- Prime Therapeutics (Columbus, OH)
- …every decision we make. **Job Posting Title** VP Government Programs - Medicare & Managed Medicaid (REMOTE) **Job Description** The Vice President Government ... Programs - Medicare & Managed Medicaid is responsible for the development,...exceeded; instill a culture of compliance, accountability, and superior service within the Government Programs organization; establish team level… more
- National Youth Advocate Program (Columbus, OH)
- …to: + Perform all work in a manner consistent with the National Youth Advocate Program's mission, values, and philosophies. + Ensure all new providers hired are ... profiles are update timely and accurate for CAQH, PECOS, NPPES, PNM, Medicare , and Commercial databases. + Report any issues related to credentialing/contracting to… more
- Trinity Health (Columbus, OH)
- …time **Shift:** Day Shift **Description:** Why MediGold? MediGold is a not-for-profit Medicare Advantage insurance plan serving seniors and other Medicare ... across the United States. We're dedicated to providing excellent customer service , cost-effective care, and exceptional healthcare coverage. We rely on talented… more
- Bon Secours Mercy Health (Lima, OH)
- …Revises intervention strategies and discharge plan as necessary; Identify barriers in service delivery systems and advocate for change; Evaluate patient outcomes ... with patient management activities both in hospital and community systems to advocate for cost containment without jeopardizing patient quality efforts. + Completes… more
- Bon Secours Mercy Health (Youngstown, OH)
- …Revises intervention strategies and discharge plan as necessary; Identifies barriers in service delivery systems and advocate for change; Evaluates patient ... patient management activities both in hospital and community systems to advocate for cost containment without jeopardizing patient quality efforts; Completes initial… more
- Molina Healthcare (Akron, OH)
- …Molina healthcare policies and procedures while achieving the highest level of customer service . **Job Duties** This role serves as the primary point of contact ... that services Molina members, including but not limited to Fee-For- Service and Pay for Performance Providers. It is an...works directly with the Plan's external providers to educate, advocate and engage as valuable partners, ensuring knowledge of… more
- Humana (Columbus, OH)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... adhere to CMS mandates and NCQA standards. + **Technical debt management:** Advocate for the resolution of technical debt and architectural improvements, balancing… more
- Humana (Columbus, OH)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... enablement, and ensuring alignment with organizational goals. + Business Influence- Advocate for evidence-based decision making, using research to guide business… more
- Humana (Columbus, OH)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... continuously drive and improve content, navigation, and site architecture. + Advocate for user privacy, security, and transparency throughout the product lifecycle.… more
- Greene County Public Library (Xenia, OH)
- …completes other projects as assigned. + Represents the Library and serves as an advocate for youth to community agencies and organizations. Acts as a liaison with ... and educators. + Provides reference services and reader's advisory service to the public and conducts necessary research in...library contributes a percentage of the employee's salary for Medicare + Vacation (20 days per year) + Sick… more
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