• Program Manager - Network Solutions and Operations

    Molina Healthcare (OH)
    …+ 3-5 years of Program and/or Project management experience. + Operational Process Improvement experience. + Healthcare experience. + Experience with ... May engage and oversee the work of external vendors. + Focuses on process improvement , organizational change management, program management and other processes… more
    Molina Healthcare (08/02/25)
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  • Director, Process Improvement

    Molina Healthcare (Columbus, OH)
    **Job Description** **Job Summary** Leads business process improvement initiatives that result in operational efficiencies and/or an increase in customer ... results. **Preferred Education** Graduate Degree **Preferred Experience** * 6 years of healthcare related process improvement experience with demonstrable… more
    Molina Healthcare (08/02/25)
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  • Operational Regulatory Oversight Analyst…

    Molina Healthcare (OH)
    **Job Summary** Establish a specifically designed Operational Regulatory Oversight program that effectively prevents and/or detects violation of applicable laws and ... regulations pertaining to the Health Care environment. **Knowledge/Skills/Abilities** The Operational /Regulatory Oversight Analyst works with health plans and operations… more
    Molina Healthcare (07/19/25)
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  • Director, Operational Oversight…

    Molina Healthcare (Cincinnati, OH)
    …that handle CTM work * Demonstrated success leading joint roadmaps for process upgrades and new CMS requirements-e.g., CTM file-exchange or API integrations * ... end-to-end and verify secure, accurate handling by all partners. 4. Continuous Improvement & Strategic Leadership * Proven deployment of pragmatic automation or… more
    Molina Healthcare (07/13/25)
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  • Pharmacy Quality Improvement Specialist

    Elevance Health (Cincinnati, OH)
    …+ Healthcare or Quality related certification. + Certification in process improvement or project management. + Demonstrated experience developing primary ... improvements, provide guidance to leads, operations experts, associates, and/or managers on process improvement issues. **How you will make an impact:** +… more
    Elevance Health (08/02/25)
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  • Senior Process Consultant (Medicare)…

    Molina Healthcare (Columbus, OH)
    **JOB DESCRIPTION** **Job Summary** Leads business process improvement initiatives that result in operational efficiencies and/or an increase in customer ... Healthcare , Engineering, etc.) **Required Experience** 10 years of process improvement experience **Preferred Education** Graduate Degree **Preferred… more
    Molina Healthcare (07/19/25)
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  • Operational Excellence Specialist

    Abbott (Columbus, OH)
    Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of ... healthcare , with leading businesses and products in diagnostics, medical...Responsible for analyzing, designing and implementing manufacturing and business process improvements. **WHAT YOU'LL DO** + Analyzes, creates and… more
    Abbott (07/29/25)
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  • Payment Integrity Program Manager - Health Plan

    Molina Healthcare (Cincinnati, OH)
    …a business lens to interpret provider claims trends, payment integrity issues, and process gaps. + Apply understanding of healthcare regulations, managed care ... financial performance. This role focuses on identifying, leading, and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy.… more
    Molina Healthcare (06/29/25)
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  • Program Manager, HCS

    Molina Healthcare (OH)
    …May engage and oversee the work of external vendors. + Focuses on process improvement , organizational change management, program management and other processes ... **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and... leaders within the business to provide recommendations for process improvement opportunities. + Conducts quality audits… more
    Molina Healthcare (08/02/25)
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  • VP, Clinical Operations

    Molina Healthcare (Cincinnati, OH)
    …* Experience working within applicable state, federal, and third party regulations. * Operational and process improvement experience. * Strong communication ... **Job Description** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and...aimed at optimizing utilization of medical resources and maximizing operational efficiencies. + Engages with the provider community via… more
    Molina Healthcare (07/17/25)
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