- Molina Healthcare (Dayton, OH)
- …payment integrity and other cost recovery processes + Direct PM experience in Managed Care Operations (claims, system configuration, provider data management ... + 3-5 years in Managed Care with emphasis on Managed Care Operations **Preferred License, Certification, Association** + PMP, CAPM, PMI-ACP, PMI-PBA… more
- Molina Healthcare (Cleveland, OH)
- …Qualifications** + At least 6 years of experience in previous roles in a managed care organization, health insurance or directly adjacent field, or equivalent ... + Provides status and updates to health plan/product team partners, senior management and stakeholders. + Communicates requirement interpretations and changes to… more
- Molina Healthcare (Akron, OH)
- …+ 3 - 5 years customer service, provider service, or claims experience in a managed care setting. + 3-5 years' experience in managed healthcare ... DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network adequacy and… more
- Oracle (Columbus, OH)
- …Service with OpenSearch is an insight engine offered as an Oracle managed service. Without any downtime, Oracle automates patching, updating, upgrading, backing up, ... real time. We are looking for a highly skilled Senior Software Developer to join our team of talented...solutions, while following best practices in development, testing and Operations . You should thrive in a collaborative, hybrid, and… more
- Humana (Columbus, OH)
- …the IHWA Follow-up Senior Program Delivery Professional, will support IHWA Care Management Referrals as back-up for daily operations responsible for ensuring ... and help us put health first** The IHWA Follow-up Senior Program Delivery Professional provides daily operational support to...or IHWA experience + Knowledge and experience in health care environment/ managed care **Additional Information**… more
- Humana (Columbus, OH)
- …us put health first** This role supports Medicaid state reporting initiatives for its managed care operations across multiple states. This role ensures ... reporting logic + Exposure to CMS reporting standards + Experience with Medicaid managed care organizations + Prior experience supporting Medicaid contracts +… more
- Molina Healthcare (Cincinnati, OH)
- …+ Proven experience handling provider disputes, appeals, and overpayment recoveries in a managed care or payer environment. + In-depth knowledge of medical and ... **JOB DESCRIPTION** **Job Summary** Provides senior level support for accurate and timely intake...4 years of experience in previous roles in a managed care organization, health insurance or directly… more
- Oracle (Columbus, OH)
- …/ Apparel, Footwear, & Accessories** **Why NetSuite ACS?** If you are a senior -level Retail NetSuite consultant who is looking to thrive in a fast-growing ... you with a complex array of modules, customizations, and integrations. The Senior Principal Consultant will join a cross-functional team focused on selling and… more
- Oracle (Columbus, OH)
- …manage our Critical Cloud Infrastructure deployments, Region Build Outs, Security Operations and monitoring of Data Intelligence Service applications. In this ... preproduction environments, process improvements, and collaborate with development and operations team to improve overall service efficiency, speed up deployments… more
- Oracle (Columbus, OH)
- …Support / Managed Services, Oracle | NetSuite** If you're a senior -level NetSuite consultant with experience in the Wholesale Distribution industry, and you want ... **Responsibilities displayed in the job posting** The Advanced Customer Support / Managed Services team of Oracle NetSuite Professional Services is seeking a Sr… more