• Senior Medicaid & Medicare…

    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 (09/25/25)
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  • North Carolina Medicaid Account…

    Prime Therapeutics (Columbus, OH)
    …our passion and drives every decision we make. **Job Posting Title** North Carolina Medicaid Account Manager - Remote Raleigh, NC **Job Description** The ... Senior Account Manager is responsible for providing complex level support for...for providing complex level support for the North Carolina Medicaid business by driving communications, client-facing initiatives, and product… more
    Prime Therapeutics (09/23/25)
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  • Senior Managed Care Operations (MCO)…

    Molina Healthcare (Dayton, OH)
    …to manage resources, mitigate risks, and ensure stakeholder satisfaction. Although a project management role, this role will be assigned some operations initiatives ... monitors task activities, and ensures state contract timelines are met. Monitors the project from inception through delivery. May engage and oversee the work of… more
    Molina Healthcare (10/18/25)
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  • Senior Manager , Audit and Business…

    CVS Health (Columbus, OH)
    …costs. **What you will do** + Acts as a top-level specialist on project management and develops a comprehensive plan that encompasses objectives, deliverables, and ... 7-10 years work experience in healthcare + Medicare and/or Medicare- Medicaid Integrated Product Experience + Experience with Part D...& D reporting requirements + 3+ years serving as project lead + Adept at problem solving and decision… more
    CVS Health (10/24/25)
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  • SOC and SOX Compliance Business Risk,…

    CVS Health (Columbus, OH)
    …Tracking Database audits + Support audits out of QNXT and PRMS to support Medicaid SOC and SOX controls + Coordinate with applicable reporting areas as needed to ... and/or audit experience in SOC and SOX controls + 5+ years of project management experience + Health insurance industry + Strong communication, critical thinking,… more
    CVS Health (10/15/25)
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  • Senior Specialist, Member & Community…

    Molina Healthcare (OH)
    …intervention initiatives including all lines of business (Medicare, Marketplace, Medicaid ). Executes health plan's member and community quality focused interventions ... Duties** + Acts as a lead specialist to provide project , program, and/or initiative related direction and guidance for...to identify opportunities for improvement + Surfaces to the Manager and Director any gaps in processes that may… more
    Molina Healthcare (10/19/25)
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  • Sr Consultant

    Public Consulting Group (Columbus, OH)
    …understanding of Medicaid waivers. **Duties and Responsibilities** + Serves as project manager and subject matter expert within the practice including ... more, visit www.publicconsultinggroup.com . Summary: We are seeking a senior -level, detail-oriented and self-motivated Medicaid Waiver Evaluation Consultant… more
    Public Consulting Group (10/23/25)
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  • Sr. AI Business Analyst - Remote

    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 ... a team of analysts and/or business, IT, and other project stakeholders to ensure solutions are consistent with organization... team and various levels of management. With consistent Senior Leadership visibility, the IT BSA Sr is also… more
    Prime Therapeutics (10/01/25)
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  • Sr Consultant

    Public Consulting Group (Columbus, OH)
    …to meet with and support clients. **Duties And Responsibilities** + Serves as project manager and subject matter expert, independently managing complex projects, ... created and the revenue generated from those identified opportunities. The Senior Consultant will manage complex projects and/or produce sophisticated deliverables;… more
    Public Consulting Group (07/29/25)
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