- Molina Healthcare (Cincinnati, OH)
- …Joint Operating Committees, and delegation oversight. * In conjunction with Director, Provider Contracts , develops health plan-specific VBP provider ... VBC models to meet Molina goals. * Prepares the provider contracts in concert with established company...or matrix leadership position * 3+ years experience in provider contract negotiations in a managed healthcare… more
- Elevance Health (Mason, OH)
- ** Provider Contract Specialist Manager **...and a minimum of 5 years of experience with provider contracts , plan procedures, and policies; or ... insightful analytics to improve the delivery of care. The ** Provider Contract Specialist Manager ** functions...large hospital systems joining the network including creating standard contracts for providers as needed. **How you will make… more
- ADM (Erlanger, KY)
- **97624BR** **Job Title:** Contracts Manager **Department/Function:** Legal, Compliance, Regulatory Affairs, Corporate Security **Job Description:** ** ... Contracts Manager - Erlanger, KY** **Role Overview:**...Contract Workflow Oversight: Drive accurate tracking of assigned contracts and workflows in the contract tracking… more
- Molina Healthcare (Cincinnati, OH)
- …Marketplace. * Serves as primary internal contact for informational requests and contract interpretations. * Monitors daily Government Contracts activities to ... **Job Summary** Responsible for the strategic development and administration of contracts with State and/or Federal governments for Commercial, Marketplace, and… more
- Elevance Health (Mason, OH)
- ** Provider Contract /Cost of Care Consultant** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and ... Indianapolis, IN, Atlanta, GA, Richmond, VA, Norfolk, VA or Mason, OH. The ** Provider Contract /Cost of Care Consultant** provides analytical support to the Cost… more
- Deloitte (Cincinnati, OH)
- …process improvements through technology. + NCMA Certifications such as Certified Professional Contracts Manager (CPCM), Certified Federal Contracts ... Contracts & Procurement Organization (GCPO). Your expertise will provide a competitive edge in the Federal Arena, driving...Manager (CFCM), or Certified Commercial Contracts Manager (CCCM). Professionals in the GPS Contracts … more
- Elevance Health (Mason, OH)
- …health, behavioral health, long term services and supports, and psychosocial needs._ ** Provider Network Manager - LTSS & Contracting** **Location:** This ... promoting a dynamic and adaptable workplace. Alternate locations may be considered. The ** Provider Network Manager - LTSS & Contracting** is responsible for… more
- Elevance Health (Mason, OH)
- …the quality-of-service delivery. + Research issues that may impact future provider contract negotiations or jeopardize network retention. **Minimum ... ** Provider Relationship Account Manager ** Carelon Behavioral...Surveys, required corrective action plan implementation and monitoring education, contract questions and non-routine claim issues. + Coordinates communications… more
- Northrop Grumman (Cincinnati, OH)
- …defense._ _Your military experience brings value to our organization, so we provide full support for your career transition and advancement through the following ... operations._ + **_Onboarding support teams:_** _Our veteran employee resource groups provide essential assistance to help new employees transition while establishing… more
- Robert Half-Robert Half Corporate (Cincinnati, OH)
- **JOB REQUISITION** Talent Manager - Contract Finance & Accounting **LOCATION** OH CINCINNATI **JOB DESCRIPTION** **Job Summary** Our **Talent Managers** work in ... matching highly skilled accounting and finance professionals with clients' projects, contract assignments and contract to full-time opportunities; managing… more
- Elevance Health (Mason, OH)
- …select claims to be reviewed, conducts reviews using medical charts, medical notes, and provider contracts . + Verifies dollar amount on claim is correct in ... of medical charts, medical notes, itemized bills and providers contracts to ensure that a claim is paid in...that a claim is paid in accordance with the contract , provider reimbursement policies, and industry standards.… more
- Elevance Health (Cincinnati, OH)
- …market. + Provide analytical support for strategic initiatives, such as contract negotiations, provider network optimization, and total cost of care ... **Business Information Consultant Senior - Provider Economics** The **Business Information Consultant Senior** is...Comfortable understanding the operational and technical components of value-based contracts and the systems in which they are run… more
- Elevance Health (Cincinnati, OH)
- **Business Information Consultant - Provider Economics** **Location:** Indianapolis, IN; Woburn, MA; Atlanta, GA; Cincinnati, OH; Richmond, VA (preferred). This role ... position will configure our value-based care platform in accordance with value-based contract terms, run ad hoc analyses, and perform the corresponding financial… more
- Elevance Health (Mason, OH)
- …on contracting analytics from a financial impact perspective. + May recommend alternative contract language and may go on-site to provider premises during ... ** Provider Cost of Care Analyst Senior** **Location:** This...+ Provides advice and analytic support to Medical Directors, contract negotiators and management on cost of care issues… more
- Elevance Health (Mason, OH)
- …and Experiences:** + MBA preferred. + Applicants with proven expertise in provider contract interpretation and negotiation are strongly preferred. + Strong ... **Director of LTSS Provider Relations** **Preferred Location: Ohio. This position is...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- UC Health (Cincinnati, OH)
- Location: UC Medical Center Department: Contract Pharmacy Hours: Full-time, 40 Hours/Weekly Shift: First Shift UC Health is hiring a 340B Analyst for The Contract ... University of Cincinnati's Medical Center. At the direction of the 340B Manager /Coordinator, the 340B Analysts will support department functions to maximize 340B… more
- Elevance Health (Mason, OH)
- …aspects of the contract negotiation process. + Can work with multiple provider types, eg physician, ancillary, medical groups, or hospitals. + Supports a full ... ** Manager Senior Engineering** **Location:** This role requires associates...from a financial impact perspective. + May recommend alternative contract language and may go on-site to provider… more
- Cushman & Wakefield (Cincinnati, OH)
- …inspections of properties with janitorial and landscape providers and any other service provider as directed by the manager * Participates in performance ... **Job Title** Assistant Property Manager (CRE) **Job Description Summary** The Assistant Property Manager is responsible for assisting in all areas defined as a… more