- Regal Rexnord (Bowling Green, OH)
- …to take our business to the next level. The General Manager will provide strategic vision, execute growth plans, manage annual P&L objectives, drive innovation, and ... Business System, ensuring world-class performance in Safety, Quality, Delivery, and Cost . Our goal is to exceed stakeholders' expectations and achieve profitable… more
- Elevance Health (Mason, OH)
- ** Provider Contract Cost of Care Consultant**...care . **How you will make an impact:** + Provide analytic and consultative support on cost of ... Mason, OH, or Tampa, FL. The ** Provider Contract Cost of Care Consultant**...facilitate novel ways of exploring and explaining trends. + Provide input and consultative support to Medical Directors, Finance… more
- Elevance Health (Columbus, OH)
- ** Provider Contract / Cost of Care Consultant** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live ... Louis, MO; Atlanta, GA; Columbus, GA; Chicago, IL. The ** Provider Contract / Cost of Care...or any combination of education and experience, which would provide an equivalent background. **Preferred Skills, Capabilities and Experiences:**… more
- Elevance Health (Seven Hills, OH)
- The Cost of Care Mgr leads and manages...acumen. + 2 years experience in broad-based analytical, managed care payor or provider environment as well as ... multiple cost of care initiatives enterprise wide (eg local, within each state,... improvement processes around physician, hospital and ancillary network contract negotiation strategies, utilization management efforts, new products, annual… more
- Medical Mutual of Ohio (OH)
- …group sales opportunities. Performs other discount and RFP questionnaire support related to provider contract and network value. . Performs analysis of financial ... Performs other discount and RFP questionnaire support related to provider contract and network value. . Maintains...experience. Advanced degree preferred.** **.** **3 years of health care consulting, provider contracting, or provider… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …initiatives. Assists in supporting the contracting regions with quality, utilization, and cost analysis. ** Provider Network Performance Analyst I** + Gathers and ... skills. + Basic knowledge of health care operations or health care delivery systems. ** Provider Network Performance Analyst II** **Education and… more
- The Cigna Group (Independence, OH)
- …address customer and client demands for lower cost and higher quality of care . This role will report to the Provider Contracting Director - LifeSOURCE and ... targets new providers to bring in network + Incorporates contract and compliance standards into provider agreements...organizations + Strong understanding and experience with hospital, managed care , and provider business models + Knowledge… more
- Sedgwick (Columbus, OH)
- …negotiate fee-for-service ancillary contracts for multiple lines of business in managed care markets; to maintain provider participation within the network; and ... Taking care of people is at the heart of...or university preferred. **Experience** Four (4) years of progressive provider network contract negotiation experience or equivalent… more
- Humana (Columbus, OH)
- …completes a review that includes a full analysis of the medication care plan, investigation of overall utilization, and identification of unusual usage patterns. ... Intervenes and advises patients and providers to promote cost effective utilization and quality patient outcomes, as needed. Understands department, segment, and… more
- Actalent (New Albany, OH)
- …re-projections of project spending and cash flows, budget variance monitoring, cost tracking/analysis; provide analysis and verification for SOX activities. ... of experience, our scalable talent solutions and engineering and sciences services provide the expertise our customers need to achieve more. The Project Coordinator… more
- System One (Dayton, OH)
- …equipment + Coordinate care and facilitate discharge to an appropriate level of care in a timely and cost -effective manner + Refer cases to Client Medical ... Reviewer (2 roles are open) ALTA is supporting a contract opportunity working remote located anywhere in the United...to establish safe discharge planning needs and coordination of care + Provide guidance to non-clinical medical… more
- Sharecare, Inc. (Columbus, OH)
- …-effective manner while ensuring high quality care . The RN coordinates with the Primary Care Provider and all other members of the health care team to ... increasing acuity, and for intervening with the participants and their Primary Care Provider according to the disease management program intervention guidelines.… more
- Option Care Health (Columbus, OH)
- …alternative to hospital infusion therapy. With more than 2,900 clinical experts, Option Care Health is able to provide high-quality infusion services for nearly ... resulting in high quality outcomes at a significantly reduced cost . Option Care Health has more than...treatment sites. We are guided by our purpose to provide extraordinary care that changes lives through… more
- Elevance Health (Mason, OH)
- …needs to ensure access to medically necessary quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract . ... + Will serve as a resource to other BH Care Managers. Assists with more complex cases and may...or any combination of education and experience which would provide an equivalent background. + Current active unrestricted license… more
- Elevance Health (Cincinnati, OH)
- …needs to ensure access to medically necessary quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract . ... + Will serve as a resource to other BH Care Managers. Assists with more complex cases and may...or any combination of education and experience which would provide an equivalent background. + Current active unrestricted license… more
- Leonardo DRS, Inc. (Beavercreek, OH)
- …using specific technical knowledge. Manage and direct the daily execution of contract requirements to assure that cost , schedules and performance goals ... of Programs, or LOB Lead). + Manage and direct the daily execution of contract requirements to assure that cost , schedules and performance goals are met… more
- WestCare Foundation (Dayton, OH)
- …of capturing financial information, development of financial accounting systems, and increased contract , cost center and fund reportability + Accomplish tasks ... this position will be responsible for the accounting, budgeting, grant and contract management for WestCare Foundation and its related entities. Essential Job… more
- IMSolutions, LLC (Columbus, OH)
- …to work at the agency's office in Washington, DC._** As a **Federal Contract Specialist** , you provide acquisition support services, including contract ... and contract closeouts. + Market research/analysis, selection and administration of contract terms and conditions, cost , and price analysis. + US Citizenship… more
- Veterans Affairs, Veterans Health Administration (Dayton, OH)
- …Acquisition Utilization Specialist serves as a liaison and advisor on contract related services focusing on critical clinical and healthcare services, facility ... and procurement metrics that identify business objectives and goals. Perform cost containment strategies, ensuring the effectiveness, quality and economy of… more
- Leonardo DRS, Inc. (Beavercreek, OH)
- …Participate in TINA implementation/sweeps + Negotiate standard terms and conditions + Monitor contract performance and cost controls and ensures compliance with ... around the world. **Job Summary** **Job Responsibilities** + Administer and monitor contract performance on government contracts + May assist with the negotiation… more
