- Molina Healthcare (OH)
- …Enrollment activities (along with other Core Ops areas of responsibilities) within Medicare and Medicaid. Role is predicated on building relationships with vendors, ... the Service Level Agreements between the parties. **Job Duties** + Develops Medicare and Medicaid vendor strategies aligned with CMS and State regulations, including… more
- Elevance Health (Independence, OH)
- …but are not limited to: + Provides analytical insights to support business solution development for Medicare and ACA risk adjustment initiatives. + Analyzes and ... ** Medicare Risk Adjustment Advanced Analytics Consultant** **On-Site Requirement:...or customer segmentation based on analytical insights, clinical inputs, product design and operations considerations. + Develops predictive models… more
- CVS Health (Columbus, OH)
- … Manager (109), Product Owner (PO) is responsible for leading the Medicare innovation product development for the Grievance & Appeals (G&A) ... product vision and translates it for the product development team. They are responsible for...Roadmaps (10%) + Develop a deep understanding of the Medicare innovation strategy and initiatives + Provides clarity of… more
- Humana (Columbus, OH)
- …sales distribution of Humana's Insurance Products, is currently seeking an experienced Senior Product Manager with technical expertise to join our team focused ... including, but not limited to acting as both a Product Manager and a Product ...+ Manage vendor relationships and third-party partnerships to support product development and delivery + Work closely… more
- Datavant (Columbus, OH)
- …experiences to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Analytics Products, you will contribute to the ... requirements, working closely with Engineering, Data, and Clinical stakeholders. + Lead product development cycles from ideation to release, ensuring delivery of… more
- Humana (Columbus, OH)
- …and help us put health first** We're seeking a strategic, results-driven Lead Product Manager to design and deliver innovative clinical solutions that improve ... such as: user research and concept testing, opportunity sizing and business case development , product blueprints, training development and ability to de-risk… more
- Medical Mutual of Ohio (Brooklyn, OH)
- … Medicare Supplement, and individual plans. **Responsibilities** **PMO Project Manager I** Assists in leading enterprise projects and teams in compliance ... of project communications and work with project sponsors or product owners to resolve issues, address changes and identify...other duties as assigned. . Continuous Education and Staff Development . **PMO Sr Project Manager ** Manages enterprise… more
- CVS Health (Columbus, OH)
- …of high quality care to the Medicare population. As a Senior Technical Product Manager , you will be responsible for driving the strategic direction of our ... planning, execution and on time delivery of multiple individual product initiatives within a single agile team. + Partner...Someone who actively seeks out new opportunities for knowledge development and growth, and knows how to ask the… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- **Position Summary** The Field Reimbursement Manager (FRM) serves as the subject-matter expert on reimbursement, access, and coverage issues for our products, ... and coding requirements + Analyze payer criteria and provide product access expertise to healthcare offices + Coordinate with...in rare disease + Strong knowledge of Centers for Medicare & Medicaid Services (CMS) policies and processes, especially… more
- Lundbeck (Columbus, OH)
- Psychiatry Account Manager - Columbus East, OH Requisition ID: 6704 Location: Columbus, OH, US **Territory: Columbus East, OH - Psychiatry** Target city for ... on our journey of growth! As a Psychiatry Account Manager , you lead the promotion of our psychiatry portfolio,...commitment to action to drive changes in behavior. **Customer Development ** - Build and maintain productive internal and external… more
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