• Care Manager (BH Licensed)

    Molina Healthcare (Cincinnati, OH)
    …Office suite/applicable software program(s) proficiency. **Preferred Qualifications** * Certified Case Manager (CCM). * Experience in behavioral health care ... progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. **Essential Job Duties** * Completes… more
    Molina Healthcare (08/10/25)
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  • Behavioral Health Customer Care…

    Elevance Health (Columbus, OH)
    …customer questions via telephone and written correspondence regarding insurance benefits, provider contracts , eligibility and claims. + Completing intake ... whether member needs to be screened for safety. + Provide information regarding member's Behavioral Health, Employee...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (09/27/25)
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  • Behavioral Health Medical…

    Elevance Health (Mason, OH)
    ** Behavioral Health Medical Director-Psychiatrist Appeals** **Location:** This role enables associates to work virtually full-time, with the exception of required ... Monday - Friday. Half day Saturday rotation, once a month.** The ** Behavioral Health Medical Director-Psychiatrist Appeals** is responsible for the administration of… more
    Elevance Health (09/10/25)
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  • Provider Contracting Director - Cleveland,…

    The Cigna Group (Cleveland, OH)
    …+ Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. + Creates "HCP" ... Provider Contracting Team and reports to the Provider Contracting Senior Manager . This role assists...the competitive landscape. + Responsible for accurate and timely contract loading and submissions and interface with matrix partners… more
    The Cigna Group (08/31/25)
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  • Senior Manager : Compliance & Reporting

    Deloitte (Dayton, OH)
    Senior Manager : Compliance & Reporting As a senior member of Records & Contracts (R&C), the R&C Senior Manager : Compliance & Reporting plays a key role in ... programs. + Implements and evaluates the effectiveness of innovative records and contracts compliance and reporting projects that provide business analytics and… more
    Deloitte (08/24/25)
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  • Regional Manager , LISW-s or Lpcc-s

    National Youth Advocate Program (Dayton, OH)
    **Regional Manager , LISW-S or LPCC-S** Compensation: $75,000 - $85,000 The **Dayton** Regional Manager provides regional leadership and operational management ... **Responsibilities** * Identify, evaluate, cultivate, and solicit for new agency contracts . * Identify, evaluate, and participate in response to Request for… more
    National Youth Advocate Program (09/21/25)
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  • Nursing Manager / RN Required

    BrightSpring Health Services (St. Clairsville, OH)
    …professional consultants and direct care in cooperation with Operations management + Provide feedback to Operations management with regard to necessary changes and ... expectations + Coordinate and oversee all activities associated with medical contract providers + Oversee/participate in the hiring process of all assigned… more
    BrightSpring Health Services (09/29/25)
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  • Network Relations Consultant Senior (Value-Based…

    Elevance Health (Mason, OH)
    …_‐_ _centered coordination for all members that addresses physical health, behavioral health, long term services and supports, and psychosocial needs._ **Network ... dedicated to delivering on the LTSS commitment to linking provider payment to improved performance. This role will support...feedback reports. + May be responsible for coordinating negotiated contracts for new and existing providers as needed. +… more
    Elevance Health (09/26/25)
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  • LTSS Transition Concierge Coordinator

    Elevance Health (Columbus, OH)
    **LTSS Concierge Coordinator (Case Manager )** **Hiring statewide across Ohio** **This position is primarily virtual but may require you to work in the field based on ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more
    Elevance Health (09/27/25)
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  • Medical Director- Long Term Support Service (Ltss)

    Elevance Health (Wright Patterson AFB, OH)
    …person_ _‐centered coordination for all members that addresses physical health, behavioral health, long term services and supports, and psychosocial needs._ The ... Support Services** is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most cost-effective… more
    Elevance Health (09/26/25)
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