- Humana (Columbus, OH)
- …needs for Medicaid -specific product lines. The Lead Actuary will serve as a project manager in addition to working on problems of diverse scope and ... Qualifications** + 5 years of experience within the managed Medicaid industry + 3 years of project ...benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also… more
- CenterWell (Columbus, OH)
- …a part of our caring community and help us put health first** The Medicaid Drug Strategy Pharmacist Lead requires a broad understanding of pharmacy, managed care, ... drug strategies to mitigate cost trend and improve health outcomes. The Medicaid Drug Strategy Pharmacist Lead work assignments involve moderately complex to complex… more
- OhioHealth (Columbus, OH)
- …Summary:** This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. * This position will be ... responsible for ensuring the appropriate governmental (Medicare and Medicaid ) reimbursement is received for OhioHealth. * This position is primarily responsible for… more
- Prime Therapeutics (Columbus, OH)
- …additional resource needs; collaborate with Business Systems Analyst Resource Lead or Resource Manager to determine work assignments within project + Educate and ... skills **Preferred Qualifications** + Previous Pharmacy Benefit Management (PBM) or healthcare experience with understanding of Medicare, Medicaid , the Exchanges… more
- Humana (Columbus, OH)
- …of healthcare through AI excellence. We are seeking a dynamic and experienced Senior Project Manager to join our team (known internally as a Senior IT ... Project Manager ). The ideal candidate will have...create safe AI solutions that will revolutionize and improve healthcare experience and outcomes for our customers. Join our… more
- Datavant (Columbus, OH)
- …to realize our bold vision for healthcare . As a Sr. Client Coding Project Manager , you will plan, forecast, and manage client-facing coding projects. You ... in health data exchange. Our vision is that every healthcare decision is powered by the right data, at...projects and ensure all parties remain on track with project requirements, deadlines, and schedules. **You will:** + Partner… more
- Molina Healthcare (Akron, OH)
- …Analysis Professional (CBAP), or Certified Coding Specialist (CCS) certification. + Project Management Experience. + Familiarity with Medicaid -specific Scorable ... **Job Description** **Job Summary** The Health Plan Operations, Payment Integrity Program Manager is an individual contributor role designed for a highly capable… more
- Capgemini (Cincinnati, OH)
- **About the job:** Job role responsibilities of **Program Manager / Sr Project Manager ** - Markets and Growth portfolio Medicare Advantage/ DSNP/ Medicaid ... project documentation Escalate issues to Business Owner/ Program Manager / Leadership Promote cross-functional communication between impacted business & IT areas… more
- Molina Healthcare (OH)
- …with other Core Ops areas of responsibilities) within Medicare and Medicaid . Role is predicated on building relationships with vendors, stakeholders, functional ... Level Agreements between the parties. **Job Duties** + Develops Medicare and Medicaid vendor strategies aligned with CMS and State regulations, including contract… more
- Molina Healthcare (Cincinnati, OH)
- …Analysis Professional (CBAP), or Certified Coding Specialist (CCS) certification. + Project Management Experience + Familiarity with Medicaid -specific Scorable ... Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits,… more