- CVS Health (Columbus, OH)
- …The Senior Analyst, Account Management will serve as a fully dedicated advocate to senior employees and their families employed by a leading financial ... services company. **Key Responsibilities** + Serve as the main point of contact for senior leaders working closely with the Benefits team to ensure a seamless and… more
- Molina Healthcare (Dayton, OH)
- …with the Plan's highest priority, high volume, strategic providers to educate, advocate and engage as valuable partners. + Requires an in-depth knowledge of ... provider issues that may cross departmental lines and involve Senior Leadership. + Serves as a subject matter expert...3 - 5 years customer service, provider service, or claims experience in a managed care setting. + 3-5… more
- Molina Healthcare (OH)
- …skills to successfully engage high volume, high visibility providers (including senior leaders and physicians) to ensure provider satisfaction, education on key ... minimal direction, works directly with the Plan's external providers to educate, advocate , and engage as valuable partners, ensuring knowledge of and compliance with… more
- Highmark Health (Columbus, OH)
- …resources available to transition to AHN or other community providers. + Advocate for the member by providing assistance with transferring medical records, making ... department (including but not limited to Product Management, membership, claims , eMarketing, etc.). Identify any opportunities for process improvements.Success will… more
- The Cigna Group (Toledo, OH)
- …of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales ... Experience in developing and managing key provider relationships including senior executives. + Knowledge of complex reimbursement methodologies, including incentive… more
- The Cigna Group (Independence, OH)
- …of the Provider Contracting Team and reports to the Provider Contracting Senior Manager. This role assists in developing the strategic direction and management ... of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales… more
- Humana (Columbus, OH)
- …adhere to CMS mandates and NCQA standards. + **Technical debt management:** Advocate for the resolution of technical debt and architectural improvements, balancing ... leadership experience + Strong experience with healthcare data, particularly clinical and claims data used in **HEDIS measurement** + Familiarity with **CMS Stars… more