NewProduct Management Director Sr- Supplemental Health Elevance HealthProduct Management Director Sr- Supplemental HealthMason, OhioMay lead efforts or manage project teams in the implementation of complex regional and companywide initiatives, including portfolio repositioning in a market, legislative changes, network/provider changes, medical management programs, and policy initiatives. Claim exceptions/appeals/fraud, waste, and abuse – coordination with vendor, Compliance and Legal (SIU, if needed) on requested exceptions and, more specifically, on specific claim appeals and overall process.
Revenue Cycle Management (RCM) Consultant - CarelonRx Elevance Health IncRevenue Cycle Management (RCM) Consultant - CarelonRxCincinnati, OHEvaluate revenue cycle operations across teams and sites, identify structural improvement opportunities, and recommend reengineered workflows and operating models. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
INFORMATION TECHNOLOGY MANAGER City of CIncinnatiINFORMATION TECHNOLOGY MANAGERCincinnati, OH$102,025.82–$141,588.90 / yearEach applicant must have a bachelors degree from an accredited college or university with major course work in information systems, management, business administration, engineering geography, or a related field required and seven years of experience of which five years of must in project management or supervisory experience at the mid-management level. Selects, trains, motivates, and evaluates assigned personnel; provides or coordinates staff training; works with employees to correct deficiencies; ensures that all City human resources policies are followed; implements discipline and termination procedures.
NewSenior Director, Product Innovation & Population Health Elevance Health IncSenior Director, Product Innovation & Population HealthMason, OH$161,440–$290,592 / yearDevelop end-to-end strategies for population health programs, including target population identification, clinical and consumer value propositions, operating models, partner strategies, implementation roadmaps, and approaches to measuring success. Partner closely with clinical leaders and subject matter experts to ensure that products and programs are grounded in clinical evidence, address meaningful health needs, and have an actionable implementation roadmap.
NewDirector Enterprise Reimbursement Strategy Elevance Health IncDirector Enterprise Reimbursement StrategyMason, OHMinimum Requirements: Requires a BA/BS degree in Business, Finance, Economics, or Healthcare Administration and a minimum of 10 years of related experience in broad-based, analytically oriented, managed care payor or provider environment required. The Director Enterprise Reimbursement Strategy will be responsible for leading Cost of Care Ideation for Elevance Health contracts with a focus on services managed by Carelon Health, a subsidiary of Elevance Health.
NewEnterprise Change Management Consultant Elevance HealthEnterprise Change Management ConsultantCincinnati, OHThe Enterprise Change Management Consultant is responsible for managing and supporting change management aligned with transformational business initiatives with various stakeholders' enterprise wide, as well as embedding user adoption through change management practices into business strategies to achieve the desired business outcomes. Minimum Requirements: Requires a BA/BS in organizational development or business-related field and minimum 5 years' experience in change management, organization development or business transformation, with minimum 2 years project leadership experience; or any combination of education and experience, which would provide an equivalent background.
Practice Administrator HealthPoint Family CarePractice AdministratorFlorence, KYActively engaged in patient flow and execution of workflows, policies, and procedures to meet patient access and quality goals. Job Tasks: Planning, leading and directing day-to-day clinic operations to meet quality and financial objectives.
RESIDENT REGIONAL MANAGER, EVS Compass Group North AmericaRESIDENT REGIONAL MANAGER, EVSCincinnati, OHCrothall has more than 32,000 team members, with core services include: Environmental Services, Patient Transportation, Patient Observation, Healthcare Facilities Management, Sterile Processing Services, and Ambulatory EVS. Working as a Resident Regional Manager, you are responsible for managing client relations, along with ensuring that all housekeeping services offered to the customers is of superior quality.
Sales Development Manager, Infectious Disease - Ohio Abbott LaboratoriesSales Development Manager, Infectious Disease - OhioCincinnati, OH$68,000–$136,000 / yearYou will be responsible for achieving annual new business targets across the following product lines: ID NOW PLATFORM (Influenza, Covid-19, RSV, Strep A), BinaxNOW COVID-19/Flu A&B Combo, DETERMINE HIV-1/2, BinaxNOW Streptococcus pneumoniae & Legionella, BinaxNOW Malaria, Clearview hCG, Clearview PBP2a SA. This role is ideal for professionals with a strong background in clinical diagnostics and a passion for identifying and converting new opportunities within hospital networks, including Laboratory, ED, Clinic, Physician Office Lab, and Urgent Care settings.
NewSYSTEM PATIENT EXPERIENCE MANAGER Compass Group North AmericaSYSTEM PATIENT EXPERIENCE MANAGERCINCINNATI, OH$70,000–$80,000 / yearMonitors ongoing, and selectively negotiates as needed, matters relating to system/account patient satisfaction initiatives in order to assure highest client and customer satisfaction levels and account retention, strong employee relations, achievement of financial goals and future business growth plans. Crothall has more than 32,000 team members, with core services include: Environmental Services, Patient Transportation, Patient Observation, Healthcare Facilities Management, Sterile Processing Services, and Ambulatory EVS.
Administrative Fellow UC HealthAdministrative FellowCincinnati, OHThis fellowship offers broad exposure, hands-on project ownership, and close mentorship-preparing fellows for future leadership roles in ambulatory operations while supporting mobility into diverse healthcare administration pathways. Through project-based work, fellows gain firsthand experience in the operational, financial, and strategic dimensions of outpatient care while contributing to initiatives that directly impact patients and care teams.
Revenue Cycle Management (Rcm) Consultant - Carelonrx Elevance HealthRevenue Cycle Management (Rcm) Consultant - CarelonrxCincinnati, OH$74,960–$112,440 / yearAdvise leaders on automation opportunities across eligibility, authorization, claim edits, denial prevention, appeals, payment posting, underpayment detection, and work queue routing. Evaluate revenue cycle operations across teams and sites, identify structural improvement opportunities, and recommend reengineered workflows and operating models.
NewRevenue Cycle Management (RCM) Consultant - CarelonRx Elevance HealthRevenue Cycle Management (RCM) Consultant - CarelonRxCincinnati, Ohio$74,960–$112,440 / yearAdvise leaders on automation opportunities across eligibility, authorization, claim edits, denial prevention, appeals, payment posting, underpayment detection, and work queue routing. Evaluate revenue cycle operations across teams and sites, identify structural improvement opportunities, and recommend reengineered workflows and operating models.
Analyst, Revenue Cycle Ensemble Health PartnersAnalyst, Revenue CycleCincinnati, OH$52,100–$78,150 / yearThe Analyst partners closely with AR leaders, operations teams, and automation teams to identify performance gaps, quantify opportunity, and drive measurable improvements across payer, financial class, and aging segments. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position.
Provider Success Consultant - Pay for Quality Elevance Health IncProvider Success Consultant - Pay for QualityMason, OH$71,600–$118,140 / yearData Analytics: Utilize data analytics to continuously monitor and track the key performance metrics for assigned providers, ensuring data-driven decision-making. Independent Decision Making: Exercise independent judgment on complex issues, working under minimal supervision to evaluate variable factors and determine optimal courses of action.
DIVISION MANAGER (BUSINESS) City of CIncinnatiDIVISION MANAGER (BUSINESS)Cincinnati, OH$105,085.67–$145,836.57 / yearUnder the direction of the Recreation Director, the Division Manager of Business plans, manages, organizes, directs, supervises, and may personally perform professional activities associated with grant writing, administration, Accreditation, data analysis and process improvement, Information Technology (IT), Marketing and Communication, the Youth to Work Program, budget development and implementation, purchasing, inventory management and other duties as assigned. Environmental Conditions: Must be able to manage indoor and outdoor environments; exposure to office computer screens; exposure to extremes in weather conditions; work with machinery, around moving vehicles; work on slippery or uneven surfaces; exposure to dust, safely manage toxic chemicals and inclement weather conditions.
NewINFORMATION TECHNOLOGY MANAGER (INFORMATION SECURITY OFFICER) (UNCLASSIFIED) City of CIncinnatiINFORMATION TECHNOLOGY MANAGER (INFORMATION SECURITY OFFICER) (UNCLASSIFIED)Cincinnati, OH$105,086.59–$145,836.57 / yearPossess a minimum of five years of paid experience in managing enterprise business systems AND 2. Served at least one year as an Information Technology Assistant Manager with the City of Cincinnati AND 3. Possess an associates degree or higher from an accredited college or university with major course work in information systems, management, business administration, computer engineering, computer science, geography or a related field?. Promotional: Each applicant must have a minimum of five years of paid experience in managing enterprise business systems and served one year as an Information Technology Assistant Manager with the City of Cincinnati plus a associate degree from an accredited college or university with major course work in information systems, management, business administration, computer engineering, computer science, geography or a related field required.
NewPayor Pricing Analyst (BioPlus) Elevance Health IncPayor Pricing Analyst (BioPlus)Mason, OHMinimum Requirements: Requires a BA/BS in Finance, Economics, Healthcare Administration, or a related field and a minimum of 3 years of experience in healthcare reimbursement, pricing, specialty pharmacy, infusion services, payor contracting, or financial analytics; or any combination of education and experience which would provide an equivalent background. Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we deliver an elevated experience, affordability, and personalized support throughout the consumer's treatment journey.
Manager - Health Information Management Acadia Healthcare Co IncManager - Health Information ManagementCincinnati, OHEnsure documentation is filed in the medical records in an accurate and timely manner and ensure that the medical record is complete (including signatures) and closed within facility guidelines. Provide staff management to including hiring, development, training, performance management and communication to ensure effective and efficient department operation.
Supervisory Health System Specialist U.S. Department of Veterans AffairsSupervisory Health System SpecialistCincinnati, OH$125,776–$163,514 / yearSuch a training program must have been conducted in an operating health care system and included: Assignments providing a knowledge of basic health system administration philosophies, practices, and procedures, and basic government administrative policies and requirements; Practical assignments providing an opportunity to apply health system administration skills and principles (as the individual progresses, work assignments must be characteristic of the grade level to which he or she is assigned); and Oversight by an experienced health system administrator with periodic evaluation of the individuals progress and appropriate adjustment of the training program. The incumbent provides technical and administrative supervision to a section of two (2) Health Systems Specialists, GS-0671-13 for data analysis; two (2) Nurse (RN) Informaticists; three (3) Health System Specialists, GS-0671-12/13 for program and administrative oversight, direction, and management; one (1) Administrative Officer, GS-0341-9/11 for program management; and two (2) Program Support Assistants, GS-0303-7 for administrative support.