• Claims Processor (with Facets) - Healthcare

    Cognizant (Columbus, OH)
    …arrangements for this role are accurate as of the date of posting. This may change based on the project you're engaged in, as well as business and client ... We strive to provide flexibility wherever possible. Based on this role's business requirements, this is... on this role's business requirements, this is a remote position open to qualified applicants in the United… more
    Cognizant (08/26/25)
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  • Program Manager - ADT/HIE Clinical Data…

    Molina Healthcare (Columbus, OH)
    …and/or Project management experience. + Operational Process Improvement experience. + Healthcare experience. + Experience with Microsoft Project and Visio. + ... the design process to completion. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage… more
    Molina Healthcare (07/05/25)
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  • Analyst, Business Quality ( Remote )

    Molina Healthcare (Cincinnati, OH)
    …issues related to core systems processing, and coordinates and manages project teams in the development of large multi-system, multi-platform projects. This ... automation and test analytics, enforcing test quality standards, and providing whole project support and oversight. In addition to integration with other projects.… more
    Molina Healthcare (08/24/25)
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  • Manager, Clinical Data Acquisition ( Remote

    Molina Healthcare (Akron, OH)
    …EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** * 7+ years experience in managed healthcare Quality/HEDIS project management and HEDIS Audit * Demonstrated ... Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of… more
    Molina Healthcare (08/31/25)
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  • Manager, Medical Economics (Vbc) - Remote

    Molina Healthcare (OH)
    …staff assigned to their projects, maintains internal work plans as well as project work plans to meet reporting needs of the Medical Economics Team. Responsible ... of Data management, Tools & Technology work stream. + Allocate new report/ project requests (workload distribution). + Coordinates with Medical Economics team to meet… more
    Molina Healthcare (08/31/25)
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  • Director, Clinical Data Acquisition (HEDIS / Risk…

    Molina Healthcare (Columbus, OH)
    …vendors, invoice efforts, SDS and EMR implementation as well as other project and staffing support management. **Job Duties** + Plans and/or implements operational ... requirements/rules and are aligned with effective practices as identified in the healthcare quality improvement literature and within Molina plans. + Develops and… more
    Molina Healthcare (08/21/25)
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  • Program Director - Medicare Duals ( Remote

    Molina Healthcare (Columbus, OH)
    …the design process to completion. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage ... monitors system analysis and program staff. These positions' primary focus is project /program management, rather than the application of expertise in a specialized… more
    Molina Healthcare (08/22/25)
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  • Senior Specialist, Member & Community…

    Molina Healthcare (OH)
    …clinical care and services by facilitating/building strategic relationships with community- based organizations + Evaluates project /program activities and results ... time zone. **Job Duties** + Acts as a lead specialist to provide project , program, and/or initiative related direction and guidance for other specialists within the… more
    Molina Healthcare (07/31/25)
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  • Risk & Quality Performance Manager ( Remote

    Molina Healthcare (Cincinnati, OH)
    …**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** * 2+ years of program and/or project management experience in risk adjustment and/or quality * 2+ years of ... * Familiarity with running queries in Microsoft Azure or SQL server * Healthcare experience and functional risk adjustment and/or quality knowledge * Mastery of… more
    Molina Healthcare (07/31/25)
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  • Senior Process Consultant (Medicare)…

    Molina Healthcare (Columbus, OH)
    …**Preferred Education** Graduate Degree **Preferred Experience** + 4 years' experience in healthcare and/or health plan operations + Project management To all ... facilitates process improvement efforts. Will lead re-engineering team and act as project manager in some cases. + Develops training curriculum to educate leaders… more
    Molina Healthcare (07/19/25)
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