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Job Summary: The Clinical Operations Program Manager - UM Operations & Clinical Appeals is responsible for managing and coordinating operational projects or initiatives that support Utilization management (UM) and/or Clinical Appeals, market readiness activities, workflow improvements, activities that promote regulatory compliance, audit readiness, reporting accuracy, cross functional deliverables and continuous process improvement across Clinical Appeals and UM operations. Analyze operational and regulatory UM and appeals data; review regulatory reports for completeness, accuracy, and compliance; validate report data against source systems, operational databases, and supporting documentation; identify reporting discrepancies, investigate root causes, and collaborate with business partners to implement corrective actions; support leadership with regulatory reporting analysis and submission readiness.

YEAR

CareSource

Clinical Operations Program Manager--UM Operations

This position is integral for the growth and development of the Oncology Service line and the enhanced care of our cancer patients; the function of the Mgr - Oncology Nurse Navigation is to develop, plan, implement and review our processes and roles in an organized systematic approach for specific functions related to Oncology Services. o Understands and effectively works within Premier Health and its partner agencies; works effectively within the constraints of the system's formal and informal structures; does not create initiatives in their area of responsibility to the detriment of the system or other Premier Health entities or departments.

About Premier Health Partners <a href="http://www.premierhealthpartners.org/home.aspx" target="_blank">Premier Health Partners</a> (PHP) is a large health system serving southwest Ohio communities by improving the quality, affordability, and accessibility of health care. PHP Mission and Legacy for Better Health Care The <a href="http://www.premierhealthpartners.org/aboutus.aspx?id=760" target="_blank">PHP Mission and Legacy</a> has always been to provide the most comprehensive, affordable and accessible health services and products for the betterment of health care in southwest Ohio. When you know more about our mission, vision, and values, and read about the success stories in our history; you’ll know why we’re the first choice for patients, physicians and employees in southwest Ohio. PHP Hospitals Our members include more than 65 member locations throughout southwest Ohio, including four hospitals: <ul> <li><a href="http://www.goodsamdayton.org/" target="_blank">Good Samaritan Hospital Dayton</a></li> <li><a href="http://www.miamivalleyhospital.org/" target="_blank">Miami Valley Hospital</a></li> <li><a href="http://www.atriummedcenter.org/" target="_blank">Atrium Medical Center</a></li> <li><a href="http://www.uvmc.com/" target="_blank">Upper Valley Medical Center</a></li> </ul> PHP Health Centers As part of our mission to bring quality health care closer to the people we serve, we’ve expanded our services through comprehensive health centers: <ul> <li><a href="http://www.goodsamdayton.org/gshdefault.aspx?id=11560" target="_blank">Good Samaritan North Health Center</a> in Englewood</li> <li><a href="http://www.miamivalleyhospital.org/mvhdefault.aspx?id=12738" target="_blank">Miami Valley South Hospital</a> in Centerville</li> </ul> How to Donate or Volunteer Find out <a href="http://www.premierhealthpartners.org/aboutus.aspx?id=806" target="_blank">how to donate or volunteer</a> to impact the quality of health care at PHP and our member organizations. PHP has foundations to which you can make donations to improve the health care technology and facilities available to your community. You can also help by volunteering at our hospitals or health centers. PHP Vendor and Supplier Information Whether you’re currently a vendor working with PHP or a supplier interested in joining our partnership, you’ll find helpful information in our <a href="http://www.premierhealthpartners.org/aboutus.aspx?id=824" target="_blank">vendor and supplier section</a>. Serving the Community PHP is dedicated to <a href="http://www.premierhealthpartners.org/aboutus.aspx?id=762" target="_blank">serving the community</a> by making it our priority to bring quality, affordable health care choices closer to you. To make this happen, PHP created <a href="http://www.premiercommunityhealth.org/" target="_blank">Premier Community Health</a>, a non-profit organization dedicated to creating a healthier community through prevention, early detection, and disease management. <a href="http://www.premierhealthpartners.org/aboutus.aspx?id=766" target="_blank">PHP’s investment</a> in the 23 communities we serve includes building health service centers, bringing health programs to the community, as well as being one of the largest employers in the area. We also are committed to helping the <a href="http://www.premierhealthpartners.org/aboutus.aspx?id=770" target="_blank">under-served</a> of our community by providing financial aid, free services, and pre ions to people in need. We also believe in being a good neighbor by getting involved in numerous <a href="http://www.premierhealthpartners.org/moreaboutus.aspx?id=772" target="_blank">community programs and charities</a>. And, as part of our effort to build healthier communities, we have implemented a system-wide <a href="http://www.premierhealthpartners.org/aboutus.aspx?id=822" target="_blank">ban on tobacco</a>. <a href="http://www.premierhealthpartners.org/aboutus.aspx?id=762" target="_blank">Learn more about how we serve the community</a>. Awards and Recognition <a href="http://www.premierhealthpartners.org/aboutus.aspx?id=820" target="_blank">Read About Our Awards and Recognition</a>.

Premier Health Partners

MGR-ONCOLOGY RN NAVIGATOR-PPN

This position serves as a technical program manager performing cost, schedule, performance, and risk management for various contractual activities conducting open system architecture maturation, model-based systems engineering, software development, and system verification & validation. Gap Analysis & Risk Identification: Based on identified system capability gaps, system requirements, and stakeholder feedback, formulate and implement executable program strategies that deliver high-quality open architecture products.

When you become part of the When you become part of the KBR team, your opportunities are endless. As a leading global technology, engineering, procurement and construction company serving the hydrocarbons and government services industries. For decades it has been the company that customers turn to for their most challenging assignments.
 
With operations in 40 countries, KBR has more than 25,000 people delivering services to customers in over 70 countries. Together they represent an unmatched reservoir of talent and experience in a wide range of markets.
 
Whatever the assignment, no matter how complex or demanding, KBR can marshal resources across every product line to respond quickly and effectively to changing markets and customer needs.
 
Whether it's providing the technology and consulting know-how to develop our customers' valuable assets; designing and constructing the infrastructure and facilities to develop energy resources in some of the world's more remote and challenging locations; providing support and services for men and women of their countries' armed forces; or navigating the intricacies of undertaking major projects in geopolitically or culturally sensitive environments, our clients depend on KBR because they know that We Deliver.
 
Join us and you'll be part of a dynamic, elite team of professionals who understand what it takes to get a job done and has the experience, knowledge and determination to succeed.”

KBR Inc

Technical Project Manager

As a Senior Consultant within our SAP Global Trade group, you will work with clients who want to bring design thinking into the future of their technology enabled business processes to improve their ability to react on digital world and enable scalability, remove performance barriers, enable innovation, and modernize core systems and reimagine their business with SAP digital solutions. Other: Vendor certification for management of implementations (Oracle, SAP, Thomson Reuters, etc.) or relevant industry certification such as Microsoft Certified Solutions Developer (MCSD), AWS (Amazon Web Services) or GCP (Google Cloud Platform).

Deloitte

Manager, SAP - Global Trade

ea_via_bold

Key Competencies candidate must possess for success: · Organizational Skills, Action oriented, Business Acumen, Conflict Management, Interpersonal Savvy, Managerial Courage, Motivating Others, Organizational Agility, Planning, Priority Setting, Drive for Results, Time Management, Written Communications. · Collaborate with value stream managers, supervisors, and plant operations managers to manage and develop certification programs across value streams and manufacturing cells.

Silfex

Sr. Manager- Technical Training

This role uses facts, analytics, and market intelligence to influence customer decisions, drive distribution, and deliver measurable top and bottom-line growth and grow market share. Based in Jacksonville, Florida, with operations spanning the U.S., the Dominican Republic, and Nicaragua, Swisher continues to lead through innovation, setting new benchmarks in quality and creativity.

Swisher

Territory Manager II

PART_TIME

of Quality Control is responsible for ensuring programs outlined in the GMM such as, Required Inspection Items, Inspection Stamp, Airworthiness Release, precision tool calibration, parts receiving inspection and Basic Empty Weight & Balance are being properly administered and policies and procedures for the programs are being adhered too. ATI is an FAR Part 121 charter airline headquartered in Wilmington, Ohio, and operates a worldwide fleet of Boeing 757 and 767 cargo and combi passenger aircraft.

Air Transport International Inc

ATI MGR QC

As a Program Manager, Senior your duties will include the following, but are not limited to: Knowledge of qualitative and quantitative techniques for gathering, analyzing, and measuring the effectiveness, efficiency and productivity of acquisition programs; Knowledge of support activities that assist the program manager in assessing what programs are within schedule and cost baselines and be able to recommend viable solutions to problems as well as the pursuit of alternative courses of action; Abilities to effectively communicate orally and in writing, providing quality acquisition and program documentation, e.g., briefings, documents, and plans; Abilities to plan, research, analyze and assess system acquisition in terms of development, production and deployment of weapons systems and associated equipment; Abilities to formulate plans and recommend effective strategies in meeting cost, schedule and performance objectives; Abilities to support and develop acquisition reports, including statutory and regulatory reports, e.g., Defense Acquisition Executive Summary (DAES) or Monthly Activity Report (MAR); Abilities to support program management reviews, senior level meeting/reviews and Integrated Master Plan (IMP)/Integrated Master Schedule (IMS) reviews; and, Abilities to support and develop various briefings/schedules of program status and acquisition tasks to senior management. MRO replaces dissimilar legacy systems and processes used across numerous geographic locations with a common enterprise business system that optimizes resource and workload assignments, facilitates what- if planning and frees-up logistics capacities aimed at improving capabilities availability to the warfighter.

Torch Technologies Inc

Program Management, Senior

Burlington Capital Properties is looking for the right individual to fulfill an exciting and rewarding career opportunity as an Assistant Property Manager at a multifamily community in Dayton, Ohio. The successful candidate will assist with the day-to-day operations of the property, support leasing and resident relations, and help ensure the community is well-maintained and operating efficiently.

Burlington Capital Properties

Assistant Property Manager- Dayton, OH

Hireclick

ADAPTED_NOW

You will work remotely, serving clients by providing guidance and protection solutions for individuals and families. Increased earning potential in later years through performance and renewals.

HMG Careers

Sales Manager Remote

Knowledge of qualitative and quantitative techniques for gathering, analyzing, and measuring the effectiveness, efficiency and productivity of acquisition programs; Knowledge of support activities that assist the program manager in assessing what programs are within schedule and cost baselines and be able to recommend viable solutions to problems as well as the pursuit of alternative courses of action; Abilities to effectively communicate orally and in writing, providing quality acquisition and program documentation, e.g., briefings, documents, and plans; Abilities to plan, research, analyze and assess system acquisition in terms of development, production and deployment of weapons systems and associated equipment; Abilities to formulate plans and recommend effective strategies in meeting cost, schedule and performance objectives; Abilities to support and develop acquisition reports, including statutory and regulatory reports, e.g., Defense Acquisition Executive Summary (DAES) or Monthly Activity Report (MAR); Abilities to support program management reviews, senior level meeting/reviews and Integrated Master Plan (IMP)/Integrated Master Schedule (IMS) reviews; and, Abilities to support and develop various briefings/schedules of program status and acquisition tasks to senior management. MRO replaces dissimilar legacy systems and processes used across numerous geographic locations with a common enterprise business system that optimizes resource and workload assignments, facilitates what- if planning and frees-up logistics capacities aimed at improving capabilities availability to the warfighter.

Torch Technologies

Program Management, Journeyman

With industry-leading products in ocean drayage, domestic trucking, freight forwarding, air freight, customs house brokerage, vessel husbandry, and warehousing and distribution…customers around the globe use the services of our family of brands: ContainerPort Group, UWL, World Distribution Services, and World Shipping, Inc. to simplify supply chains and reliably move freight. Today, we are home to a portfolio of globally trusted brands that deliver customers end-to-end supply chain and logistics solutions, backed by innovative technology to provide visibility and data like never before.

World Group

Fleet Manager

Our Trenton, Ohio facility is leading our Advanced Industries Division and leverages world-class aluminum extrusion technology, precision CNC machining, fabrication, welding, and assembly capabilities to deliver innovative solutions for some of the industry's most demanding applications. Shape Corp is a global leader in advanced metal manufacturing, recognized for its expertise in complex aluminum extrusion, fabrication, and value-added manufacturing processes.

Shape Corp

Quality Manager

The FOQA Analyst will assist the FOQA Program Manager in partnering closely with Flight Operations, Training, Safety, Maintenance, and Technical Operations to improve operational performance and enhance aviation safety throughout ATI's domestic and international cargo operations. Purpose: The Flight Operations Quality Assurance (FOQA) Analyst will be responsible for assisting the FOQA Program Manager in leveraging flight data to identify operational risks, monitor safety performance, and support data-driven decision-making across the organization.

Air Transport International

ATI Foqa Analyst

OTHER

Provide timely reporting to senior management to summarize key business activities and processes, including for example, guidelines and documentation exceptions, pipeline activities and other key business activities. GPAC (Growing People and Companies) is an award-winning search firm specializing in placing quality professionals within multiple industries across the United States since 1990.

Gpac’s mission is to be the preferred staffing and recruitment solution by effectively delivering and connecting talent with successful companies and organizations. 
 
Our team, with collective experience of over 250 years, is passionate about wh

Gpac

Credit Manager

LogicMelon

FULL_TIME

The Assistant Store Manager is a key leader responsible for coaching and developing associates, improving business performance, supporting recruiting and hiring efforts, and leading with Rural King's Values of People First, Integrity, Attitude, Initiative, Teamwork, Accountability, and Continuous Improvement. As a family-owned company with a strong history of growth, we are committed to helping our associates build rewarding careers through hands-on training, leadership development, and a culture that values teamwork, integrity, and customer service.

Rural King

Assistant Manager

[AW]-iCims

The successful candidate will actively participate in all stages of the model life cycle, from ideation to deployment, for tasks that include, but are not limited to, exploratory data analysis, dataset preparation, model implementation, model training, model evaluation, model-based optimization, synthetic data generation, and first-principles modeling and simulation. We are looking for an engineer with core competencies in the areas of data-driven and quantitative modeling, as well as having the necessary science and engineering background to develop and deliver effective machine learning-based software solutions for our customers.

CFD Research Corp

Machine Learning Engineer Materials

Join Healthcare Services Group (HCSG) as an Environmental Services (EVS) Assistant Manager, overseeing cleaning and sanitation services at a long-term care facility. Benefits Link: Click here for more benefits information . or copy this link : https://go-internal.hcsgcorp.com/l/1036773/2025-07-02/5xbpsq/1036773/17514637576MrQym5A/Employee_Benefits_for_Job_Descriptions__7_.pdf.

Our Vision is To Be the Choice for Our Customers. ... Our Vision for the future motivates our employees to do their best every day, making their careers meaningful and impactful. We have a set of Values that are the binding forces of HCSG, including Integrity, Collaboration, Empowerment, Passion and Perseverance

Healthcare Services Group, Inc.

Environmental Services Assistant Manager

With offerings including uniforms, mats, mops, towels, restroom supplies, workplace water services, first aid and safety products, eye-wash stations, safety training, fire extinguishers, sprinkler systems and alarm service, Cintas helps customers get Ready for the Workday. Cintas Corporation helps more than one million businesses of all types and sizes get Ready to open their doors with confidence every day by providing products and services that help keep their customers' facilities and employees clean, safe, and looking their best.

Cintas Corp

Trade Compliance Manager (Mason, OH, US, 45040)

At Flying Ace Express Car Wash , we’re more than just a car wash—we’re committed to delivering fast, eco-friendly services, providing exceptional customer care, and giving back to our communities. You will be the main point of contact for all customer service issues, maintain sales goals, educate on the benefits of our unlimited wash club memberships, as well as maintain the appearance and performance of the site.

Linux Engineer Jobs in Laurel, MD

Clinical Operations Program Manager--UM Operations CareSource

MGR-ONCOLOGY RN NAVIGATOR-PPN Premier Health Partners

Technical Project Manager KBR Inc

Manager, SAP - Global Trade Deloitte

Sr. Manager- Technical Training Silfex

Territory Manager II Swisher

ATI MGR QC Air Transport International Inc

Program Management, Senior Torch Technologies Inc

Assistant Property Manager- Dayton, OH Burlington Capital Properties

Sales Manager Remote HMG Careers

Program Management, Journeyman Torch Technologies

Fleet Manager World Group

Quality Manager Shape Corp

ATI Foqa Analyst Air Transport International

Credit Manager Gpac

Assistant Manager Rural King

Machine Learning Engineer Materials CFD Research Corp

Environmental Services Assistant Manager Healthcare Services Group, Inc.

Trade Compliance Manager (Mason, OH, US, 45040) Cintas Corp

Bench Site Manager - Flying Ace Express Car Wash Express Wash Concepts

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