- Prime Therapeutics (Columbus, OH)
- …our passion and drives every decision we make. **Job Posting Title** North Carolina Medicaid Account Manager - Remote Raleigh, NC **Job Description** The Senior ... Account Manager is responsible for providing complex level support for...for providing complex level support for the North Carolina Medicaid business by driving communications, client-facing initiatives, and product… more
- Elevance Health (Mason, OH)
- …by law._ The ** Program Manager Long Term Care - Self-Direction Program - OH** is responsible for initial implementation and ongoing management of the ... ** Program Manager Long Term Care -...program . + Manages and coordinates the development, approval, implementation and compliance of on-going external client facing programs;… more
- Capgemini (Cincinnati, OH)
- **About the job:** Job role responsibilities of ** Program Manager / Sr Project Manager ** - Markets and Growth portfolio Medicare Advantage/ DSNP/ Medicaid ... controls Maintain project documentation Escalate issues to Business Owner/ Program Manager / Leadership Promote cross-functional communication between impacted… more
- CVS Health (Columbus, OH)
- … Medicaid , Medicare Part D, etc.). In addition, the manager works cross-functionally with Sales Account Management, Client Implementations, Finance, Legal ... we do it all with heart, each and every day. **Position Summary** As the Manager of Pharmacy Communications, you will serve as the main liaison and subject matter… 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,...This position will be part of our Special Needs Program (SNP) team. All of our SNP RN Care… more
- Medical Mutual of Ohio (OH)
- …and individual plans. This position is responsible for leading the implementation and day-to-day management of Medical Mutual's Medicare Compliance Program ... oversight of auditing and reporting activities. **Responsibilities:** + Manages the implementation and operation of the Medical Mutual Medicare Compliance Program… more
- Pfizer (Columbus, OH)
- …Pfizer vaccines and programs. This includes a clear understanding of the commercial, Medicaid and Medicare landscape as it relates to the availability of Pfizer ... * Develop productive relationships with State Department of Health Immunization Program Management to understand state policies and ensure the implementation… more
- Molina Healthcare (Akron, OH)
- …services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies to ensure high-quality ... utilization and effective resource management. * Assumes leadership relative to knowledge, implementation , training, and supervision of the use of the criteria for… more
- Humana (Columbus, OH)
- …Capacity Management - provide value-based guidance on backlog prioritization to the implementation team. Coordinate with the Product Manager and set boundaries ... the overall set of features prioritized by the Product Manager . Additionally provide clarity to scrum team members with...+ Parental and caregiver leave + Employee charity matching program + Network Resource Groups (NRGs) + Career development… more
- Molina Healthcare (OH)
- …in line with industry standards and best practices. * Assists with new program implementation and supports for health plan in-source behavioral health services. ... to behavioral health and chemical dependency services, and assists with implementation of integrated behavioral health care programs within specific markets/regions.… more