Healthcare Administration Intern Care Alliance Health CenterHealthcare Administration InternCleveland, OHCare Alliance Health Center is seeking a motivated Healthcare Administration Intern to support key initiatives across our Quality and Operations departments while learning the inner workings of a Federally Qualified Health Center (FQHC). This unpaid summer internship offers valuable exposure to healthcare quality programs, performance improvement initiatives, operational project management, and the EPIC electronic health record (EHR) system.
Part-Time Faculty - School of Allied Health - Healthcare Administration Courses University of AkronPart-Time Faculty - School of Allied Health - Healthcare Administration CoursesAkron, OHThe University of Akron's School of Allied Health seeks to hire part-time faculty to teach a variety of Health Care Administration courses (face to face and online). Preferred Qualifications: A minimum of 2 years prior teaching experience, experience teaching face to face and/or online courses.
Healthcare Provider, Business Operations - Senior Manager PricewaterhouseCoopers LLPHealthcare Provider, Business Operations - Senior ManagerOH$124,000–$280,000 / yearAs a Senior Manager, you will play a significant leadership role within our Provider Business Operations team, helping healthcare providers execute large, tech-enabled transformation programs for healthcare providers. Shape solution design and transformation strategies across multiple healthcare administrative domains (e.g., finance, HR, supply chain), leveraging deep expertise and a strong understanding of provider operations, business case development, and process improvement.
Provider Contracting Advisor- Cigna Healthcare - Cleveland, OH The Cigna GroupProvider Contracting Advisor- Cigna Healthcare - Cleveland, OHOH$71,400–$119,000 / yearWork closely with a variety of internal and external individuals to accomplish your goals, including your Manager, Provider Service, Provider Data Management, Fee Schedule Management, Regional Director, Legal, Network Analytics, Compliance and Sales. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Adjunct Faculty - Healthcare Management Herzing UniversityAdjunct Faculty - Healthcare ManagementOHCurrent staff, faculty/adjunct at Herzing University: log into UKG and navigate to Menu > Myself > My Company > View Opportunities to apply using the internal application process. It provides an inclusive and collegial community where individuals are valued, heard and empowered to contribute to the effectiveness of the institution.
Credit Associate (Primarily Underwriting Small Business Administration Guaranteed Loans) KeyCorpCredit Associate (Primarily Underwriting Small Business Administration Guaranteed Loans)Brooklyn, OH$63,000–$96,000 / yearBGPM is responsible for underwriting new loan opportunities and managing a portfolio of loans in the following industry and business segments: Energy, Leveraged Finance, Healthcare, Asset Based Lending, Diversified, Middle Market (including Agribusiness), Business Banking, Private Banking, Small Business and SBA. General Office - Prolonged sitting, ability to communicate face to face in person or on the phone with teammates and clients, frequent use of PC/laptop, occasional lifting/pushing/pulling of backpacks, computer bags up to 10 lbs.
Director Nursing Surgical Administration Akron Children's HospitalDirector Nursing Surgical AdministrationAkron, OHSummary: The Director of Nursing and Clinical Operations assumes administrative, clinical and financial responsibility for nursing practice, operational oversight and administration of the assigned patient care units, clinical departments, outpatient services and clinics, and associated provider practices. 12.Demonstrates the knowledge and skills necessary to provide care for the physical, psychological, social, educational, and safety needs of the patients served regardless of age.
Hemophilia Account Executive- Paragon Healthcare - Ohio, Indiana, Illinois Elevance Health IncHemophilia Account Executive- Paragon Healthcare - Ohio, Indiana, IllinoisAkron, OHA proud member of the Elevance Health family of companies, Paragon Healthcare brings over 20 years in providing life-saving and life-giving infusible and injectable drug therapies through our specialty pharmacies, our infusion centers, and the home setting. How you will make an impact: Builds and maintains relationships with key customers of specific line of business which may include physicians, urgent care, infusion clinics, hospitals, skilled nursing centers, and payors.
Technical Business Analyst - Healthcare Billing Quadax Careers & CultureTechnical Business Analyst - Healthcare BillingMiddleburg Heights, OhioThis role will serve as a critical link between business stakeholders and IT, ensuring that billing processes are optimized, compliant, and aligned with organizational goals. We are seeking a detail-oriented and technically proficient Technical Business Analyst with expertise in healthcare billing systems to join our team.
NewHealthcare Interior Designer DLR GroupHealthcare Interior DesignerCleveland, OHYou''ll also coordinate the design and technical development of interior aspects of projects, working closely with the integrated design team to deliver high-quality work that meets project scope, schedule, budget, and fee requirements. Industry thought leaders guide our practice and work closely with our clients to ensure that design aspirations align with clinical needs, funding priorities, and the well-being of the communities served.
Clinical Systems and Operations Analyst - Nursing Administration SummaCare IncClinical Systems and Operations Analyst - Nursing AdministrationAkron, OH$30.91–$46.36 / hourExceptional candidates gravitate to Summa because of its culture, passion for delivering excellent service to our patients and families commitment to our philosophy of servant leadership, collegial working relationships at every level of the organization and competitive pay and benefits. Serves as a strategic partner to clinical, operational, and executive leadership by leveraging data analytics, workflow redesign, and system enhancements to drive efficiency, patient safety, and regulatory compliance.
Security Shift Supervisor - Healthcare Allied UniversalSecurity Shift Supervisor - HealthcareLakewood, OHQualifications/Requirements: At least 18 years of age Possess a high school diploma or equivalent, or 5 years verifiable experience Must possess effective written and oral communication and interpersonal skills with ability to deal with all levels of personnel and the general public in a professional and effective manner; must be able to use initiative and independent judgment within established guidelines Must be able to frequently prepare written reports and logs in neat, legible handwriting; Must be able to read and understand all operating procedures and instructions Licensing requirements are subject to state and/or local laws and regulations and may be required prior to employment. Driving Positions: must possess a valid Drivers License with at least one year of driving experience, a clean driving record (no major violations within last 36 months, no more than 1 accident in last 24 months, no more than one minor moving violation in last 24 months), a minimum level of insurance as required by Company policy, and the ability to safely operate a vehicle required.
Technology Project Designer - Mission Critical & Healthcare IMEG CorpTechnology Project Designer - Mission Critical & HealthcareCleveland, OH$86,000–$120,000 / yearStrong technical and analytical skills including proficiency of principles relating to electrical voltage and current, digital and analog signals, basic IT networking topologies and protocols, as it relates to electrical low-voltage systems design for buildings. You'll collaborate with engineers and consultants to deliver engineering solutions and client guidance for building technology systems, including ICT, low-voltage, communications, security, and related technology infrastructure.
Healthcare Payer Enrollment Coordinator Quadax Careers & CultureHealthcare Payer Enrollment CoordinatorMiddleburg Heights, OhioProactively assess electronic claim and remittance setup opportunities across the RCS customer base, executing upon immediate opportunities as warranted through collaboration with Client Service and Production Operations, while further advancing RCS electronic interests with the Company’s EDI division. The role is part of a tactical team that maintains a strong knowledge of the Company’s complete claim, remittance, eligibility, and claim status capabilities, ensuring each is effectively deployed, maintained and supported across the RCS customer base for operational and reimbursement efficiency.
Healthcare Life Science Veeva CRM Senior Consultant Deloitte Touche Tohmatsu LtdHealthcare Life Science Veeva CRM Senior ConsultantOH$110,700–$218,300 / yearPreferred: At least 2 years of experience utilizing the full suite of Veeva CRM capabilities, serving various Life Sciences personas (e.g., Field Sales, Key Account Management, Medical Science Liaisons, Field Reimbursement Managers). Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities.
Commercial & Healthcare Regulatory Counsel Alto IncCommercial & Healthcare Regulatory CounselOHRemote$135,000–$185,000 / yearPhysical requirements for this role include the ability to work at a computer terminal with monitor, keyboard and mouse for extended periods of time, stoop, bend, and reach for equipment and supplies, make frequent repetitive motions required to operate a computer that include the wrists, hands and fingers, and lift, carry, push, pull, and move light objects up to 20 pounds. Issue-spot and provide practical guidance on applicable laws and regulations, such as the Anti-Kickback Statute (AKS), Stark Law, False Claims Act, FDA/DEA requirements relevant to pharmacy and telehealth operations, state pharmacy/professional licensing, PBM contracting/network participation, and HIPAA/HITECH.
Development Manager - Healthcare Technology MaximusDevelopment Manager - Healthcare TechnologyCleveland, OHFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. - Drive all aspects of engineering recruiting including but not limited to; attracting great talent and retaining a highly skilled, proficient engineering team.
Lead Director, Healthcare Medicaid Risk Adjustment Analytics CVS Health CorpLead Director, Healthcare Medicaid Risk Adjustment AnalyticsOH$100,000–$231,540 / yearThe Lead Director should also demonstrate leadership in innovation and adoption of modern technologies, data platforms, machine learning, process automation, AI, and data science for optimized insights, workflows, reporting, and process controls. This senior-level role will provide strategic and operational leadership for all Medicaid risk adjustment analytics, reporting, and informatics functions to ensure complete, accurate, and compliant revenue capture.
Technical Business Analyst - Healthcare Billing Quadax, Inc.Technical Business Analyst - Healthcare BillingMiddleburg Heights, OH$85,000–$95,000 / yearPart timeThis role will serve as a critical link between business stakeholders and IT, ensuring that billing processes are optimized, compliant, and aligned with organizational goals. We are seeking a detail-oriented and technically proficient Technical Business Analyst with expertise in healthcare billing systems to join our team.
Healthcare Payer Enrollment Coordinator Quadax, Inc.Healthcare Payer Enrollment CoordinatorMiddleburg Heights, OH$60,000–$70,000 / yearPart timeProactively assess electronic claim and remittance setup opportunities across the RCS customer base, executing upon immediate opportunities as warranted through collaboration with Client Service and Production Operations, while further advancing RCS electronic interests with the Company’s EDI division. The role is part of a tactical team that maintains a strong knowledge of the Company’s complete claim, remittance, eligibility, and claim status capabilities, ensuring each is effectively deployed, maintained and supported across the RCS customer base for operational and reimbursement efficiency.
Healthcare Financial/Actuarial Director Willis Towers Watson PLCHealthcare Financial/Actuarial DirectorCleveland, OH$115,000–$160,000 / yearWTW provides a competitive benefit package which includes the following (eligibility requirements apply): Health and Welfare Benefits: Medical (including prescription coverage), Dental, Vision, Health Savings Account, Commuter Account, Health Care and Dependent Care Flexible Spending Accounts, Group Accident, Group Critical Illness, Life Insurance, AD&D, Group Legal, Identify Theft Protection, Wellbeing Program and Work/Life Resources (including Employee Assistance Program). Guides teams on cost avoidance, risk and funding strategies and deliverables based on client need Provides leadership to more junior colleagues on FAA concepts, strategies and tools.
Healthcare Administrative Assistant Wisen HRHealthcare Administrative AssistantCleveland, OhioJob Overview : Job Overview : The Healthcare Administrative Assistant provides essential administrative support in a medical office or clinic setting. This role includes tasks such as scheduling appointments, managing patient records, and assisting with billing and insurance claims.
Allied Healthcare Recruiter Cross Country Healthcare IncAllied Healthcare RecruiterOHDevelop strategies to pursue new avenues for recruiting candidates; utilize a variety of tools (i.e., email campaigns, social media) to establish relationships and expand candidates. Recognized as a Top Place to Work by U.S. News & World Report and a Most Loved Workplace by Newsweek, Cross Country is committed to quality and excellence in everything we deliver.
RN Clinical Services Group Manager Becton Dickinson and CoRN Clinical Services Group ManagerCleveland, OHBachelor's Degree in Healthcare Administration, Nursing, or related field, with 8 years of previous related experience with direct healthcare management of large clinical organizations required. USA DC - Washington, DC, USA FL - Miami, USA MO - St Louis, USA MT - Bozeman, USA OH - Cleveland, USA TX - Austin, USA TX - San Antonio, USA UT - Salt Lake City, USA WA - Seattle.
Senior Account Manager, Client Services UnitedHealth Group IncSenior Account Manager, Client ServicesCleveland, OHRemote$72,800–$130,000 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. Primary Responsibilities: Analyze risk pool and/or provider group performance to determine areas of focus or improvement opportunities, to include performing analysis of financial statements and other metric-related reports to determine areas of focus or improvement opportunities.
DSNP Account Manager (CLEVELAND, OHIO) CareSourceDSNP Account Manager (CLEVELAND, OHIO)Cleveland, OH$83,000–$132,800 / yearThis role builds trusted provider relationships through regular on‑site engagement, education, and issue resolution while identifying operational, clinical, and administrative barriers impacting DSNP members to drive program alignment, improve provider experience and member outcomes, and inform DSNP product and operational strategy through structured field feedback. The DSNP Account Manager serves as the primary field-based liaison between the organization and DSNP‑participating providers, nursing facilities, and long‑term care partners, acting as the local subject matter expert for DSNP programs.
NewSenior Account Manager, Client Services UnitedHealthcare At HomeSenior Account Manager, Client ServicesCleveland, OHRemote$72,800–$130,000 / yearDevelop business strategies in line with company strategic initiativesEngage provider staff and providers in analysis and evaluation of functional models and process improvements; identify dependencies and prioritiesEvaluate and drive processes, provider relationships and implementation plansProduce, publish and distribute scheduled and ad-hoc client and operational reports relating to the development and performance of productsCollaborate with other Client Services leads to foster teamwork and build consistency throughout the marketServes as a liaison to the health plan and all customersRequires strong presentation skills, problem solving and ability to manage conflict and identify resolutions quicklyAbility to communicate well with physicians, staff and internal departmentsYou'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. This position will organize and assist assigned provider groups and/or financial pools, as well as fellow account managers, in achieving short and long term operational/strategic business goals/ by developing, enhancing and maintaining operational information and models.
ezICHRA Customer Success Manager OswaldezICHRA Customer Success ManagerRichfield, OhioRenewal & Retention: Manage the renewal process with customers, including collaboration with the ezICHRA Analyst team ensuring ICHRA contributions are updated within the customer’s ezICHRA Platform Tech and proactively preparing customers for annual renewals. Collaboration with Cross-Functional Teams: Work closely with Sales, ezICHRA Platform Tech, Analyst, Marketing, and Compliance teams to relay customer feedback, recommend improvements, and ensure the delivery of exceptional customer experience.
LTSS Service Coordinator (Case Manager) Elevance Health IncLTSS Service Coordinator (Case Manager)OH$26.19–$32.75 / hourUses tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for high-risk complications, addresses gaps in care) and coordinates those member's cases (serving as the single point of contact) with the clinical healthcare management and interdisciplinary team in order to provide care coordination support. The MyCare Ohio health plan is to deliver high‐quality, trauma informed, culturally competent, person‐centered coordination for all members that addresses physical health, behavioral health, long term services and supports, and psychosocial needs.
NewRespite Care Manager St. Vincent Charity Medical CenterRespite Care ManagerCleveland, OH$60,000–$70,000 / yearThe role works closely with nursing, case management, residential staff, and community partners to ensure residents receive timely access to medical respite services and coordinated transitions to housing, healthcare, and community supports. The RCM serves as the primary point of contact for referral partners, hospitals, health systems, shelters, outreach teams, and community providers while maintaining oversight of census management, waitlists, resident flow, and program utilization.
Vendor Manager Alto IncVendor ManagerOHRemote$108,000–$135,000 / yearPhysical requirements for this role include the ability to work at a computer terminal with monitor, keyboard and mouse for extended periods of time, stoop, bend, and reach for equipment and supplies, make frequent repetitive motions required to operate a computer that include the wrists, hands and fingers, and lift, carry, push, pull, and move light objects up to 20 pounds. You'll be managing a broad portfolio of technology and services vendors across our five entities, driving governance into an estimated $10-15M of currently unmanaged spend, and working directly with Legal, Finance, Compliance, Security, and business leadership to make sure our vendor relationships are structured, compliant, and delivering value.
NewRespite Care Manager Sisters of Charity Health SystemRespite Care ManagerCleveland, OhioThe role works closely with nursing, case management, residential staff, and community partners to ensure residents receive timely access to medical respite services and coordinated transitions to housing, healthcare, and community supports. The RCM serves as the primary point of contact for referral partners, hospitals, health systems, shelters, outreach teams, and community providers while maintaining oversight of census management, waitlists, resident flow, and program utilization.
Manager Payer Contracting and Provider Enrollment Akron Children's HospitalManager Payer Contracting and Provider EnrollmentAkron, OHThis role supports and advances the hospital's managed care contracting strategy through independent financial analysis, contract development, and negotiation support across commercial payers, Medicaid Managed Care Organizations (MCOs), value‑based arrangements, and, to a lesser extent, Medicare Advantage organizations. Education: Bachelor's degree required (Business, Finance, Healthcare Administration, or related field preferred) or in lieu of degree, minimum of 8 years of relevant experience in healthcare contracting, managed care, provider credentialing, or related role required.
Practice Administrator Neurodevelopment Science Center Akron Children's HospitalPractice Administrator Neurodevelopment Science CenterAkron, OHYears of supervisory experience: Minimum of 4+ years of progressive leadership experience in healthcare operations and people management, preferably within an ambulatory practice management setting, required. Summary: The Practice Administrator is responsible for overseeing and managing a large team of non-exempt and exempt employees, of at least two subspecialty practices, with additional oversight of at least six locations within the region.
Manager of Operations (Cleveland, Ohio / Hybrid) FreedomCareManager of Operations (Cleveland, Ohio / Hybrid)Cleveland, OhioSupport compliant market growth by building operational relationships with referral sources, waiver partners, care management entities, community organizations, MCOs, ODM-related stakeholders, and internal growth teams, ensuring referrals align with the appropriate Ohio service line. Monitor quality, compliance, and operational metrics, including referral conversion, service start timeliness, PCSP/service-plan alignment, caregiver/aide onboarding, documentation completion, missed visits, service gaps, incidents, complaints, caregiver retention, satisfaction, and audit readiness.
Grants Account Manager Case Western Reserve UniversityGrants Account ManagerCleveland, OH$52,705–$66,672 / yearReporting directly to research and technology management leadership while collaborating closely with school leadership, the manager primarily supports their assigned portfolio but dynamically deploys to assist other university teams based on changing workloads and staffing needs. Experience: 3 to 5 years of demonstrated experience in highly regulated administrative functions such as managing complex projects, budgets, financial operations, compliance activities, research administration, and/or grants management preferred.
Manager, PAP Resupply Systems Medical Service CompanyManager, PAP Resupply SystemsCleveland, OhioThis role partners closely with PAP Resupply leadership to identify trends, performance gaps, and operational risks while developing scalable solutions that improve efficiency, patient experience, and revenue performance. The Manager, PAP Resupply Systems is responsible for driving operational performance through data analytics, reporting, system optimization, and technology-driven improvements across PAP Resupply operations.
Nurse Case Manager Lead Elevance Health IncNurse Case Manager LeadOHThe Telephonic Nurse Case Manager Lead is responsible for care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum and ensuring member access to services appropriate to their health needs. Participates in audit activities and assists supervisor with management of day-to-day activities, such as monitoring and prioritizing workflow, delivering constructive coaching and feedback, and developing associated corrective action plans at direction of the manager.
LTC Community Team Lead ViaQuest IncLTC Community Team LeadMiddleburg Heights, OHWe are seeking a dedicated and experienced LTC Community Team Lead to oversee and coordinate our long-term care community operations. This position is based within a long-term care community setting and may require occasional evening or weekend hours to support team and resident needs.
Sales Manager - Occupational Health Mercy HealthSales Manager - Occupational HealthWork at Home, OHThis role is responsible for leading and developing a team of Sales Consultants to achieve organizational growth goals within occupational health and employer services. 2 years of leadership or team management experience; experience in occupational health or healthcare services (preferred).
NewHospital Services Continuous Improvement Manager DaVita IncHospital Services Continuous Improvement ManagerMiddleburg Heights, OH$100,000–$135,000 / yearThe Continuous Improvement Manager will report directly to the Director of Continuous Improvement, with a dotted-line reporting relationship to the Divisional Vice President supporting the Hospital Services Group within the assigned region. DaVita's Hospital Services Group (HSG) is seeking a motivated and collaborative Hospital Services Continuous Improvement Manager to support transformative initiatives across our hospital-based dialysis programs.
Strategic Account & Growth Manager BrightSpring Health ServicesStrategic Account & Growth ManagerCleveland, OHRemotePharMerica, an affiliate of BrightSpring Health Services, delivers personalized pharmacy care through dedicated local teams, serving health care providers such as skilled nursing facilities, senior living communities, and hospitals. The Strategic Account & Growth Manager is responsible for driving market growth in long term care while maintaining, expanding and strengthening relationships with prescribers and pharmaceutical partners with Blake Pharmacy across an assigned region.
Manager Clinical Risk- Legal Department MetroHealthManager Clinical Risk- Legal DepartmentCleveland, OHSupports the System's risk management program by leading the development of comprehensive strategies to identify and mitigate clinical risks, monitor and guide the progress of current risk strategies and strategic action plans, and support the efficient and effective management of pending clinical and professional claims. Carries out tasks that support clinical risk management objectives, performance improvement, and legal functions while collaborating with other areas, including the Institute of Patient Centered Excellence, Health Information Management, Office of Professional Affairs, clinical leadership, and staff.
OhioRISE Training Manager CVS Health CorpOhioRISE Training ManagerOH$54,300–$132,600 / yearThis role serves as the primary liaison with the Child and Adolescent Behavioral Health Center of Excellence (COE) and internal partners to ensure OhioRISE Care Coordinators within Aetna and the Care Management Entities (CMEs) receive timely, role-specific, and compliant training. Maintain compliance with applicable training requirements outlined in Ohio Administrative Code (OAC), OhioRISE care coordination guidance, the OhioRISE Provider Agreement, and the OhioRISE Care Management Entity (CME) Manual.
Internal Audit Manager Elevance Health IncInternal Audit ManagerOHMinimum Requirements: Requires a BA/BS in Accounting, Auditing, Finance or related field and a minimum of 5 years related experience; or 4 years in public accounting (e.g., Big Four firm); or any combination of education and experience, which would provide an equivalent background. Leverage data analytics, automation, AI-enabled tools, and GRC platforms, where appropriate, to improve audit efficiency, insight generation, reporting quality, and overall value delivery, while adhering to company policy and responsible use expectations.
Assistant Project Manager STV Group IncAssistant Project ManagerOH$93,216.59–$106,533.25 / yearOversee project activities in compliance with approved contract documents, scheduling, logistics, quality control, field operations, and WIP and Trade employee staffing levels, provide technical and jobsite planning guidance to project. Qualifications: Bachelor's Degree from accredited degree program in Engineering, Architecture, Construction Management, or related field, and minimum of 8 years of construction experience, or equivalent combination of education, training, and experience.
Payer Office Strategy / Technology / Operations Consultant, Manager PricewaterhouseCoopers LLPPayer Office Strategy / Technology / Operations Consultant, ManagerOH$99,000–$232,000 / yearYou are to use autonomous decision-making and professional skepticism when reviewing, analyzing, and producing deliverables across multiple client needs, and play a visible role in cultivating meaningful client relationships, inspiring your teams, and navigating ambiguity. As a Manager you are to supervise, develop, and coach teams, manage client service accounts, and drive client engagement workstreams by solving and analyzing complex problems to develop quality deliverables.
Manager, Business Analytics CVS Health CorpManager, Business AnalyticsOH$66,330–$145,860 / yearThis involves extracting, analyzing, and interpreting contracting, utilization, financial, and clinical/quality data from various sources to support nationwide payer contract negotiations, market penetration, conversion, and expansion strategies, value-based care initiatives, and other quantitative analysis & reporting requirements. To develop and deliver decision support tools & insights via creating and sustaining analytics & reporting assets and leveraging business intelligence resources in support of contracting, financial and operational strategic decision-making by Retail Health leadership.
Manager of DRG Coding & Clinical Validation Audit Elevance Health IncManager of DRG Coding & Clinical Validation AuditCleveland, OH$115,020–$207,216 / yearPreferred Skills, Capabilities and Experiences: Preferred experience includes a minimum of 5-7 years of inpatient coding or DRG auditing experience, including 2-3 years in a leadership or supervisory capacity. The Managers of DRG Coding & Clinical Validation leads a high-performing team responsible for auditing inpatient medical records to ensure the accuracy and compliance of Diagnosis-Related Group (DRG) assignments.
Pharmacy Operations Manager Walgreen CoPharmacy Operations ManagerOH$22.50–$31 / hourAssists Pharmacy Manager in monitoring that all pharmacy and team member licensures, registrations and certifications are active and in good standing/ compliant with all regulatory and legal requirements. Where state and federal laws/regulations allow, accountable for performing day-to-day non-clinical pharmacy operations, administrative activities; Ensures efficient pharmacy workflow and a positive patient experience.