- Battelle Memorial Institute (Columbus, OH)
- …limited direction, Battelle Project Management staff assists for proposal cost development and project execution. BUSINESS FINANCIAL SERVICES RESPONSIBILITIES: + ... limited direction, provides Project Control and Estimating functional requirements for cost analysis and estimates for new business opportunities and project… more
- Elevance Health (Columbus, OH)
- ** Cost of Care / Provider Contracting Data Analyst** **Location** : This role requires associates to be in-office 1-2 days per week, fostering ... an accommodation is granted as required by law. The ** Cost of Care / Provider Contracting...or any combination of education and experience, which would provide an equivalent background **Preferred Skills, Capabilities, and Experiences:**… more
- CVS Health (Columbus, OH)
- …issues. **Required Qualifications** + A minimum of 3 years work experience in a provider contracting or provider relations role, Medicaid and/or behavioral ... and exceeding accessibility, compliance, quality, and financial goals and cost initiatives. Collaborates cross-functionally to develop provider compensation… more
- Centene Corporation (Columbus, OH)
- …Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical ... and align to performance-based agreements that incentivize better patient outcomes, cost -efficiency, and quality care . + Performance Management: Uses data… more
- Highmark Health (Columbus, OH)
- …Consulting or related area + 3 years Value-based reimbursement, through managed care contracting , provider reimbursement, consulting, population health ... a focus of innovation. + Develop and maintains strategic provider relationships to understand the current health care...projects + 5 years Familiarity with health plan and provider contracting or revenue management + 2… more
- Molina Healthcare (Columbus, OH)
- …claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and ... cost containment reports and makes recommendations based on relevant...departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations. + Maintains SharePoint… more
- CVS Health (Columbus, OH)
- …within the client organization that will improve quality, increase efficiency, and drive cost savings and improve the member and provider experience. + Identify ... delivery on the provider side + 2+ years experience in health care analysis methods and tools, Population health, care management including disease… more
- Molina Healthcare (Columbus, OH)
- …health plans on the financial impact. * Work independently to support and validate Provider Network contracting and unit cost management activities through ... problematic contracts. Supports multi-dimensional pricing strategies to drive down total cost of care and minimize variation in cost by leveraging… more
- Molina Healthcare (Columbus, OH)
- …health plans on the financial impact. + Work independently to support and validate Provider Network contracting and unit cost management activities through ... problematic contracts. Supports multi-dimensional pricing strategies to drive down total cost of care and minimize variation in cost by leveraging… more
- CVS Health (Columbus, OH)
- …working knowledge of business systems, applications, and tools supporting network management, contracting , and provider data systems + Experience in related ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...every day. This exciting role is a fast-paced healthcare provider support role, intended to foster a positive … more
- CDM Smith (Columbus, OH)
- … cost estimates and supporting analysis in coordination with government cost estimators and contracting officers. * Participate in pre-construction meetings, ... and prepares technical reports and/or project status reports. * Provide engineering judgment for field modifications, non-conformance issues, value engineering… more
- Prime Therapeutics (Columbus, OH)
- …address changing market demands and ensure Prime is delivering the highest quality and lowest cost of care to its members and related client messaging as well as ... pipeline to capitalize on savings through effective negotiation and contracting + Develop strong working relationships and communication at...different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want for… more
- OhioHealth (Columbus, OH)
- … site goals on delivering on the value equation of quality, service, and cost efficiency, while maintaining an exceptional provider and staff culture. This role ... everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover...goals. Growth - Through the Clinical Enterprise standard processes, provide strategic and operational direction in support of the… more
- Molina Healthcare (Columbus, OH)
- …HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost -effective based on the severity ... that support ongoing improvements of clinical operations functions and promote quality cost effective health care for Molina members. + Develops initiatives… more
- Molina Healthcare (Columbus, OH)
- …etc. **PREFERRED EXPERIENCE:** + Peer Review, medical policy/procedure development, provider contracting experience. + Experience with NCQA, HEDIS, ... through continuum among hospitals, skilled nursing facilities and home care to ensure quality, cost -efficiency, and continuity of care . + Ensures that… more
- OhioHealth (Columbus, OH)
- …a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be ... position ensures that procurement requests accurately reflect clinical and cost requirements and the timing of receipt for those...of the surgical department and ensure the best patient care by reacting to planned and unplanned requests for… more
- Veterans Affairs, Veterans Health Administration (Columbus, OH)
- …Material Management Division of the Logistics Service in a Veteran Affairs Health Care System (VA HCS) and supported catchment area, with responsibility for the ... data to include projected lifecycle, down time, repair rates, lost workload, cost , depreciation, trade-in value and other factors which impact procurement decisions.… more
- Humana (Columbus, OH)
- …profession best practices, including supply market analyses, Porter's Five Forces, should- cost models, process and domain expertise + Develop risk- and ... categories + Develop multi-year sourcing pipelines that drive total value, including cost savings and supplier innovation for Humana + Drive corporate compliance to… more
- Medtronic (Columbus, OH)
- …of breakthroughs in care It is the policy of Medtronic to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, ... negotiating on behalf of Medtronic-including a strong focus on national contracting across Medtronic portfolios to ensure alignment and execution of enterprise-level… more
- Prime Therapeutics (Columbus, OH)
- …Therapeutics (Prime), we are a different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want for our loved ones. That purpose ... sales and client implementation support. You will oversee roles that provide product and technical solution expertise throughout the client engagement lifecycle-from… more
