- 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
- Elevance Health (Mason, OH)
- …Senior** is responsible for providing analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering ... cost of care . + Educates provider contractors on contracting analytics from a...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- Elevance Health (Mason, OH)
- …Provides the highest level of analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims ... cost of care + Educates provider contractors on contracting analytics from a...or any combination of education and experience which would provide an equivalent background. **Preferred Qualifications:** + Experience providing… more
- The Cigna Group (Cleveland, OH)
- …Must reside in the Cleveland or Independence, OH area.** The **Director** **,** ** Provider Contracting Network Management** serves as an integral member of the ... Provider Contracting Team and reports to the ...cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative… more
- The Cigna Group (Cleveland, OH)
- …and Youngstown markets)** This position serves as an integral member of the Provider Contracting Team and reports to the Vice President, Network Management, ... Compliance, Sales and Marketing and Service. + Manages strategic positioning for provider contracting , develops networks and identifies and acts upon… 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
- Molina Healthcare (Cincinnati, OH)
- …previous experience in contracting with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** ... **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible...with VBC providers that result in high quality and cost -effective care . Maintains tracking system and publishes… 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
- CVS Health (Columbus, OH)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... managing relationships with third-party vendors to ensure optimal performance, compliance, contracting and alignment with organizational goals to ensure the delivery… 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
- The Goodyear Tire & Rubber Company (Akron, OH)
- …+ Develop/Update agreement templates and playbooks to drive cross-functional efficiencies. Provide periodic training in contracting , compliance, IP and other ... (as needed) to ensure efficient/timely completion of tasks. + Provide support for IT and IT contracting ...Care Line at ###. When contacting us, please provide your name, telephone number, and email address, along… more
- Molina Healthcare (Cleveland, 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 (Cleveland, 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
- The Goodyear Tire & Rubber Company (Akron, OH)
- …call the Goodyear Candidate Care Line at ###. When contacting us, please provide your name, telephone number, and email address, along with a description of your ... The Senior Legal Counsel - International Trade & Regulatory Compliance will provide competent, practical and timely legal advice concerning global trade and… more
- Trane Technologies (Valley View, OH)
- …customers to identify and develop turnkey design-build solutions and energy savings contracting projects, including scope of work development, cost estimating, ... holistic wellness programs that include generous incentives - **WE DARE TO CARE ** ! + **Family building benefits** include fertility coverage and adoption/surrogacy… 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 (Wadsworth, 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
- Molina Healthcare (Cincinnati, OH)
- …senior level clinicians and leaders from functional areas such as finance, health care services and provider contracting to translate analytic observations ... in medical coding/billing (UB04/1500 form). * Advanced understanding of key managed care concepts and provider reimbursement principles such as risk adjustment,… more
