• Value-Based Reimbursement Specialist

    Highmark Health (Columbus, OH)
    …share and risk share models and will be implemented for the Organization's Medicare Advantage, Medicaid, ACA, and commercial populations with the goal of maximizing ... interpretation, and outcomes strategic plan development. + 1 year experience with Medicare STARS, Medicaid HEDIS, risk revenue value streams, and population health… more
    Highmark Health (08/20/25)
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  • Senior Financial Underwriter

    Humana (Columbus, OH)
    …information, as well as ability to problem solve, and effectively negotiate with Sales and other areas of Humana is critical. The Senior Financial Underwriter will ... ability to match plans for takeover. + Negotiates with Sales and Account Management as needed in preparing offers...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
    Humana (10/08/25)
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  • VP or Director of Strategic Accounts

    Drips (OH)
    …plan expertise required, with strong preference for government programs ( Medicare , Medicaid). Commercial-only experience acceptable but not preferred + Consistent ... sales quota achievement and Gross and Net Retention success...ability to sell $1M+ multi-year expansion deals with complex sales motions and 4-6+ month cycles + Command and… more
    Drips (09/23/25)
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  • Manager, Account Management

    CVS Health (OH)
    …growth/retention targets and customer satisfaction levels. Creates collaborative partnerships with sales to develop a comprehensive growth strategy for assigned book ... industry issues and related current topics. **Required Qualifications** 5-10+ years sales and/or account management experience in the medical insurance and/or… more
    CVS Health (10/02/25)
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  • Sr Digital Marketing Specialist (Remote)

    Molina Healthcare (Akron, OH)
    …lead journeys, setting up digital campaigns to drive leads through the sales funnel. The ideal candidate should be results-driven with exceptional attention to ... those systems with other technologies + Works well with Sales Ops and Marketers to define and implement projects...a desire to improve processes **Preferred:** + Medicaid or Medicare Health Plan experience + Strong analytical skills **PHYSICAL… more
    Molina Healthcare (08/14/25)
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  • Pharmacy Technician II - IRO

    Elevance Health (Mason, OH)
    …prior authorization requests from physicians?offices and ensures compliance with Medicare requirements. + Informs relevant parties of all prior authorization ... to grievances and appeals issues. + Responds to inquiries from physicians, sales team, and members related to formulary and prescription benefits. + Generates… more
    Elevance Health (10/11/25)
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  • Representative, Customer Experience

    Molina Healthcare (Columbus, OH)
    …to, phone, chat, email, and off phone work supporting our Medicaid, Medicare and/or Marketplace business. * Conduct varies surveys related to health assessments ... education and experience **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : 1-3 years Sales and/or Customer Service experience in a fast paced, high volume… more
    Molina Healthcare (10/09/25)
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  • Senior Business Intelligence Engineer - Data…

    Humana (Columbus, OH)
    …caring community and help us put health first** With over 10 million sales interactions annually, Humana understands that while great products are important, it's ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ​… more
    Humana (10/08/25)
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  • VP Pharmaceutical Trade Relations - REMOTE

    Prime Therapeutics (Columbus, OH)
    …an environment of collaboration and communication; partner with leaders across clinical, sales and client engagement to bring competitive opportunities to market and ... where the position is located + Experience within the PBM industry, Medicaid, Medicare , and health plans Every employee must understand, comply with and attest to… more
    Prime Therapeutics (09/03/25)
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  • Sr PM / Program Manager ( HealthCare Payer)

    Capgemini (Cincinnati, OH)
    …**Program Manager / Sr Project Manager** - Markets and Growth portfolio Medicare Advantage/ DSNP/ Medicaid or Exchange program/ product build knowledge (Enrollment, ... location, relevant education, qualifications, certifications, experience, skills, seniority, performance, sales or revenue-based metrics, and business or organizational needs.… more
    Capgemini (08/30/25)
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