- 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 (Cincinnati, OH)
- ** Provider Contract / Cost of Care Consultant** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within ... 50 miles of one of our PulsePoint locations. 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
- 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
- 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
- Sherwin-Williams (Cleveland, OH)
- …come from in the world, there's a place for you at Sherwin-Williams. We provide you with the opportunity to explore your curiosity and drive us forward. ... a wide range of world-class benefits designed for you. From retirement to health care , from total well-being to your daily commute-it matters to us. A general… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …OH). **ESSENTIAL JOB FUNCTIONS** + Consults, contributes and participates in managed care contract negotiations for assigned payers (moderate to high ... Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our...contract modeling systems. + Prior experience with health care reimbursement operations is preferred (eg revenue cycle on… more
- Cleveland Clinic (Cleveland, OH)
- …or payor organizations preferred. Experience and working knowledge of health care business basics including, physician practice workflows, provider billing, ... the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top… 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
- 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
- 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
- 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
- Prime Therapeutics (Columbus, OH)
- …and satisfaction. Develops and tracks appropriate metrics that monitor the quality and care cost impact of the clients' program. Provides guidance, assistance ... all clinical recommendations is essential for both the client's cost of care and the overall administration...achievements. We value new ideas and work collaboratively to provide the highest quality of care and… more
- Bon Secours Mercy Health (Lima, OH)
- At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and ... Population Health Coordinator is responsible for managing payer panels related to value-based contract quality and gap closure. This role serves as the primary lead… more
- Leonardo DRS, Inc. (OH)
- …government specifications and requirements, identify risks and areas of concern on contract terms and conditions and provide contractual advice, guidance and ... conditions under contract lead direction + Monitor contract performance and cost controls and ensure...familiarity with Microsoft Office programs US Citizenship required. _Taking care of our people is a top priority at… 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
- Prime Therapeutics (Columbus, OH)
- …satisfaction. Develops and tracks the appropriate metrics to monitor the quality and care cost impact of the client's program. Requires communication across all ... empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more
- HomeSafe Alliance (Columbus, OH)
- …crate and freight alternate shipments. + Focus on GHC US Government Contract customer satisfaction, cost , schedule, delivery, safety, process improvements, ... of Operations Excellence** is responsible for HomeSafe Alliance Global Household Goods Contract PWS metrics, Key Performance Indicators, and Contract Deliverable… more
- Battelle Memorial Institute (Columbus, OH)
- …+ Prepares and presents prtations to internal management and to external customers to provide reviews and updates on technical aspects, cost , and schedule. + ... program development and the implementation and management of program cost , schedule and performance, while meeting client expectations. **Responsibilities** +… more
- Sedgwick (Columbus, OH)
- Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our ... To analyze complex or technically difficult surety and surety bond claims; to provide resolution of highly complex nature and/or high exposure surety claims; to… more