- Northwest State Community College (Bryan, OH)
- …active resource for marketing and support staff. 5. Responsible for the overall management of the designated regions procurement network . 6. Establish and ... Memoranda of Understanding (MOU)s with partners located within their region. 8. Provide business counseling, client case management , technical research and… more
- Molina Healthcare (Cincinnati, OH)
- …and ensure adherence to business, system and regulatory requirements of Provider Data Management / Network Adequacy. **Knowledge/Skills/Abilities** + ... among multiple systems to ensure accurate reporting of the Provider Network across the enterprise. Validate data...Integrates work with other teams including New Markets team, Network Management , Product Teams, PDM and IT.… more
- Molina Healthcare (Cincinnati, OH)
- …and system requirements of customers as it pertains to contracting, network management and credentialing. + **Knowledge/Skills/Abilities** + Strategically plans, ... **Job Description** **Job Summary** The Network Solutions Director is responsible for...solutions utilizing provider data such as the Provider Online Directory, Utilization Management , Customer Experience,… more
- The Cigna Group (Cleveland, OH)
- …reside in the Cleveland or Independence, OH area.** The ** Director ** **,** ** Provider Contracting Network Management ** serves as an integral member of ... management of the day to day contracting and network management activities for a local given...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- Molina Healthcare (Cincinnati, OH)
- …and system requirements of customers as it pertains to contracting, network management and credentialing. **Knowledge/Skills/Abilities** * Strategically plans, ... in developing and implementing appropriate Corrective Action Plans for submission of provider network files, etc. * Engages with IT and other departments to… more
- Evolent (Columbus, OH)
- …Account teams and payer clients to align priorities and deliver high-quality provider network engagement, performance reporting, and present to health plans ... OR THE SOUTHWEST REGION We are seeking a strategic and collaborative Associate Director , Provider Engagement to lead our oncology-focused provider engagement… more
- Molina Healthcare (OH)
- … and senior leadership/ management . * Communicates new strategies to corporate provider network leadership for input. * Utilize standardized system(s) to ... Georgia _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for...including VBP program templates. Works with Legal and Corporate Network Management as needed to modify contract… more
- Molina Healthcare (OH)
- …drive structure and organization; extensive working knowledge of direct care provider workforce development, relationship development and management and ... internal and external stakeholders, including state agencies, community partners, professional provider associations and network providers + Align workforce… more
- CVS Health (Columbus, OH)
- …peers to ensure alignment across the broader platform strategies and capabilities. + Provide change management rigor to ensure smooth transitions for end users ... We are recruiting to fill a critical leadership position on the Network Platform Solutions team. The role will have responsibility for identifying, understanding,… more
- Datavant (Columbus, OH)
- …to customer outcomes, regulatory drivers, and market trends in risk adjustment, care management , and provider enablement. + Identify and prioritize use cases ... is powered by the largest, most diverse health data network in the US, enabling data to be secure,...across different facets within prospective and concurrent solutions. + Provide mentorship, performance management , and career development… more
- Elevance Health (Cincinnati, OH)
- …on ethical and clinically appropriate use of healthcare data. + Partner with Provider Network leaders to shape modernization strategies that drive value-based ... **Manager, Medical Director - Transformation Initiatives** Location: This role requires...Payment Integrity** + **Care Management / Utilization Management (CM/UM) Modernization** + ** Provider Networking &… more
- Huntington National Bank (Cincinnati, OH)
- Description Summary:Huntington's Director , Portfolio Management will manage a book of business in the bank's Aerospace & Defense (A&D) vertical within ... Huntington's Corporate Specialty and Government Banking group. The Director , Portfolio Management services and, in conjunction with Relationship Management ,… more
- Intertek (Columbus, OH)
- …Regional Director provides the day-to-day leadership, guidance and general management of a multi-site portfolio. This includes ensuring the business has proper ... Regional Director - Building and Construction - Midwest Professional...Promise and core values of the company. + P&L Management : Responsible for driving the business to achieve and… more
- Merck (Columbus, OH)
- …world-class Asset Management , Maintenance and Reliability (MRAM) program across a network of ~30 manufacturing sites. This role will own the design, deployment ... role for a technical change agent with broad global experience in asset management , maintenance, reliability and systems engineering. **What you will do** + Lead the… more
- Datavant (Columbus, OH)
- …of Internal Audit will evaluate the effectiveness of internal controls, risk management practices, and governance processes across Datavant's Provider , Payer, ... is powered by the largest, most diverse health data network in the US, enabling data to be secure,...realize our bold vision for healthcare. **Role Summary:** The ** Director of Internal Audit** will design, implement, and oversee… more
- Cardinal Health (Columbus, OH)
- …we can get life-changing therapies to patients who need them-faster.** The Director of Business Development, Patient Hub Services, is responsible for business ... of Access and Patient Support, Clinical Services and Reimbursement Services. The Director will build key customer relationships to uncover customer needs to align… more
- Cleveland Clinic (Cleveland, OH)
- **Medical Director , Pediatric Cardiac Intensive Care Unit** The Division of Cardiology & Cardiovascular Medicine within the Pediatric and Adult Congenital Heart ... clinical skills and a strong history of leadership to serve as the Medical Director of our Pediatric Cardiac Intensive Care Unit (PCICU). The position will have a… more
- City of Cincinnati (Cincinnati, OH)
- COMMUNITY CENTER DIRECTOR Print (https://www.governmentjobs.com/careers/cincinnati/jobs/newprint/5094597) Apply COMMUNITY CENTER DIRECTOR Salary $46,640.90 - ... Under the direction of Service Area Coordinator employee has the responsibility to provide a broad range of recreational program activities and services designed to… 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 ... provider contract documents and overall contract management process **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + None **SKILLS** + Excellent… more
- Sumitomo Pharma (Columbus, OH)
- …the design and execution of program operations, systems, metrics, and HUB vendor network . The Director will work closely with key stakeholders including the ... seeking a dynamic, highly motivated, and experienced individual for the position of ** Director , Patient & HUB Operations, Rare Disease** . The Director , Patient… more
