- Elevance Health (Mason, OH)
- ** Business Change Manager ** **Location:** Grand Prairie, TX; Indianapolis, IN; Mason, OH; Tampa, FL; Norfolk, VA (preferred). This role requires associates ... and adaptable workplace. Alternate locations may be considered. The ** Business Change Manager ** is responsible...and resources + Leading various projects that support the Medicare Risk & Recovery Revenue Management - Data Ops… more
- Molina Healthcare (Cincinnati, OH)
- …data exchange of the Medicare /MMP product in support of strategic and corporate business objectives. Support for all Medicare lines of business the ... and MMP Welcome Kits, National Coverage Determinations, Mid-year change notices, and legal documents (ie Notice of Privacy...of Availability, etc.), in various formats and languages. Supports Medicare and MMP lines of business for… more
- Molina Healthcare (OH)
- **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality improvement initiatives and ... education programs to support improved Star Ratings. Responsible for Medicare Star projects and programs involving enterprise, department, cross-functional and… more
- Molina Healthcare (Dayton, OH)
- **Job Description** **Job Summary** Molina Medicare Stars Program Manager functions oversees, plans and implements new and existing health care quality ... improvement initiatives and education programs. Responsible for Medicare Stars projects and programs involving enterprise, department or cross-functional teams of… more
- CVS Health (Columbus, OH)
- …manner. Group Retiree Solutions (GRS) is a core component of the Aetna Medicare Organization. Our vision is to develop an industry-leading group retiree health care ... business by delivering unrivaled value to our plan sponsors...to deliver unparalleled results. We are seeking a Senior Manager , Project Management to join our Strategy, Product and… more
- Medical Mutual of Ohio (OH)
- …We are looking for applicants that have a strong clinical case management background. Medicare experience is a plus. Founded in 1934, Medical Mutual is the oldest ... insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Under limited supervision,… more
- Prime Therapeutics (Columbus, OH)
- …Posting Title** Manager , Compliance - Remote **Job Description** The Compliance Manager works closely with designated business areas, Legal, and other ... response strategies for regulatory changes or new laws/regulations to assist designated business area with regulatory change management efforts + Provide direct,… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- …responsibility specific to the position. Otsuka reserves the right to amend and change responsibilities to meet business and organizational needs as necessary. ... **Position Summary** The Field Reimbursement Manager (FRM) serves as the subject-matter expert on...in rare disease + Strong knowledge of Centers for Medicare & Medicaid Services (CMS) policies and processes, especially… more
- Humana (Columbus, OH)
- …customer, and business requirements where they can lead and manage change , remove roadblocks, and communicate clearly to multiple functional teams across digital ... and help us put health first** The Lead Product Manager conceives of, develops, delivers, and manages products for...portfolio and operations, technical, and business stakeholders. They will need to understand and work… more
- CenterWell (Columbus, OH)
- …of our caring community and help us put health first** The Manager , Specialty Pharmacy Operations collaborates across multiple departments to execute Specialty ... processes, and programs fully support the Specialty Program Strategy. The Manager , Specialty Pharmacy Operations, works within specific guidelines and procedures;… more