• Managed Care Liaison

    Premier Health (Dayton, OH)
    care contracts for Premier Health hospitals and physician organizations. The Liaison interprets and researches managed care contract language and ... 110 N MAIN STREET DAYTON, OH 45402 DEPT: MANAGED CARE CONTRACTING Full-Time / DAY...financial analysis utilizing various and complex data sources. The Liaison t works with internal stakeholders and external payor… more
    Premier Health (07/02/25)
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  • Mount Carmel Home Care : Home Care

    Trinity Health (Columbus, OH)
    …critical thinking and problem-solving abilities + Familiarity with Medicare regulations and managed care systems + Proficiency in multitasking across various ... Part time **Shift:** Day Shift **Description:** As a Home Care Coordinator at Trinity Health at Home and Mount...at Trinity Health at Home and Mount Carmel Home Care , you'll deliver exceptional, compassionate care to… more
    Trinity Health (07/22/25)
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  • Field Director, Medical Science Liaison

    Grifols Shared Services North America, Inc (Cincinnati, OH)
    …presentations to appropriate groups such as the following: key accounts, managed care organizations, integrated systems, national medical associations, and ... more years of pharmaceutical industry experience as a field-based medical science liaison . + Experience developing and executing Key Opinion Leader territory plans,… more
    Grifols Shared Services North America, Inc (07/24/25)
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  • Care Management Support Lead

    Humana (Columbus, OH)
    …of clinical experience, to include a combination of Utilization Management Case Management, and Managed Care . + 2+ years of leadership experience. + Knowledge of ... of our caring community and help us put health first** The Care Management Liaison shall have responsibility for coordinating with and bridging gaps between the… more
    Humana (07/29/25)
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  • Public Health Physician (Primary Care )

    City of Cincinnati (Cincinnati, OH)
    …budgetary requirements. Interfaces with prepaid medial insurance plans and other health care providers in providing managed care . Probationary Period ... PUBLIC HEALTH PHYSICIAN (Primary Care ) Print (https://www.governmentjobs.com/careers/cincinnati/jobs/newprint/4742711) Apply  PUBLIC HEALTH PHYSICIAN (Primary … more
    City of Cincinnati (06/06/25)
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  • Director, Operational Oversight - Medicare…

    Molina Healthcare (Columbus, OH)
    …such as oversight, audit, etc. **Required Experience** * 7 years of managed care experience (Regulatory and Compliance) * Previous management experience ... Master's Degree in Healthcare Administration **Preferred Experience** + 10 years of managed care experience (Regulatory and Compliance) + Previous management… more
    Molina Healthcare (07/19/25)
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  • Credentialing Program Manager

    OhioHealth (Marion, OH)
    …**Additional Job Description:** **degree and two years' experience in the healthcare, managed care , credentialing or medical staff services field or equivalent ... identified in provider applications and may act as a liaison to state medical licensure boards. The Credentialing Program...combination of education and 7+ years' experience in healthcare, managed care , credentialing or medical staff services… more
    OhioHealth (07/02/25)
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  • Medical Director (Marketplace)

    Molina Healthcare (Dayton, OH)
    …guidelines. + Experience in Utilization/Quality Program management + HMO/ Managed care experience **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** ... **JOB DESCRIPTION** **Job Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and… more
    Molina Healthcare (06/29/25)
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  • VP, Network Mgmt & Ops (Ohio Health Plan)

    Molina Healthcare (Dayton, OH)
    …**Required Experience** + 10+ years progressive experience in Healthcare Administration, Managed Care and/or Provider Services. + Experience managing employees. ... Administration, or related field. **Preferred Experience** Experience with Medicaid and Medicare managed care plans. \#PJHPO \#LI-AC1 To all current Molina… more
    Molina Healthcare (07/23/25)
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  • Manager, SAP COE , Application Development…

    Cardinal Health (Dublin, OH)
    …company connecting patients, providers, payers, pharmacists and manufacturers for integrated care coordination and better patient management. Backed by nearly 100 ... downstream processes or applications. + Act as the primary liaison between IT, business stakeholders, and external support vendors...run partners supporting the platform. + Work with the managed service partner to ensure SLAs and KPIs are… more
    Cardinal Health (06/27/25)
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