- Molina Healthcare (OH)
- …and experience. **PREFERRED EXPERIENCE:** + 5-7 years of product development experience. + Managed Care (specifically Medicaid ) experience. + Experience ... to completion. Plans and manages aspects of the organization's health insurance product development objectives and initiatives across platforms. Plans and… more
- Humana (Columbus, OH)
- …provides support across a broad range of actuarial, managerial, and business needs for Medicaid -specific product lines. The Lead Actuary will serve as a project ... manager in addition to working on problems of diverse...and documentation. The Lead Actuary will be responsible for Medicaid -specific functions such as capitation rate review, drafting rate… more
- Molina Healthcare (OH)
- …with other Core Ops areas of responsibilities) within Medicare and Medicaid . Role is predicated on building relationships with vendors, stakeholders, functional ... Level Agreements between the parties. **Job Duties** + Develops Medicare and Medicaid vendor strategies aligned with CMS and State regulations, including contract… more
- Humana (Columbus, OH)
- …and help us put health first** Humana's Marketing organization is seeking a Lead Product Manager who specializes in Next Best Action (NBA) Decision Engine to ... simple, personalized, and empathetic health experiences. As the Lead Product Manager for the Next Best Action...**Execute & Deliver** + Lead cross-functional squads through agile product development , prioritizing backlog based on business… more
- Datavant (Columbus, OH)
- …life experiences to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Coding Data Integration, you will own the ... and management of client data for MA, ACA, and Medicaid plans, ensuring HIPAA and CMS compliance + **Standard...roles, ideally within healthcare. Must possess strong knowledge of product development practices and SDLC + **Domain… more
- Lundbeck (Cleveland, OH)
- Psychiatry Account Manager - Cleveland West, OH Requisition ID: 6581 Location: Cleveland, OH, US **Territory: Cleveland West, 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
- Deloitte (Cleveland, OH)
- Health Actuary Consulting Manager Human Capital Our Human Capital practice is at the forefront of transforming the nature of work. As converging forces reshape ... on October 31, 2025. Work you'll do As a Manager in Deloitte Human Capital, you will provide strategic...care sector. Deloitte's health actuaries are participating in the development of evidence-based medicine, and the transition of payments… more
- Capgemini (Cincinnati, OH)
- … Manager ** - Markets and Growth portfolio Medicare Advantage/ DSNP/ Medicaid or Exchange program/ product build knowledge (Enrollment, Eligibility, Claims, ... of Pharmacy Benefits Experience in working with Plan and Pharmacy Benefits Manager Setting up Pharmacy call center Pharmacy member materials Provider Materials State… more
- Humana (Columbus, OH)
- …Platform (AEP) and Next Best Action (NBA) execution to join the team as a Senior Product Manager working anywhere in the US. As a Specialist in NBA Execution, ... Optimizer (AJO). You will Lead all phases of the product life cycle, from inception to introduction into the...matching program + Network Resource Groups (NRGs) + Career development opportunities **Our Hiring Process** As part of our… more
- Philips (Orange Village, OH)
- RespirTech's Territory Manager represents the InCourage airway clearance therapy medical device, calling on but not limited to Pulmonologists to support patients ... sales and territory management, inclusive of account management and new business development . + Employing a hunter mentality to identify new opportunities, overcome… more