52 ltc claims operations manager jobs found

Your responsibilities Job Summary The Manager of Continuous Improvement will work directly with plant and non-plant managers and respective staff to focus on improving current process efficiency, material flow, labor productivity, quality, safety and environmental impact. The position is responsible for contributing knowledge, performing analysis, developing solutions, justifying investment, managing and implementation of projects, integrating systems with processes, providing training, and measuring results. The Manager of Continuous Improvement reports to the Director of Operations. Job Description Key Accountabilities: Lead CPG’s Environmental Management System (ISO 14001) implementation and management across the business in alignment with tk corporate sustainability requirements. Utilize improvement and analysis methods, such as strategic planning, operations research, Value Stream Mapping, Lean, Six Sigma, facility and work cell design, IT systems integration,...

At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. Job Description Summary of Primary Function/General Purpose of Position The Telecommunications Operator expedites telephone, radio, pager and public address communications throughout the Hospital, including emergency announcements and notifications in accordance with the Emergency Preparedness Manual. Responsibilities include contacting on-call teams; administrative, medical personnel, surgery, anesthesia, cardiac, emergency/disaster, etc. Essential Job Functions Functions as a full time Operator; responds, prioritizes and navigates all internal and external calls in a prompt courteous manner including patient information and transferring to patient rooms. Coordinates language and sign language interpretation requests by callers. Must possess...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Sr. IT Systems Analyst (Data Analyst) Remote Job Description As a Senior IT Systems Analyst (Data Analyst) , you will play a key role in managing and optimizing system and data integrations that support Prime's clinical vendor hub, PartnerIQ . In this role, you will serve as a technical and analytical subject-matter expert responsible for driving seamless data flow between internal platforms, external vendors, and client partners. You will lead end-to-end integration processes including intake, requirements gathering, source-to-target (STT) mapping, SFTP configuration, environment and data readiness, testing, and ongoing IT service management . This position will support and enhance Prime's internal data pipelines...

The Director, Medical Excellence & Operations (ME&O) Insights & Analytics will lead the development and execution of a global strategy for integrating and leveraging data-driven insights across multiple Global Medical Affairs (GMA) functions. This role will be responsible for managing the Manager, Medical Analytics and is pivotal in shaping how GMA uses analytics to optimize performance, enhance decision-making, and deliver measurable impact across therapeutic areas. The Director, Medical Excellence & Operations (ME&O) Insights & Analytics will report to the Senior Director, Medical Affairs Solutions & Analytics and will leverage strategic vision, operational excellence, and expertise in data integration to drive innovation and efficiency across functions such as Medical Information, Field Medical, Medical Strategy, and Medical Education. Preferred therapeutic experience includes Nephrology, Central Nervous System (CNS), and rare disease. Key...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Sr. IT Systems Analyst (Data Analyst) Remote Job Description As a Senior IT Systems Analyst (Data Analyst) , you will play a key role in managing and optimizing system and data integrations that support Prime's clinical vendor hub, PartnerIQ . In this role, you will serve as a technical and analytical subject-matter expert responsible for driving seamless data flow between internal platforms, external vendors, and client partners. You will lead end-to-end integration processes including intake, requirements gathering, source-to-target (STT) mapping, SFTP configuration, environment and data readiness, testing, and ongoing IT service management . This position will support and enhance Prime's internal data pipelines...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Sr Health Informatics Analyst - Remote Job Description The Sr. Health Informatics Analyst leads advanced data initiatives that support clinical programs, cost containment strategies, and operational effectiveness. This role partners with cross-functional teams, including clinical services, pharmacy operations, product management, and client services, to transform complex healthcare data into actionable insights. The position applies advanced statistical, analytic, and business acumen, and champions evidence-based decision-making, regulatory compliance, and improved patient and business outcomes. Responsibilities Analyze large-scale healthcare claims, eligibility, provider, and clinical data to identify trends,...

Summary The VA Northeast Ohio Healthcare System is actively recruiting for a Supervisory Social Worker within the Behavioral Health Interdisciplinary Program (BHIP). The incumbent assumes the supervisory and administrative responsibility for the management of the assigned social workers who function within mental health clinics located at any VA Northeast Ohio facility. The position location may be negotiable. This job is open to The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Internal to an agency Current federal employees of the hiring agency that posted the job announcement. Veterans Veterans of the U.S. Armed Forces or a spouse, widow, widower or parent of a veteran, who may be eligible for derived preference Clarification from the agency Open to current permanent Department of Veterans Affairs employees, current permanent Federal employees of other agencies and all US Citizens NOTE: The...

Summary Click on "Learn more about this agency" button below for IMPORTANT additional information. The primary purpose of this position is to serve as an acquisition program manager responsible for developing, establishing, implementing, and controlling contractual, financial, and technical aspects of projects and programs. **Salary ranges include local market supplements.** This job is open to The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Duties Develops, implements, and controls contractual, financial, and technical aspects of a project/program through designated phases of the acquisition cycle for which no closely related precedents exist. Plans, organizes, directs, and coordinates activities of functional specialists including contracting, engineering, manufacturing, program control, configuration/data management, test, and logistics. Reviews and directs the progress of contractors in...

Sumitomo Pharma Co., Ltd., is a global pharmaceutical company based in Japan with operations in the U.S. (Sumitomo Pharma America, Inc.), focused on addressing patient needs in oncology, urology, women's health, rare diseases, cell & gene therapies and CNS. With several marketed products and a diverse pipeline of early- to late-stage investigational assets, we aim to accelerate discovery, research, and development to bring novel therapies to patients sooner. For more information on SMPA, visit our website https://www.us.sumitomo-pharma.com or follow us on LinkedIn. Job Overview The LTC Account Manager delivers results by strategically educating key LTC stakeholders including closed door pharmacies, consultant pharmacists, and Tier 1 Nursing Home chains in a compliant and ethical manner, while collaborating with the sales team on educating LTC Healthcare Providers on SMPA product clinical attributes for the LTC resident. They ensure customer satisfaction by understanding...

NOW HIRING- OVERNIGHT Flexible schedules **PAID WEEKLY** Starting at $13.00 per hour CrossAmerica Partners is a leading wholesale distributor of motor fuels, operator of convenience stores, and owner and lessor of real estate used in the retail distribution of motor fuels. With a geographic footprint across 34 states, we strive to be an industry leader, providing fuel and convenience products essential to keep people moving across America! Position Description: The Overnight Team Member will be responsible for managing store operations during the night shift, ensuring the store is clean, well-stocked, and secure while providing excellent customer service. This role requires strong attention to detail, the ability to handle cash and merchandise, and a commitment to maintaining a safe and welcoming environment for customers. Responsibilities: Greet and assist customers in a friendly and professional manner, answering questions, providing product...

About JLG, an Oshkosh company JLG began in 1969, when our founder, John L. Grove set out to resolve growing safety concerns in the construction industry. Since then we have been committed to understanding the challenges and delivering innovative solutions to the access market. We partner with customers to provide quality equipment, training opportunities and trusted support within the access industry. We are a global company, and our products-including mobile elevating work platforms, telehandlers, utility vehicles and accessories-can be found all over the world. YOUR IMPACT To manage assigned sales territory for Specialty products and establish new distribution channels. To develop effective communications and a positive working relationship with distribution partners and ensure a team effort in achieving short and long term goals. Meet or exceed established sales goals. Create and execute sales strategies to achieve set goals. Establish new...

Company Overview Why Choose Us? Novolex is a leading manufacturer of food, beverage, and specialty packaging that supports multiple industries including foodservice, restaurant delivery and carryout, food processing, grocery and retail, and industrial sectors. Novolex manufacturing and sourcing expertise spans a diverse range of substrates including resin, paper, molded fiber, aluminum and more. We provide customers a broad array of stock and customized solutions with 120 product categories, 250 brands and over 39,000 SKUs. Our Sustainability Commitment The Novolex sustainability vision is built upon three pillars: our products, our operations and our people. Each is critically important to our growth and future as a business. These pillars form the foundation of our company-wide commitment to sustainability, helping us achieve our ambitious goals through our wide-ranging initiatives. Job Description Responsibilities: Strategically partner with plant...

The DI Underwriting Medical Consultant , reporting to the Manager, Underwriting Policy and Support in the Underwriting Policy area, is a key business partner for DI Underwriting. This position assists in maintaining the DI underwriting guidelines and is responsible for reviewing individual health risk characteristics for complicated applicants, assisting in making recommendations to underwriting. The role combines clinical judgment, analytics, and strong communication. The applicant should be a medical professional who can understand health conditions and personal characteristics, singly and in combination, and how they influence the probability of disability. You will Assist with medical reviews of current underwriting cases Review older underwriting and claims files when needed to support ongoing IDI underwriting policy research projects Medical guideline authorship, drafting, updating and driving change across underwriting Review medical literature...

Compensation Pay Range: $11.00 - $17.00 The actual hourly rate will equal or exceed the required minimum wage applicable to the job location. Additional compensation includes annual, quarterly performance, or premiums may be paid in amounts ranging per hour in specific circumstances. Premiums may be based on schedule, facility, season, or specific work performed. Multiple premiums may apply if applicable criteria are met. The Assistant Store Manager will support the Store Manager in areas of sales, customer service, store appearance and store operations. This position will manage the store during the Store Manager’s absence and/or when working opposing shifts. The Assistant Manager will be expected to lead the store team members in servicing customers. Bilingual candidates encouraged to apply. ESSENTIAL JOB FUNCTIONS Lead the store team members in providing excellent customer service to retail and professional customers. Supervise the customer service levels on...

Position Summary Serves as the key stakeholder and subject matter expert (SME) representing Medical review function in internal audits, and health authority inspections. Being available on-site for inspections, internal audit and critical business activities, including at short notice. Provides oversight of the safety profile of Otsuka products Leads the development and execution of medical review strategies for investigational and marketed products Provides strategic leadership of the Global Medical review function and collaborates with other PV functions, vendors and partners. Serves as a member of the Global Medical Safety (GMS) Leadership Team partnering closely with the GMS Head Meets routinely with product specific GPV team members and acts as principal liaison for medical review matters to engage with regulatory agencies on product safety issues. Key Job Responsibilities Represents GPV Medical Safety department from a...

Compensation Pay Range: $11.00 - $17.00 The actual hourly rate will equal or exceed the required minimum wage applicable to the job location. Additional compensation includes annual, quarterly performance, or premiums may be paid in amounts ranging per hour in specific circumstances. Premiums may be based on schedule, facility, season, or specific work performed. Multiple premiums may apply if applicable criteria are met. The Assistant Store Manager will support the Store Manager in areas of sales, customer service, store appearance and store operations. This position will manage the store during the Store Manager’s absence and/or when working opposing shifts. The Assistant Manager will be expected to lead the store team members in servicing customers. Bilingual candidates encouraged to apply. ESSENTIAL JOB FUNCTIONS Lead the store team members in providing excellent customer service to retail and professional customers. Supervise the customer service levels on...

Planning and Scheduling Manager, Mission Critical Location: Bowling Green, OH, US Best People + Right Culture. These are the driving forces behind JE Dunn's success. By hiring inspired people, giving them interesting and challenging work, enabling them with innovative tools, and letting them share in the company's rewards, we've found a sustainable way to grow in our industry for the last 100+ years. Our diverse teams around the country strive to enrich lives through inspired people and places everyday, and we need inspired people like you to join us in our pursuit of building perfection. JE Dunn's Advanced Facilities Group (AFG) combines Mission Critical, Advanced Industries, and Industrial & Manufacturing into one high-performing team focused on cutting-edge work to serve innovative clients on large Industrial & Manufacturing, Data Center, and Semiconductor projects. As part of the Advanced Facilities team, you'll work on some of the most advanced...

Summary This position will serve as a Medical Technician - Phlebotomist within Pathology & Laboratory Medicine Service at the Cleveland VA Medical Center, Wade Park Campus in Cleveland, OH. This job is open to The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Duties ** *THIS IS NOT A VIRTUAL POSITION, YOU MUST LIVE WITHIN OR BE WILLING TO RELOCATE WITHIN A COMMUTABLE DISTANCE OF THE DUTY LOCATION*** Duties will include, but may not be limited to the following: Follows procedures for patient identification, sample procurement, and specimen labeling. Performs routine venipuncture specimen collections from patients. Follows laboratory procedures for collecting specimens in the appropriate container. Controls the physical condition of samples and responds to time factors to ensure that the physiological state of the specimen is maintained. Provides education to patients for proper collection...

Senior Scheduler, Mission Critical Location: Bowling Green, OH, US Best People + Right Culture. These are the driving forces behind JE Dunn's success. By hiring inspired people, giving them interesting and challenging work, enabling them with innovative tools, and letting them share in the company's rewards, we've found a sustainable way to grow in our industry for the last 100+ years. Our diverse teams around the country strive to enrich lives through inspired people and places everyday, and we need inspired people like you to join us in our pursuit of building perfection. JE Dunn's Advanced Facilities Group (AFG) combines Mission Critical, Advanced Industries, and Industrial & Manufacturing into one high-performing team focused on cutting-edge work to serve innovative clients on large Industrial & Manufacturing, Data Center, and Semiconductor projects. As part of the Advanced Facilities team, you'll work on some of the most advanced construction...

Role Summary Event operations staff at Fifth Third Field and Hensville Park are seasonal/part time roles that provide assistance to the Ballpark and Event Operations Coordinator. Event operations staff are responsible for various tasks and jobs in and around Fifth Third Field and Hensville Park before, during, and after games and non-gameday events such as concerts, festivals, camps, holiday parties, etc. The position will begin in early to mid-March and will end around mid to late September. This role works varied hours including nights, weekends, and holidays. Key Responsibilities Assists the Game & Event Operations Coordinator with preventive maintenance including power washing, fixing stadium seats, suite cleanliness and furniture. Conduct cleaning walkthroughs, relaying all findings to the cleaning crew. Maintain and follow up with lost and found inquiries. Assist with tarp pulls when necessary. Set up/tear down for all party/event spaces and...

Summary The incumbent provides mental health services and case management services for Veterans with mental health diagnoses as an integral part of the outpatient Behavioral Health Interdisciplinary Program (BHIP) team at the Community Based Outpatient Clinic. The incumbent will conduct psychosocial assessments, provide crisis intervention, clinical case management, and evidence-based psychotherapy (e.g. Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), etc.) This job is open to The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Clarification from the agency NOTE: The 2-page Resume requirement does not apply to this position. For more information, refer to Required Documents below. Duties Duties include, but are not limited to: Incumbent independently conducts assessments, evaluating the psychosocial functioning and needs of patients and their families to formulate and implement a...

Role Summary Event operations staff at Fifth Third Field and Hensville Park are seasonal/part time roles that provide assistance to the Ballpark and Event Operations Coordinator. Event operations staff are responsible for various tasks and jobs in and around Fifth Third Field and Hensville Park before, during, and after games and non-gameday events such as concerts, festivals, camps, holiday parties, etc. The position will begin in early to mid-March and will end around mid to late September. This role works varied hours including nights, weekends, and holidays. Key Responsibilities Assists the Game and Event Operations Coordinator with preventative maintenance including power washing, fixing stadium seats, suite cleanliness and furniture. Conduct cleaning walkthroughs, relaying all findings to the cleaning crew. Maintain and follow up with lost and found inquiries. Assist with tarp pulls when necessary Set up/tear down for all party/event spaces and main...

NOW HIRING Open Availability Preferred Overnight - 3rd Shift Part Time *Paid Weekly* Starting at $13.00 per hour + $.50 shift differential CrossAmerica Partners is a leading wholesale distributor of motor fuels, operator of convenience stores, and owner and lessor of real estate used in the retail distribution of motor fuels. With a geographic footprint across 34 states, we strive to be an industry leader, providing fuel and convenience products essential to keep people moving across America! Position Description: The Overnight Team Member will be responsible for managing store operations during the night shift, ensuring the store is clean, well-stocked, and secure while providing excellent customer service. This role requires strong attention to detail, the ability to handle cash and merchandise, and a commitment to maintaining a safe and welcoming environment for customers. Responsibilities: Greet and assist customers in a friendly and...

Summary As a member of a Behavioral Health Interdisciplinary Program team (BHIP}, the incumbent will conduct psychosocial assessments, provide crisis intervention, clinical case management, and evidence-based (individual, group, couple} psychotherapy (e.g. Cognitive Behavioral Therapy (CBT}, Dialectical Behavior Therapy (DBT}, Acceptance and Commitment Therapy (ACT}, Problem- Solving Therapy (PST}, Cognitive Processing Therapy (CPT}, etc.} as well as work with the Veteran to establish treatment plans. This job is open to The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Clarification from the agency NOTE: The 2-page Resume requirement does not apply to this position. For more information, refer to Required Documents below. Duties Incumbent independently conducts assessments, evaluating the psychosocial functioning and needs of patients and their families to formulate and implement a treatment plan,...