- Medical Mutual of Ohio (OH)
- …responsible for leading the implementation and day-to-day management of Medical Mutual's Medicare Compliance Program, which supports both Medicare Advantage ... **Responsibilities:** + Manages the implementation and operation of the Medical Mutual Medicare Compliance Program. + Serves as Medical Mutual's Medicare … more
- OhioHealth (Columbus, OH)
- …Description 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… more
- Cardinal Health (Columbus, OH)
- …trains employees across the organization, and conducts investigations to resolve ethics and compliance issues. ** Compliance Audit Manager ** Reporting to the ... the annual enterprise risk assessment and audit and monitoring plan. The Manager has supervisory responsibility for all Compliance Audit staff.… more
- Humana (Columbus, OH)
- …for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager , Medicare Sales, motivates and drives a team of Medicare ... and train a team of sales individuals. The Senior Manager , Medicare Sales, must have a solid...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Humana (Dayton, OH)
- …health first** Humana Healthy Horizons in Ohio is seeking a RN Field Care Manager 2 with Maternity, L&D, Mother Baby expertise. They will assess and evaluate ... member's needs to achieve and/or maintain optimal wellness. The Field Care Manager will connect members/families with resources appropriate for their care and… more
- Humana (Columbus, OH)
- …of the business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess Medicare , Medicaid, and/or and Group ... community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies,...advanced communication and interpersonal skills. This is a very compliance driven and highly visible program at Humana. The… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …models. The Manager is accountable for the successful execution and compliance of assigned value-based payment programs, serving as the subject matter expert and ... Function/General Purpose of Position** Reporting to the System Director, the Manager of Government Payment Programs provides operational leadership and oversight of… more
- Gentiva (Dayton, OH)
- …care, and developing staff to uphold the highest standards of patient care and regulatory compliance . **As a Hospice Patient Care Manager , You Will:** + O versee ... + Demonstrated ability to apply hospice principles, industry standards, and regulatory compliance ( Medicare , Medicaid, JCAHO, ACHC) + Knowledge and compassion… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …operational excellence. **Primary Function/General Purpose of Position** The Program Manager , Population Health Finance & Performance Analytics provides centralized ... key member of the Population Health finance analytics team, the Program Manager delivers data-driven insights that enable leadership to make informed decisions that… more
- Cognizant (Columbus, OH)
- …and member onboarding for individual, group, and government-sponsored health plans ( Medicare , Medicaid, ACA), ensuring compliance with CMS, ACA, and ... **Product Owner Health Sciences, Consulting Manager ** **About the Role:** As a Product Owner...team and work collaboratively with business stakeholders, sales, marketing, compliance , IT, and clients. **In this role, you will:**… more