US - WV - Charleston
July 12, 2024
Job Summary: • The Director, Provider Contracting executes contracting strategy, develops provisions based on cost, quality/analysis and monitors key metrics. • Essential Functions: • Conduct annual effectiveness review of contracting strategies; ensure corporate compliance with all...
US - OH - Dayton
July 29, 2024
Job Summary: • The Manager, Compliance Regulatory Distribution Management serves as the leader, subject matter expert of the Medicaid compliance regulatory distribution management team. • Essential Functions: • • Leads the overall process, reporting, training and team for the Medicaid regulatory...
US - OH - Dayton
July 24, 2024
Job Summary: • The Manager, Claims Performance Solutions provides leadership and direction to ensure the goals and strategies of the department are successfully achieved • Essential Functions: • Develop metrics and leading indicators to measure technical results and create/execute action plans as...
US - OH - Dayton
July 29, 2024
Job Summary: • The Medicare Sales Representative II is responsible for supporting the sales strategy and enrollment goals in collaboration with management to ensure goals are successfully achieved for the Medicare Advantage product line within an assigned territory and consistent with state and...
US - OH - Columbus
July 15, 2024
The Investment Accountant III is responsible for performing the day-to-day accounting functions related to investment portfolios, with a focus on ensuring accurate and timely reporting of the investing activity in compliance with Generally Accepted Accounting Principles (GAAP), Statutory Accounting...
US - WV - Charleston
July 29, 2024
This is Data Engineering with Purpose ! Bring your strong ETL and architecture skills to our state-of-the-art Databricks platform and join us as we change lives- together ! This role focuses upon financial subjects within the health insurance industry: • Claims, membership, eligibility, and...
US - OH - Ohio City
July 18, 2024
This is Data Engineering with Purpose ! Bring your strong ETL and architecture skills to our state-of-the-art Databricks platform and join us as we change lives- together ! This role focuses upon clinical subjects within the health insurance industry: • member conditions, social determinants of...
US - OH - Dayton
July 29, 2024
Job Summary: The Senior Manager, Finance - Cost Reporting is responsible for oversight of the cost reporting process, including, but not limited to data management, coding, encounter reconciliation, financial report reconciliation, and coordination with other finance teams. There is a strong focus...