- Elevance Health (Columbus, OH)
- ** Manager Provider Network Management ** **Preferred Location: Ohio. This position is hybrid and will require the associate to report to 1 of the 4 Ohio ... health, behavioral health, long term services and supports, and psychosocial needs._ The ** Manager Provider Network Management ** will be responsible… more
- CVS Health (Columbus, OH)
- …each and every day. **Position Summary** In this National Ancillary Team role, the Network Management Senior Manager will negotiate, execute, and conduct ... development, maintenance, and refinement activities and strategies in support of cross market network management unit. * Assists with the design, development, … more
- Chenega Corporation (Wright Patterson AFB, OH)
- … Management ) Wright Patterson Air Force Base, OH Join our Talent Network Program Manager (Engineering Management ) Wright-Patterson AFB (WPAFB), OH ... quickly into a leader in the federal IT and Training environment. TheProgram Manager (Engineering Management )shall provide engineer management support… more
- 7-Eleven (Enon, OH)
- … Services Summary: The Sr. Manager , Networking Services is responsible for overall network management for the enterprise operating as a tower within IT ... Senior Manager Network Services Apply Now (https://my7elevenhr.wd12.myworkdayjobs.com/Careers/job/SSC-Enon-OH/Senior- Manager - Network… more
- Elevance Health (Cincinnati, OH)
- …and adaptable workplace. Alternate locations may be considered. **Develops the provider network through contract negotiations, relationship development, and ... providers in areas with strong competition or where greater provider education around managed care concepts is required. Contracts...other key areas or serve on enterprise projects around network management . + May collaborate with sales… more
- The Cigna Group (Independence, OH)
- …Must reside in the Cleveland or Independence, OH area.** The **Director** **,** ** Provider Contracting Network Management ** serves as an integral member ... Provider Contracting Team and reports to the Provider Contracting Senior Manager . This role assists...management of the day to day contracting and network management activities for a local given… more
- TEKsystems (Columbus, OH)
- …Top Skills: Project Management Healthcare Industry Experience: Provider Side Construction/Renovation Projects Network /Infrastructure Projects Device ... procurement Description Healthcare Network Project Manager The Network Project Manager ...collaboration and interpersonal skills * Escalate issues to Program Manager when required * Provide status updates… more
- Meta (Columbus, OH)
- …sets to expand into the next phase of network development. As a Network Investments - Manager , you will work closely with internal planning and engineering ... vendors to drive critical infrastructure strategies and acquisitions. **Required Skills:** Manager , Network Investments Responsibilities: 1. Drive long-term … more
- Datavant (Columbus, OH)
- … Provider Operations Leadership Team. The position provides direction, leadership and management to a Zone Provider Operations team with direct reports ... is powered by the largest, most diverse health data network in the US, enabling data to be secure,...comprised of Vice Presidents. The GM, Provider Operations is responsible for delivering world class service… more
- Sumaria Systems, Inc. (Fairborn, OH)
- Senior Network Engineer & Program Manager (DoD Projects) Department: C5ISR Office: OH Cyber & Network Ops Location: Fairborn, OH START YOUR APPLICATION ... (https://apply.hrmdirect.com/resumedirect/ApplyOnline/Apply.aspx?req\_id=3448565&source=3448565-CJB-0) Job Title: Senior Network Engineer & Program Manager (DoD Projects)… more
- CVS Health (Oxford, OH)
- …time. **Preferred Qualifications:** + Knowledge of Medicaid Regulatory Standards for Network Access, Credentialing, Claims Processing, Provider Appeals & ... plan design, contract language, service, claims or compensation issues, and provider education needs. + Optimizes interactions with assigned providers and internal… more
- OhioHealth (Columbus, OH)
- …completion of the department month end process, financial reporting to management , financial and other information requests, and representing the department at ... monthly practice meetings as needed. The Finance Manager is also responsible for establishing processes through staff, computer resources and policy implementation… more
- Goodwill of Greater Cleveland and East Central Ohi (Canton, OH)
- …to drive positive changes in communities? As the Community Information Exchange (CIE) Network Manager , you will be at the forefront of innovation, bringing ... Employee assistance program + Employee discount As the CIE Network Manager , you'll: + Build Partnerships That...partners are welcomed and supported in their journey. + Provide Expert Guidance: Offer technical assistance and referrals, ensuring… more
- Highmark Health (Columbus, OH)
- …with contractual terms through regular on-site audits. Apply an active role in network management , training, monitoring and enforcement of company policies and ... marketplace by staying abreast of changes to the business climate. Monitor provider reimbursement methods and PPO/DHMO/EPO network models and communicate changes… more
- Molina Healthcare (Akron, OH)
- …system analysis and program staff. These positions' primary focus is project/program management . **Job Duties** + Lead system and process solution initiatives from ... concept to delivery across Provider Configuration and Credentialing. + Deliver accurate, timely and...external vendors. + Focuses on process improvement, organizational change management , program management and other processes relative… more
- Elevance Health (Columbus, OH)
- …* Foster a culture of accountability, innovation, and data-driven decision-making. * Provide oversight of team operations, performance management , and workforce ... **Director II Provider Economics - Value-Based Specialty Care** **Location:** This...leaders and senior executives, contributing to enterprise-level financial and network negotiations. * Represent Elevance Health's financial position during… more
- Elevance Health (Mason, OH)
- …groups, physician practice management platforms, managed services organizations, network management , provider enablement, care extenders, ambulatory ... **Business Strategy Plan Director - Care Delivery and Provider Enablement** **Location:** This role requires associates to be in-office 3 days per week, fostering… more
- Elevance Health (Cincinnati, OH)
- …on lowering claims costs, improving the quality of care, and increasing member and provider network satisfaction. + Typically works with one provider type, ... ** Provider Cost of Care Analyst Senior** **Location:** This...and analytic support to Medical Directors, contract negotiators and management on cost of care issues to help reduce… more
- Elevance Health (Cincinnati, OH)
- …analytical support for strategic initiatives, such as contract negotiations, provider network optimization, and total cost of care management . + Thoroughly ... **Business Information Consultant Senior - Provider Economics** The **Business Information Consultant Senior** is...for various business segments in the SBU for top management decision-making. + Analyzes and designs solutions to address… more
- Elevance Health (Mason, OH)
- …be reviewed based on historical results of other reviews with providers, network management input and dollar volume of provider . + Analyzes data to select ... ** Provider Auditor** _This position will work a hybrid...or any combination of education and experience, which would provide an equivalent background. RN, LPN or medical coding… more