Medicare Stars Quality Improvement Program Manager Provides subject matter expertise and leadership for Medicare Stars quality improvement (QI) programs and activities. Provides subject matter expertise in planning and implementing QI initiatives and education programs to support improved Medicare Star
Sr Quality Improvement/HEDIS Specialist Molina Healthcare of Ohio is hiring for a Sr Quality Improvement/HEDIS Specialist on our Health Plan Community Interventions team. This role is remote however candidates must live in Ohio. This role is
Medical Director Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people
Job Opportunity At Spieldenner Financial Group Spieldenner Financial Group is part of one of the fastest-growing insurance organizations in the country. Our most important focus areas include getting agents paid quickly, keeping costs minimal, and giving
Project Manager - Mission Critical Data Center Projects Strong communities dont just happen. Theyre thoughtfully planned and future-ready. We bring life to urban downtowns, suburban hubs, small towns, and rural areas through master-planned communities, mixed-use developments,
Client Success Manager Reflect Health is the evolution of S&S Health, a trusted independent third-party administrator founded in 1994 to meet the growing need for access, simplified connectivity, and benefits administration. Headquartered in Mason, OH, we
Pre-Services Coordinator The Christ Hospital Health Network Pre-Services Coordinator provides the highest level of customer service to our patients. This individual understands that this patient interaction often determines the tone for the patients healthcare experience. This
Site Contract Manager We are growing rapidly, and currently seeking a full-time, office or remote-based Site Contract Manager to join our Clinical Operations team (CRO experience required for remote-based). This position will work on a team
Insurance Sales Representative At Allstate, great things happen when our people work together to protect families and their belongings from lifes uncertainties. And for more than 90 years, our innovative drive has kept us a step
Medical Director Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people
Business Development Manager We are seeking a highly driven, hunter-oriented Business Development Manager to aggressively grow our service business with new customers across Food & Beverage, Canning & Container, Intralogistics, and Home & Personal Care markets.
Telehealth Urgent Care Program - National On Call Advanced Practice Clinician $10,000 Sign-on Bonus for External Candidates Telephonic after-hours call - evenings, nights & rotating weekends required Part-time (20 hours) Optum Home & Community Care, part of
Essential Duties and Responsibilities: - Facilitate the development of cross-line-of-business solutions by combining knowledge of business capabilities, value streams, and business processes. Consult with technical subject matter experts to develop technical solutions and advise on options,
Essential Duties and Responsibilities: - Provide support and assistance to contracts department staff by providing administrative support services as required, including proofreading, copying, filing, mail, facsimile transmittal, answering and disseminating incoming calls and messages. - Assist
Essential Duties and Responsibilities: - Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data. - Enter coded data into a system accurately
Essential Duties and Responsibilities: - Supervise the work of call center staff to ensure adherence to quality standards, deadlines, and proper procedures, correcting errors or problems as needed - Interview and recommend hiring and promotion of
Essential Duties and Responsibilities: - Supervise the work of call center staff to ensure adherence to quality standards, deadlines, and proper procedures, correcting errors or problems as needed - Interview and recommend hiring and promotion of
Essential Duties and Responsibilities: - Provide feedback regarding the design, development and distribution of training programs and materials as needed. - Conduct, plan, and coordinate training to a variety of audiences. - Coordinate logistics for instruction events,
Essential Duties and Responsibilities: - Build and maintain knowledge base in SharePoint. - Build document management processes and procedures. - Assess knowledge base needs, inaccuracies, gaps; work quickly to resolve and make content current. - Work
Essential Duties and Responsibilities: - Responsible for completing medical and/or behavioral health assessments within contract requirements - Conducts on-site, video call and/or telephonic assessments to determine an individuals needs for services and supports, eligibility, level of