- Molina Healthcare (OH)
- …and Enrollment activities (along with other Core Ops areas of responsibilities) within Medicare and Medicaid . Role is predicated on building relationships with ... Service Level Agreements between the parties. **Job Duties** + Develops Medicare and Medicaid vendor strategies aligned with CMS and State regulations, including… more
- Molina Healthcare (Cleveland, OH)
- …annually or as directed by the Center for Medicare and Medicaid . + Responsible for development , implementation, and maintenance of department strategic ... benefits, operations, communication, reporting, and data exchange of the Medicare product in support of strategic and...updates annually or as directed by the Centers for Medicare and Medicaid Services. + Establishes non-contracted… more
- Humana (Columbus, OH)
- …value of product created by an Agile team. Liaises with stakeholders and the development team ensuring the right product is being built, in the right order, ... community and help us put health first** The Senior Product Owner is responsible for conveying product ... Owner role. + Experience in Health insurance industry ( Medicaid , Medicare , Specialty etc.). + Experience in… more
- Datavant (Columbus, OH)
- …outcomes, measure product impact, and support value-based client delivery across Medicare Advantage, ACA, and Medicaid programs. The ideal candidate combines ... working closely with Engineering, Data, and Clinical stakeholders. + Lead product development cycles from ideation to release, ensuring delivery of high-impact… more
- Humana (Columbus, OH)
- …such as: user research and concept testing, opportunity sizing and business case development , product blueprints, training development and ability to de-risk ... to: user research and concept testing, opportunity sizing and/or business case development , product blueprints, data and/or technology requirements, and ability… more
- Drips (OH)
- …offerings into clear, differentiated market positioning. You will own the product marketing lifecycle-from value proposition development and market messaging ... delivery model into pipeline and revenue. Key Responsibilities: + Product Marketing (Primary Focus) + Lead the development...+ Familiarity with CMS quality programs, member engagement, or Medicaid / Medicare operations About Drips Drips is a… more
- Humana (Columbus, OH)
- …across the Medicaid segment to meet compliance requirements and optimize Medicaid product data analytics capabilities + Approach problems with curiosity, ... opportunities and works across the Company to set actionable product strategy and accelerate development of novel...analysis + 3+ years of health care experience for Medicare and/or Medicaid populations + Proven experience… more
- CVS Health (Columbus, OH)
- …to specifications and within budgeted costs. + Apply advanced knowledge of the Medicare and Medicaid regulatory landscape to ensure program compliance with ... In this role you will be engaged in the development of products, monitor and analyze financial performance, support...**Required Qualifications** + 5 plus years of experience with Medicare and/or Medicaid programs in leadership roles… more
- Prime Therapeutics (Columbus, OH)
- …and lines of business (Employer Markets, Health Insurance Marketplace (HIM), Commercial, Medicare , and Medicaid ). This individual is the primary relationship and ... + Lead retention efforts for Employer Markets, Health Insurance Marketplace, Commercial, Medicare , and Medicaid health plan clients; drive the adoption and… more
- CenterWell (Columbus, OH)
- …the CenterWell ACO and Medicare payment model programs via the Center for Medicare and Medicaid Services (CMS), such as ACO REACH, MSSP, and future models. ... in-depth understanding of the healthcare industry, including value-based care, Medicare , population health, Accountable Care Organizations (ACOs), medical group… more
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