- Molina Healthcare (Cincinnati, OH)
- Molina Healthcare is hiring a Program Manager , Medicaid Growth & Retention This role will be responsible for understanding and tracking all activity in the field ... understanding and, in consequence, enrollment. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May… more
- Molina Healthcare (OH)
- …objectives and initiatives across platforms. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May ... business development solutioning activities. + Plans and directs schedules as well as project budgets. + Monitors the product from inception through operations + May… more
- Elevance Health (Mason, OH)
- **Director Medicaid Plan Marketing** **Location:** 2505 N HWY 360, Grand Prairie TX. Relocation assistance offered. This role requires associates to be in-office 3 ... accommodation is granted as required by law_ The **Director Medicaid Plan Marketing** is responsible for the planning and...limited to STAR, CHIP, STAR+PLUS, STAR Kids, ACA, and D -SNP preferred. * Managed Care Health Plan experience preferred.… more
- Molina Healthcare (Cincinnati, OH)
- …reporting, process improvement, and implores continuous quality improvement. Monitors the project from inception through delivery. May engage and oversee the work ... system analysis and program staff. These positions' primary focus is project /program management. **Job Duties** **Program Oversight & Project Management**… more
- Molina Healthcare (Akron, OH)
- …(EOE) M/F/ D /V. \#PJHPO Key Words: Community Connector, Nonclinical Case Manager , Care Manager , Community Engagement, CHW, Community Health Worker, Public ... you will also work on telephonic population health initiatives such as supporting Medicaid members that have a waiver, making outreach to Medicaid members… more
- Molina Healthcare (Dayton, OH)
- …and processing. This role will focus on identifying, reviewing, and validating Medicaid secondary payments to ensure alignment with internal configuration rules and ... adjudication, QNXT system navigation, and strong analytical acumen. Experience in Medicaid managed care is required, and a background in payment integrity-either… more
- Molina Healthcare (Dayton, OH)
- …Analysis Professional (CBAP), or Certified Coding Specialist (CCS) certification. + Project Management Experience + Familiarity with Medicaid -specific Scorable ... tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met...years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health… more
- Molina Healthcare (OH)
- …intervention initiatives including all lines of business (Medicare, Marketplace, Medicaid ) Executes health plan's member and community quality focused interventions ... by facilitating/building strategic relationships with community-based organizations + Evaluates project /program activities and results to identify opportunities for improvement… more
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