• Director , Managed Care…

    Bon Secours Mercy Health (Cincinnati, OH)
    … care sites and clinicians are recognized for clinical and operational excellence. ** DIRECTOR MANAGED CARE CONTRACTING - LARGE ACCOUNTS** **| ... responsible for developing, managing, and leading the day-to-day activities associated with managed care contracting for both fee for service and risk… more
    Bon Secours Mercy Health (08/19/25)
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  • Medical Director

    Molina Healthcare (Cincinnati, OH)
    …and evidence-based guidelines. + Experience in Utilization/Quality Program management + HMO/ Managed care experience **PR** **E** **FE** **R** **RED L** ... includes strategies that ensure a high quality of patient care , ensuring that patients receive the most appropriate ...(QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
    Molina Healthcare (09/12/25)
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  • Medical Director (Marketplace)

    Molina Healthcare (Cincinnati, OH)
    …guidelines. + Experience in Utilization/Quality Program management + HMO/ Managed care experience **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** ... includes strategies that ensure a high quality of patient care , ensuring that patients receive the most appropriate ...(QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
    Molina Healthcare (08/28/25)
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  • Senior Medical Director (Medicare)

    Molina Healthcare (Cincinnati, OH)
    …+ 10+ years relevant experience, including 5+ years of clinical practice and 3+ years HMO/ Managed Care experience **OR** 5 years experience as a Molina Medical ... inpatient concurrent review, discharge planning, case management and interdisciplinary care team activities. + Ensures that authorization decisions are...Director + Demonstrated experience in Utilization/Quality Program management +… more
    Molina Healthcare (09/12/25)
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  • System Vice President, Hospitalist Service Line

    Bon Secours Mercy Health (Cincinnati, OH)
    …Behavioral Health and Wound Care system service lines + Partners with the contracting team to define PSA terms including SLAs and KPIs + Manages outcomes and ... Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, ...**he person in this position will partner with the contracting team to define PSA terms,** **including SLAs and… more
    Bon Secours Mercy Health (09/04/25)
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