate the impact of provider reimbursement changes + Provide data driven analytics to Finance, Claims, Medical… more
- Gentiva (Zanesville, OH)
- **Overview** We're looking for a full-time **Patient Care Manager / Clinical Manager RN** to join our brand new hospice team serving the greater Zanesville, OH ... report directly to the Executive Director, Administrator, or Senior Patient Care Manager . You will be responsible for maintaining a high performing hospice program… more
- Capgemini (Cincinnati, OH)
- …the job:** Job role responsibilities of **Program Manager / Sr Project Manager ** - Markets and Growth portfolio Medicare Advantage/ DSNP/ Medicaid or ... of Pharmacy Benefits Experience in working with Plan and Pharmacy Benefits Manager Setting up Pharmacy call center Pharmacy member materials Provider Materials State… more
- Lundbeck (Columbus, OH)
- Psychiatry Account Manager - Columbus East, OH Requisition ID: 6704 Location: Columbus, OH, US **Territory: Columbus East, OH - Psychiatry** Target city for ... transform lives. Join us on our journey of growth! As a Psychiatry Account Manager , you lead the promotion of our psychiatry portfolio, executing sales and marketing… more
- Cardinal Health (Columbus, OH)
- …the annual enterprise risk assessment and audit and monitoring plan. The Manager has supervisory responsibility for all Compliance Audit staff. **_What is expected ... hospital facility fee coding and auditing. + Expert-level knowledge of Medicare and Medicaid documentation and coding rules and guidelines; ICD/CPT/HCPCS/DRG/APC… more