Ohio Claims Program Manager - Process & Governance
$66.46k - $129.59kMolina Healthcare of Illinois
Molina Healthcare in Kentucky is seeking a Program Manager to oversee program management aspects, focusing on claims processes and collaborating with various teams to ensure timely and accurate claims payments. The ideal candidate will have at least four years of program or project management experience, operational process improvement knowledge, and strong communication skills. A competitive benefits package is offered, and the salary range is between $66,456 and $129,590 annually. #J-18808-Ljbffr Molina Healthcare
$66.46k - $129.59k
...functional areas through program management, including policy, workflow and process documentation,... ...vendor practices, budgets, governance frameworks, playbooks and... ...focuses specifically on claims processes and collaborates... ...Integrity to ensure Ohio claims are paid timely...SuggestedWork experience placement- ...Program Manager – Infrastructure Governance & Vulnerability Management Arlington, TX (Onsite) Position Summary We are seeking an experienced Senior Program... ...channels. Continuous Improvement Improve PMO processes, reporting standards, governance models, and program controls...Suggested
$66.33k - $145.86k
CVS Health is seeking a leader for its claims processing team in New York, managing day-to-day activities and ensuring efficient operations. The ideal candidate will have 5-7 years of experience in healthcare claims and operations, demonstrating strong leadership and problem...SuggestedFull time$115k - $173k
...technology company in United States, Oklahoma, is seeking a Program Manager to lead cross-functional programs. The role demands a strong... ...in program management and technical systems to align business processes with technology for innovation and efficiency. Responsibilities...Suggested$40.96k - $61.44k
...Join to apply for the Claims Case Manager I, Supplemental Insurance role at... ...codes and benefit amounts for processing Assess file to determine if... ...in employment, its services, programs, and activities. Guardian... ...ago Regional Vice President - Ohio/Pennsylvania Associate Regional...SuggestedFull timeWork experience placementRemote workFlexible hours$5,000 per month
...network of community-based organizations and programs to alleviate the effects of poverty and... ...will receive, review, approve, and process Discretionary contracts for the sum of $... ...knowledge of target populations shown through management of relevant programs. Extensive...Contract workFor contractorsWork at office$93.4k - $106.6k
Principal Process Manager - Training Governance The Anti-Money Laundering (AML)University (AMLU) team is seeking a highly organized and collaborative... ...training development, and governance of the AML Training Program. The Principal Associate will own and manage key governance...Full timePart timeLocal area- ...A leading crop insurance company is looking for an Area Claims Supervisor to support Crop Insurance Adjusters across Ohio. This role involves managing performance, overseeing claims accuracy, and ensuring compliance with federal regulations. Candidates should have a bachelor...Remote work
- ...Data Governance Program Manager Data Governance Program Manager to drive delivery across enterprise data governance initiatives managing delivery... ..., including stewardship models, issue management processes, and operating procedures. Oversee documentation of data dictionaries...
$115k - $173k
Job Overview The Program Manager on the Business Process and Technology team in Revenue Operations leads high-impact, cross-functional programs that align business processes with technology to drive efficiency, scalability, and innovation. This role sits at the intersection...$154.7k - $252k
Reddit, Inc. is seeking a Lead Program Manager for Business Process Transformation in New York City. This role involves diagnosing and prioritizing business issues, designing scalable processes, and driving cross-functional alignment within the Global Sales Organization...$150k - $180k
...Counterpart is an insurtech platform reimagining management and professional liability for the... ...Less Risk®. YOU WILL Achieve or exceed claims management case load and goals, applying... ...improvement of our claim handling processes, guidelines, and systems. Ensure that every...Private practiceWork at officeLocal areaRemote workHome officeFlexible hours$175k - $200k
...Program Manager, NA P&C Insurance You will be our Program Manager, NA P&C Insurance. In this... ...key support units—Finance, Actuarial, Claims, Legal, Compliance, Operations, and IT—... ...Leadership experience that drives underwriting process improvement through technology,...Temporary workRemote workWork visa$75k - $85k
...remote role , you will be our people manager overseeing a team of 10‑15 claim adjusters. The key skills required... ...terms, review medical records, process determinations, verify coverage, consult... .../year. Educational Assistance Program. Fetch Discount Perks Program. Volunteering...Full timeWork at officeRemote workWork from homeFlexible hours$150k - $180k
...Claims Manager - Professional Liability at Counterpart Counterpart is an insurtech platform reimagining management and professional liability... ...resolve claims, support the advancement of our systems and processes through feedback, and help shape and improve our claim...Private practiceLocal areaRemote workHome officeFlexible hours$68.32k - $126.38k
...Join to apply for the Claims Manager role at US Acute Care Solutions Join to apply for the Claims... ...knowledge of legal principles and processes specific to professional liability litigation... ...employees enjoy best in class benefit programs with a wide array of options. To learn...Full timeWork at office$140k - $160k
...and led by a forward-thinking management team, ISC is combining the... ...and partners. Job Summary The Claims Manager position at Golden State... ...leadership on assigned programs to ensure regulatory compliance... ...successfully complete the application process. Applicants needing...Temporary workLocal areaRemote workWork from home$139.3k - $219.3k
...Equal Opportunity Employer. Claims Manager, Multinational Casualty United... ...through technology, process improvements, or training; maintain... ...Rewards AXA XL’s Reward program is designed to take care of... ...evolving our sustainability governance and reporting. AXA Hearts in...Flexible hours$55k - $65k
...members of our company will not be considered. Description The Claims Manager is a fully remote role responsible for serving as a liaison... ...adjusters, and workers ' comp attorneys in order to use our process and strategies to get the best results for clients on each claim...Work at officeRemote workFlexible hours$140k - $157k
...corporation working to make government services simple and... ...who rely on benefit programs to government agency... ...looking for a Program Manager to lead the delivery and... ...can span delivery, process, culture, expectation... ...New Jersey, New York, Ohio, Oklahoma, Oregon, Pennsylvania...Contract workTemporary workFor contractorsFor subcontractorWork at officeLocal areaImmediate startRemote workHome officeVisa sponsorshipFlexible hours$163.71k - $215k
...Senior Claims Manager (Remote-Friendly) Job Locations US-CA-Concord |... ...claims involving the Federal Government. The Senior Claims Manager supports... ...knowledge of construction process and documentation - Drawings... ...benefits and retirement program. Gilbane offers an excellent...Contract workFor contractorsWork at officeLocal areaRemote work$116.75k - $170k
...Job Family: Insurance and Claims Compensation: Salaried Exempt... ...Administrators (TPAs) in their management and handling of clients'... ...geographic region based upon program and compliance regulations.... ...workers' compensation claims, process, and procedures to ensure integrated...For contractorsWork at officeLong distance$180k - $220k
...liability and workers’ compensation, along with claim services, providing expertise to meet the... ...As a Team Leader, the AVP, Claims Manager will be responsible for product quality,... ...to direct reports through a continuous process of management involvement and frequent claim...Full time- ...Claims Manager, No Fault Claims Manager, No Fault manages the end-to-end adjudication of no... ..., procedures, and quality controls that govern no-fault claims adjudication. In addition... ...complex claim files and coverage disputes Process approved no-fault claims for payment...Full timeWeekend workAfternoon shift
$106k - $146k
...% annual reduction in overall healthcare claims costs. Lyra is transforming access to life... ...is looking for a strong Claim Operation Manager of Revenue Cycle to lead daily billing operations... .... This role blends people leadership, process ownership, and hands‑on billing expertise...- ...upon request for candidates taking part in the selection process. AXIS is seeking a Claims Manager - Excess Claims to join our North America Claims team... ...plans for you and your family, health and wellness programs, retirement plans, tuition reimbursement, paid vacation...For contractorsImmediate start
$154.7k - $252k
Lead Program Manager, Business Process Transformation New York City, NY We’re looking for a strategic operator and program manager to join the GTM... ...productivity and the advertiser experience. Develop policies and governance frameworks: Create clear, scalable policies and...Immediate start$125k - $148k
..., marketing, sales, service, claims handling, finance, etc. The Openly... ...home insurance purchasing process a better overall experience.... ...every day. As a Product Manager for Claims, you will be a key... ...efficiency and productivity. Be Well Program – Employees receive $50 per...Remote workWork from home- Position Title: Program Manager Location: Cincinnati, Ohio 45241 (Remote) Duration: 06 Months (Contract to Hire) Eligibility: This role is only open... ...assistance with the application or at any point in the hiring process, please contact us at ****@*****.*** or 908‑393...Contract workRemote work
$183.1k - $305.2k
The Director, Development Program Operations will have a leadership role in the building... ...operating model and Development capabilities (processes, tools, services) that contribute to the... ...responsible for designing, building and managing cross-functional business-critical...
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