• Lead Medicaid Actuary ( Manager )

    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 management experience + In depth knowledge of capitation rate… more
    Humana (08/27/25)
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  • Medicaid Drug Strategy Pharmacist Lead

    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
    CenterWell (08/20/25)
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  • Senior Medicaid & Medicare Reimbursement…

    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
    OhioHealth (06/07/25)
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  • IT Business Systems Analyst Sr - Medicaid

    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 ... we make. **Job Posting Title** IT Business Systems Analyst Sr - Medicaid Pharmacy Implementations - Remote **Job Description** The IT Business Systems Analyst… more
    Prime Therapeutics (08/27/25)
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  • Senior Project Manager

    Humana (Columbus, OH)
    …future 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...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
    Humana (08/27/25)
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  • Senior Client Coding Project Manager

    Datavant (Columbus, OH)
    …experiences to realize our bold vision for healthcare. As a Sr. Client Coding Project Manager , you will plan, forecast, and manage client-facing coding projects. ... phase of client projects and ensure all parties remain on track with project requirements, deadlines, and schedules. **You will:** + Partner with Customer Success… more
    Datavant (06/28/25)
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  • Health Plan Operations, Payment Integrity Program…

    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
    Molina Healthcare (08/14/25)
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  • Sr PM / Program Manager ( HealthCare Payer)

    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
    Capgemini (08/30/25)
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  • Manager of Clinical Operations

    Prime Therapeutics (Columbus, OH)
    …**Job Posting Title** Manager of Clinical Operations **Job Description** The Manager Operations is responsible for operations and project support capacity ... teams. **Responsibilities** + Manage operations (via capacity and workload planning, project support planning, or project leadership) for immediate client… more
    Prime Therapeutics (08/31/25)
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  • Finance & Accounting Manager

    Butler County Regional Transit Authority (Cincinnati, OH)
    …of the Director of Finance & Administration, the Finance and Accounting Manager oversees all financial operations and ensures compliance with federal, state, and ... local regulations. This position maintains grant and project compliance, supervises financial transactions, and prepares timely and accurate reports. The role… more
    Butler County Regional Transit Authority (07/24/25)
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