- Humana (Columbus, OH)
- …community and help us put health first** Humana Healthy Horizons is seeking a Provider Contracting Professional 2 who initiates, negotiates, and executes ... provider contracts and agreements related to Medicaid health plans. The Provider Contracting Professional work assignments are varied and frequently… more
- Lumen (Columbus, OH)
- …field *6-10 years of experience in program control, financial analysis, or federal contracting * Professional certifications (CPA, PMP, CPCM) are a plus *Strong ... a government security investigation) **Employment Type:** Full-Time **Industry:** Government Contracting / Telecommunications Lumen is seeking a Sr Program Control… 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 collaboration and ... unless an accommodation is granted as required by law. The **Cost of Care/ Provider Contracting Data Analyst** is responsible for provides analytical support to… 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 ... providers in accordance with company standards to maintain and enhance provider networks while meeting and exceeding accessibility, compliance, quality, and… more
- CVS Health (Columbus, OH)
- …managing relationships with third-party vendors to ensure optimal performance, compliance, contracting and alignment with organizational goals to ensure the delivery ... of exceptional provider experiences and operational excellence. This role serves as the primary liaison between the company and its vendors, overseeing contract… more
- Humana (Columbus, OH)
- …code and effectively design dashboards and reports + Knowledge of Provider contracting + Project Management experience **Additional Information** This ... us put health first** The Senior Data & Reporting Professional tests the overall network in each county of...experience creating analytics solutions for various and disparate healthcare Provider data + Advanced in SQL and relational database… more
- Highmark Health (Columbus, OH)
- …cross organizational programs and projects + 5 years Familiarity with health plan and provider contracting or revenue management + 2 years Understanding of ... to drive adoption and ROI realization. Critical partners include Advanced Analytics, Contracting , Market and Provider support teams, Actuary, Finance, Highmark… more
- Humana (Columbus, OH)
- …community and help us put health first** The Senior Vendor Management Professional will work as liaison between vendors and Humana supporting internal business ... obligations as part of the Medicare Prescription Payment Plan program. The M3P program will provide all Medicare Part D enrollees an option to pay $0 at the pharmacy… more
- Defense Logistics Agency (Whitehall, OH)
- …Specialist, your resume and supporting documentation must support: A. Basic Contracting Requirement: A.) A baccalaureate degree from an accredited educational ... in DoD or member of the Armed Forces, who occupied an 1102 position, contracting officer position, or comparable military contracting position with authority to… more
- Humana (Columbus, OH)
- …serves as subject matter experts for contractual terms, maintain and develop Humana's contracting standards and processes, and serve as a liaison between the Humana ... responsibilities including drafting, reviewing, negotiating, and advising on legal contracting provisions for purchasing goods and services. Problem resolution of… more
- Cardinal Health (Columbus, OH)
- …full relationship lifecycle, managing everything from pipeline generation and dynamic contracting efforts to executing strategies that maximize reach and market ... Fully remote (nationwide search), with 20 - 30% travel expected **Responsibilities** + Provide dynamic leadership to a team of nine National and Regional Account… 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 heart, each and every day. This exciting role is a fast-paced healthcare provider support role, intended to foster a positive provider experience by… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- …to generate revenue by market shaping, differentiating, push/pull through, and contracting our portfolio of products to customers. **Job Description** + Manage ... brand, value, and contracting strategies, customer interactions, sales team performance, lead generation, pipeline management, pull through tactics and execution,… more
- SHI (Columbus, OH)
- …every year since, and today we're proud to be a $15 billion global provider of IT solutions and services.** **Over 17,000 organizations worldwide rely on SHI's ... largest minority- and woman-owned enterprise in the US** + **Continuous professional growth and leadership opportunities.** + **Health, wellness, and financial… more
- Molina Healthcare (Columbus, OH)
- …waste, or abuse. + Coordinates with various internal customers (eg, Provider Services, Contracting and Credentialing, Healthcare Services, Member Services, ... identify outlier billing behavior, contract and program regulation research, provider and member education, findings identification and communications development,… more
- CDM Smith (Columbus, OH)
- …requisition for future projects. The Engineering Specialist applies broad professional knowledge of engineering principles to solve complex technical challenges ... and prepares technical reports and/or project status reports. * Provide engineering judgment for field modifications, non-conformance issues, value engineering… more
- Fujifilm (Columbus, OH)
- …ways. Whether you're shaping tomorrow's tech or redefining today's processes, we'll provide a flexible work environment and dynamic culture where innovation thrives. ... operating divisions as assigned by the Division General Counsel. + Coordinate and provide strategic legal advice to business partners with respect to a variety of… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- …reflect local customer needs. **Purpose** The Area Business Lead will provide strategic leadership and direction to cross-functional peers, guiding the development ... patient outcomes. + Conduct business to the highest ethical and professional standards, consistent with Otsuka guidelines and policies, ensuring compliance with… more
- Molina Healthcare (Columbus, OH)
- …areas that interface with the segment including medical management, network contracting and provider relations, member services, claims management, payment ... for members and providers. Partners with executive leadership team to provide cohesive direction towards company goals. Strives to ensure member progress… more
- Cupertino Electric (Columbus, OH)
- …qualifications and requirements listed on this specific job description. We provide a competitive compensation package that recognizes your experience, credentials, ... of people is always available and secure. For decades, CEI is a leading provider of design, installation and commissioning of 20M+ square feet of data center space… more